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The Relationship Between Learning Style and Undergraduate Nursing Students’ Academic Achievement in School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
Addis Adera Gebru,
Shahrazad Ghiyasvandian,
Nooroodin Mohammadi
Issue:
Volume 4, Issue 4, August 2015
Pages:
147-153
Received:
20 May 2015
Accepted:
28 May 2015
Published:
13 June 2015
Abstract: Background: The Learning style has been the focus of numerous studies, but it remains complex and affected by many factors. Nursing students should learn large quantities of theoretical content in a short period of time. Objective: The Relationship between Learning style and undergraduate nursing students’ Academic Achievement in School of nursing and midwifery, Tehran University of Medical Sciences, Tehran, Iran Methods: A correlational cross sectional study was conducted. The subjects of this study were Undergraduate nursing students 232 from school grades of years attending to school of nursing and midwifery of Tehran University of Medical Sciences. Data was collected from students through an anonymous learning style questionnaire. The questionnaire was divided into three sections including (a) demographic profile (b) Kolb’s Learning Style Inventory (c) Academic achievement. An initial version of the questionnaire was piloted on a small group of nursing students as the context was validated by a panel of expertise in nursing education. All ethical considerations were applied in this study. Data analysis was carried out by using the latest version of the statistical software package SPSS (Version-21). Descriptive and analytical statistical test were used to analyze the data. Results: A total of 232 participated in study of relationship between learning styles, and undergraduate nursing students’ academic achievement. One hundred –Forty three participants were female (61.6%), and 89 respondents were male (38.4%); 60.8% were between 20 and 25 years, 33.6% were <20 years, and 5.6% were >25 years old. The most frequency learning style of students was Abstract Conceptualization (37.5%). In addition, Active Experiential (30.17%), Reflective Observation (19.83%) and Concrete Experiencing (12.5%) were in the next order in LS of students. The majority of subjects (52.8%) their academic achievements were at level of Good (the Median score were between (13-16). There was no significant relationship between Learning style and Academic Achievement (P> 0.05). There was a relationship between Learning styles and gender (P<0.05). There was a relationship between learning style and academic level (P=0.041). Conclusion: Not all students are self-directed, and this study suggests that mature students are more self-directed than that entering nurse education direct from high school. Nurses’ educators need to assess the Learning style and preferences of their students in order to determine the appropriateness of Self-Directed in learning.
Abstract: Background: The Learning style has been the focus of numerous studies, but it remains complex and affected by many factors. Nursing students should learn large quantities of theoretical content in a short period of time. Objective: The Relationship between Learning style and undergraduate nursing students’ Academic Achievement in School of nursing ...
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Home Education Impact on Peritoneal Dialysis-Associated Peritonitis Episode
Fatma Abdelalim Abdelghany Ibrahim,
Amany Hassen Abdelsattar
Issue:
Volume 4, Issue 4, August 2015
Pages:
154-158
Received:
22 May 2015
Accepted:
6 June 2015
Published:
25 June 2015
Abstract: The present study was aimed to evaluate the impact of home education on peritoneal dialysis (PD)-associated peritonitis episode in Al Medina- KSA. Thirty patients' on home PD were identified during their follow up visits to three dialysis units. Data were collected through three structured interviews questionnaire at their home via three tools; sheet for demographic characteristics and PD data and history, pre-posttests questionnaire for knowledge, and observational checklist for practice. Peritonitis episodes indicated by three cultures which were done at the times of; pretest, 3 and 6 months after posttest one. The main study findings revealed that 73.3% of the subjects were males with mean age of 26 year. A highly significant differences were found among pre and posttest one of knowledge part {t (27.892) p˂ (0.001)}, pretest-posttest one and posttest one- two of practice part, {t (8.475) p˂ (0.001) and t (4.805) p˂ (0.001)} respectively. The three consecutive cultures results were showed peritonitis episode as followed (30%, 10% and 13.3%). Positive impact was showed on minimizing peritonitis episode in PD patients following home education but by time spent the patients’ compliance declined. Thus periodical refreshment home education provided by experienced nurses is critically needed to maintain standardized PD practice.
Abstract: The present study was aimed to evaluate the impact of home education on peritoneal dialysis (PD)-associated peritonitis episode in Al Medina- KSA. Thirty patients' on home PD were identified during their follow up visits to three dialysis units. Data were collected through three structured interviews questionnaire at their home via three tools; she...
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Effect of a Breast-Self Examination (BSE) Educational Intervention among Female University Students
Doaa Gharieb Moustafa,
Eman Shokry Abd-Allah,
Nadia Mohamed Taha
Issue:
Volume 4, Issue 4, August 2015
Pages:
159-165
Received:
22 May 2015
Accepted:
3 June 2015
Published:
29 June 2015
Abstract: Although evidence shows that women who correctly practice BSE monthly are more likely to detect a lump in the early stage, with early diagnosis and treatment yielding better survival, few women regularly perform BSE and many do not even know how to perform it. The aim of this study was to evaluate the effect of a health education intervention on “breast self-examination” regarding for knowledge, attitude, and practice among female students. Quasi-experimental study was carried out on 180 female student's sitting in the Faculty of Physical Education at Zagazig University and its affiliated hostel. The data collection tools included a self-administered questionnaire and an observation checklist to assess student’s performance of BSE before and after the intervention. The results showed that these students have deficient knowledge and low perceptions regarding breast cancer and BSE; although the majority had positive attitudes, their practice of BSE is very deficient. The educational intervention was effective in improving students’ knowledge, perceptions, attitudes, and practice. The intervention was a significant independent positive predictor of student's knowledge and practice scores, while the attitude score is modulated through the knowledge score. In conclusion, the university students at the Faculty of physical Education have deficient knowledge, low perceptions and inadequate practice regarding breast cancer and BSE. The educational intervention is effective in improving their knowledge, perceptions, attitudes, and practice. It is recommended that health education programs for university students, and the curriculum of the faculties of education should include some health-related issues. It is proposed to replicate this study using a randomized clinical trial design in order to confirm the findings and to provide a higher level of evidence.
Abstract: Although evidence shows that women who correctly practice BSE monthly are more likely to detect a lump in the early stage, with early diagnosis and treatment yielding better survival, few women regularly perform BSE and many do not even know how to perform it. The aim of this study was to evaluate the effect of a health education intervention on “b...
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Coordination Strategies of Care Across Stroke Recovery: Proposals for Nursing Interventions in Primary Care
Queralt-Tomas Mª Ll.,
Gil-Guillen V. F.,
Clua-Espuny J. L.,
Forcadell-Arenas T.,
González-Henares M. A.,
Panisello-Tafalla A.,
Ripolles-Vicente R.,
López-Pablo C.,
Lucas-Noll J.
Issue:
Volume 4, Issue 4, August 2015
Pages:
166-173
Received:
20 May 2015
Accepted:
6 June 2015
Published:
29 June 2015
Abstract: Background. Stroke is characterized by its complexity as a result of residual deficits, dependence in basic activities of daily living, and new needs for caregivers. The purpose of this study was to propose nursing interventions in accordance with general practice to provide continuity of care of stroke patients across the stroke-recovery trajectory and support for caregivers beyond the patient’s length of stay. Methods. This is a longitudinal prospective study of a population-based cohort of all cases recorded in inpatient care of a first episode of stroke that occurred between 1 April 2006 and 31 December 2014. Results. There were 1,494 cases (54.1% male) and the mean age was 77.4±12.9 years. Only 27.9% were evaluated by their disability after hospital discharge. Ischemic stroke treated with thrombolysis had the best results in mortality (6.3%) and Barthel score (85.5). Mild dependence for thrombolysis was OR=2.5 with RRR=46%, ARR=9.4%, and NNT=10 to get a Barthel score >60 at discharge. After the episode the percentage of individuals with moderate or greater dependence increased up to 22.5%, with a loss (p=0.023) higher in women, halving the number of individuals with early independence. Of the stroke survivors 43.4% went directly home after acute care and needed a home caregiver. Age (p<0.001) and NIHSS <12 (p=0.045) were identified as the only prognostic factors associated with mild dependence (Barthel>60).Conclusions. This study recommends consideration of special interests, both standardization of a discharge report as organizing an individualized primary care plan and the unification of processes for assessment of the situation of dependency among all public administrations to facilitate the necessary support planning for the stroke patient and their family in primary care.
Abstract: Background. Stroke is characterized by its complexity as a result of residual deficits, dependence in basic activities of daily living, and new needs for caregivers. The purpose of this study was to propose nursing interventions in accordance with general practice to provide continuity of care of stroke patients across the stroke-recovery trajector...
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Assessment of the Role of Men in Family Planning Utilization at Edaga-Hamuse Town, Tigray, North Ethiopia
Addis Adera,
Tilahun Belete,
Asefa Gebru,
Alganesh Hagos,
Woldegebriel Gebregziabher
Issue:
Volume 4, Issue 4, August 2015
Pages:
174-181
Received:
30 May 2015
Accepted:
16 June 2015
Published:
4 July 2015
Abstract: Back Ground: Family planning is a key for slowing unsustainable population growth and the resulting negative impacts on the economy, environment, and national and regional development efforts. Men are also recognized to be responsible for the large proportion of ill reproductive health Suffered by their female partners. In addition; male involvement helps not only in accepting a contraceptive but also in its effective use and continuation. But men involvement in family planning at the study setting is rarely known. Objectives: To assess male involvement in Family planning utilization at Edaga-Hamuse town, Tigray, North Ethiopia. Methods: A Community based analytical cross-sectional study design was conducted, from August 27, 2014 up to September, 15, 2014. Population of married couples in selected households available during the study period was included in the study. The data was collected using pre-tested self-administered questionnaires. The findings of the study was summarized and presented using tables, descriptive measures and statistical diagrams. The data editing and clearance was done on the same software. Finally, the data was taken to SPSS version 16.0 for the final analysis. And P-value was used. Result: More than 99% of the subjects have heard about modern family planning methods/current contraceptive use. The most commonly mentioned 114(38.8%) of modern family planning methods was pills and followed by 91(30.9%) was inject able. The rate of current contraceptive use is significantly higher for those women with between 3-4 births or having between 1-3 live children (34.3%; n=101) and (25.5%; n=75) respectively. Of the participants 78(26.5%) were used Pills by need of 3-4 children ever born. The result shows that the more than half of the subjects (60.7%; n=176) did get married between 21-28 years old. The result shows that the more than half of the subjects (59%; n=170) had experienced in pregnancy terminated with Abortion (By asking Husband’s experience of their wife). Conclusion and recommendation: of the subjects had never been involved themselves in FP with their wife and this may be attributed to negative perceptions recorded among them. More research with larger groups is needed to generalize this result. The majority of the subjects had never been involved themselves in FP with their wife and this may be attributed to negative perceptions recorded among them.
Abstract: Back Ground: Family planning is a key for slowing unsustainable population growth and the resulting negative impacts on the economy, environment, and national and regional development efforts. Men are also recognized to be responsible for the large proportion of ill reproductive health Suffered by their female partners. In addition; male involvemen...
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Impact of Stress on Immune Response of Breast Cancer Women After Mastectomy
Amal Mohamed Gamal,
Sanaa Ibrahim Abd El-Gaffar
Issue:
Volume 4, Issue 4, August 2015
Pages:
182-189
Received:
31 May 2015
Accepted:
11 June 2015
Published:
4 July 2015
Abstract: Aim of the study was to determine the impact of stress on immune responses of breast cancer women after Mastectomy Materials and method: study was carried out on a convenient sample of 60 adult women diagnosed as breast cancer for stage II or III and scheduled for mastectomy at Oncology University Hospital of Menoufia A descriptive design was used. Two tools; were utilized to collect data related to this study were (1) Stress Assessment Scale, and (2) Immune Response Assessment Questionnaire. Results: revealed that 46.7% of breast cancer women in the study aged between (45 – to less than 55) years, 80.0% were married, 63.3% lived in rural areas, 50.0% monthly income between (150 – less than 300) Egyptian pounds, 40.0% were illiterate, 36.7% of the sample had sever degree of stress at preoperative assessment while 56.7% had sever degree of stress at post operative assessment, there was negative statistically significant correlations between total stress and immune responses were T lymphocytes, CD4 helper, CD56 NK cell, and CD14 Monocytes in pre operative assessment. And T lymphocytes, CD4 helper, CD8 Cytotoxic, CD56 NK cell, and CD14 Monocytes in post operative assessment. Conclusions: the higher the degree of stress, the lower the values of T Lymphocytes, CD4 helper, CD8 Cytotoxic, CD56 NK cells, and CD14 Monocytes. Supporting cancer women during treatments through instructing their psychological and physical well-being. Recommendation: Further researches are needed with large sample size and control group.
Abstract: Aim of the study was to determine the impact of stress on immune responses of breast cancer women after Mastectomy Materials and method: study was carried out on a convenient sample of 60 adult women diagnosed as breast cancer for stage II or III and scheduled for mastectomy at Oncology University Hospital of Menoufia A descriptive design was used....
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Impact of a Planned Sexual Harassment Protective Program on Feeling of Safety and Self Confidence among Adolescent Girls
Jaklein R. Younis,
Mona A. Elnagar,
Mervat M. Atia
Issue:
Volume 4, Issue 4, August 2015
Pages:
190-199
Received:
27 May 2015
Accepted:
9 June 2015
Published:
7 July 2015
Abstract: Background: Sexual harassment is a widespread phenomenon among adolescents. Its emergence is correlated to biological development; this behavior is neither normative nor socially appropriate given the negative impact on victims and its association with other aggressive and violent behavior. Enhancing adolescents’ self-confidence is helpful in empowering then to feel safe and protected against this antisocial phenomenon. Aim: is to assess the impact of a planned sexual harassment protective program on feeling of safety and self confidence among adolescent girls. Design: A quasi experimental research design was utilized. Setting: The study was conducted in two secondary schools at Menoufia Governerate: (1) El-Sanawia banat old secondary school. (2) El-Sanawia banat new secondary school. Sample: a number of 100 secondary school adolescent girls were selected randomly from the previously mentioned settings. Tools: Two tools were used for data collection. Tool one: Students’ knowledge questionnaire: it consisted of two parts. Part one: a structured: socio-demographic questionnaire to obtain demographic data about the studied sample. Part two: - sexual harassment structured questionnaire. Tool two: Five points Likert- scale structured questionnaire regarding degree of self confidence and felling of safety of adolescent girls. .Results: The results of the current study showed that, there were highly statistically significant differences between pre and after implementation of planned sexual harassment protective program of studied group regarding their level of confidence in their abilities and their actions for facing sexual harassment. Also, highly statistically significant differences were found between pre and after implementation of planned sexual harassment protective program of studied group concerning levels of self confidence and feeling of safety where p: (<0.001). Conclusion: it was concluded that, adolescent girls had significant improvement in their feeling of safety and self confidence after utilization of a planned sexual harassment protective program .Recommendation: the study recommended to urgently utilize a planned sexual harassment protective programs for all adolescent girls as a mean to protect themselves and enhance their feeling of safety and self confidence regarding this negative phenomenon.
Abstract: Background: Sexual harassment is a widespread phenomenon among adolescents. Its emergence is correlated to biological development; this behavior is neither normative nor socially appropriate given the negative impact on victims and its association with other aggressive and violent behavior. Enhancing adolescents’ self-confidence is helpful in empow...
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Mothers’ Experiences of Kangaroo Mother Care During Hospitalization of Their Preterm Babies at an Academic Hospital in Johannesburg
Titus Kipchumba Tarus,
Adele Agatha Tjale
Issue:
Volume 4, Issue 4, August 2015
Pages:
200-206
Received:
26 June 2015
Accepted:
8 July 2015
Published:
17 July 2015
Abstract: Kangaroo mother care (KMC) implies placing the newborn pre-term baby in intimate skin-to-skin contact with the mother's chest and abdomen coupled with frequent and preferably exclusive breast-feeding. This is similar to marsupial care-giving, where the premature baby is kept warm in the maternal pouch and close to the breasts for unlimited feeding. KMC has emerged as a non-conventional low cost method for newborn care that provides warmth, touch, and security to the newborn and is believed to confer significant survival benefit. The purpose of this study was to understand the mothers lived experience and perception towards 24-hour Kangaroo Mother Care (KMC) during hospitalization of their preterm babies. Phenomenological study methods were applied through in-depth unstructured interviews, on purposefully selected participants. Their lived experience was analyzed using Collaizzi’s steps to phenomenological data analysis. Data analysis revealed three major themes: (a) “it is a bond between me and my child” (b) nurse-parent interaction, and (c) “it is tiring and exhaustive”. The study found that all the mothers in spite of exhaustion, reported high level of satisfaction with KMC because it allowed them to be closer to their babies, hence giving them the opportunity to observe their growth and became fully involved in the care. The excellent nurse-mothers’ interaction reinforced the KMC concept in care of preterm babies and was rated significant in the transition period of motherhood. The interaction enabled mothers to shift from passive observers to active participants in the care of the preterm babies. KMC was additionally noted to have provided a comforting and warm environment for the babies, thus enabling them to grow faster via weight gains and this in turn increased maternal satisfaction. Recommendation for further research preferably using quantitative methods to establish relationship between production of breast milk and the use of KMC is envisaged. The principle of 24-hour KMC should also be incorporated and emphasized in all levels of preterm baby care hospitals and educational training as this practice has been found to have numerous benefits both to the mothers and to their preterm babies.
Abstract: Kangaroo mother care (KMC) implies placing the newborn pre-term baby in intimate skin-to-skin contact with the mother's chest and abdomen coupled with frequent and preferably exclusive breast-feeding. This is similar to marsupial care-giving, where the premature baby is kept warm in the maternal pouch and close to the breasts for unlimited feeding....
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The Effects and Behaviours of Home Alone Situation by Latchkey Children
J. Rajalakshmi,
P. Thanasekaran
Issue:
Volume 4, Issue 4, August 2015
Pages:
207-211
Received:
13 May 2015
Accepted:
7 June 2015
Published:
22 July 2015
Abstract: Economic and social pressures are forcing more parents into the workplace at a time when children appear to most need adult guidance and supervision. These children, in turn, face a growing number of problems such as physical and sexual abuse, crime and delinquency, depression and suicide, drug and alcohol abuse, emotional and behavioral problems, learning difficulties, school attendance problems, domestic violence, pregnancy, abortion, and venereal disease. Many "latchkey" children experience stressful and even dangerous situations without ready access to adult guidance and support. It is estimated that as many as 10 million children care for themselves before or after school. Many latchkey kids begin their self-care responsibilities at about 8 years of age.
Abstract: Economic and social pressures are forcing more parents into the workplace at a time when children appear to most need adult guidance and supervision. These children, in turn, face a growing number of problems such as physical and sexual abuse, crime and delinquency, depression and suicide, drug and alcohol abuse, emotional and behavioral problems, ...
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Living and Dying with Alzheimer’s Disease: A Case Presentation
Issue:
Volume 4, Issue 4, August 2015
Pages:
212-217
Received:
13 July 2015
Accepted:
16 July 2015
Published:
25 July 2015
Abstract: The following is a case presentation on the life of Leslie Bernard Wynne, an individual crippled by Alzheimer’s Disease (AD) during the last five years of his life. The case study briefly describes the disease process, discusses the genetic component of late-onset AD in regards to the apolipoprotein E (APOE) gene, provides a suggested care plan which spans the course of illness from diagnosis until death, outlines treatment options, highlights common comorbidities, and considers the availability of genetic testing. Recommendations based on best practices and research available are provided throughout and have been integrated into the suggested plan of care. The case study also includes recollections of the family of Mr. Wynne during his illness and exposes the great emotional and physical toll that Alzheimer’s takes beyond the diagnosed individual.
Abstract: The following is a case presentation on the life of Leslie Bernard Wynne, an individual crippled by Alzheimer’s Disease (AD) during the last five years of his life. The case study briefly describes the disease process, discusses the genetic component of late-onset AD in regards to the apolipoprotein E (APOE) gene, provides a suggested care plan whi...
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Effectiveness of Application of PLISSIT Counseling Model on Sexuality for Breast Cancer's Women Undergoing Treatment
Nabila El- Sayed Saboula,
Marwa Ahmed Shahin
Issue:
Volume 4, Issue 4, August 2015
Pages:
218-230
Received:
10 July 2015
Accepted:
20 July 2015
Published:
29 July 2015
Abstract: Background: A breast cancer's diagnosis and treatment can bring changes related to women’s body image and sexuality, which can have a devastating impact on intimate relationships and sexuality. The study aim to examine the effectiveness of PLISSIT Counseling Model on female sexuality, body image and couple satisfaction for breast cancer women undergoing treatment. Subjects &methods a quasi-experimental design was used. The study was conducted at Out-patient Oncology Institute, Menoufia University-Egypt. A purposive sample of 66 women with breast cancer was included. Four tools were used to collect data., a structured interviewing questionnaire, body image scale, female sexual function index (FSDI), the revised dyadic adjustment scale. Results. A significant relationship was found between treatment side effects pre and post intervention regarding nausea & vomiting, diarrhea and pain. The mean score of body image, couple satisfaction and sexual dysfunction were improved after application of PLISST counseling model. Conclusion: application of PLISSIT model was effective in enhancing sexual functioning, body image and couple satisfaction for breast cancer women under treatment regimen. Recommendation: Adopting PLISSIT sexual counseling model in addressing sexual dysfunction in a cancer treatment institutions. Applying the evidence –based nursing interventions to address and manage the effects of breast cancer on sexuality.
Abstract: Background: A breast cancer's diagnosis and treatment can bring changes related to women’s body image and sexuality, which can have a devastating impact on intimate relationships and sexuality. The study aim to examine the effectiveness of PLISSIT Counseling Model on female sexuality, body image and couple satisfaction for breast cancer women under...
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Job Satisfaction among Nurses in Public Hospitals in Calabar, Cross River State Nigeria
Samson-Akpan Patience Edoho,
Edet Olaide Bamidele,
Ojong Idang Neji,
Asuquo Ekaette Frank
Issue:
Volume 4, Issue 4, August 2015
Pages:
231-237
Received:
2 June 2015
Accepted:
15 June 2015
Published:
6 August 2015
Abstract: Background: Job satisfaction is an essential part of nurses’ lives, influencing patient safety, productivity, performance, quality of care, retention, turnover, commitment to the organization and the profession. Little is known about determinants of job satisfaction and their relationship with overall job satisfaction among nurses in Calabar, Cross River State, Nigeria. The study was undertaken to assess the level of job satisfaction and the relationship between determinants and overall job satisfaction. Methods: A descriptive survey with a sample of 346 nurses selected through stratified random sampling was used in this study. A self-reported questionnaire labeled “Work Quality Index” was used in collecting data on job satisfaction. The instrument yielded a test-retest reliability of ® 0.73 to 0.85. Data were computer analyzed using Statistical Package for Social Sciences (SPSS) version 15.0 for Windows. Results: Majority of respondents 262 (75.7%) were between ages 31-40 years while most (48.5%) had 16-25 years of working experience. The respondents were predominantly female (88.4%). Regarding education, most of the respondents (69.9%) had diploma in Nursing while 28.6% were first degree holders. The mean overall of job satisfaction was 146.7. The results also revealed that majority of the respondents 265 (82.4%) were moderately satisfied with their work. Nurses were least satisfied with their salaries. The level of achievement, advancement, responsibility, recognition, work itself, nursing practice environment, hospital policy, interpersonal relationship, salary, supervision and working conditions were significantly positively related to the overall job satisfaction. Conclusion: The study has shown that nurses in the hospital under study were not totally satisfied with their job. In view of the negative impact of lack of job satisfaction, the main recommendation was that all determinants of job satisfaction must be addressed by the government, hospital management and professional associations.
Abstract: Background: Job satisfaction is an essential part of nurses’ lives, influencing patient safety, productivity, performance, quality of care, retention, turnover, commitment to the organization and the profession. Little is known about determinants of job satisfaction and their relationship with overall job satisfaction among nurses in Calabar, Cross...
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Effect of the Mandatory Community Midwifery Service on Maternal Health Care Utilization in Nigeria
Fadare R. I.,
Akpor O. A.,
Oyetunde M. O.
Issue:
Volume 4, Issue 4, August 2015
Pages:
238-246
Received:
15 July 2015
Accepted:
31 July 2015
Published:
10 August 2015
Abstract: The unacceptably high maternal mortality in Nigeria led the Nursing and Midwifery Council of Nigeria to introduce the basic midwifery training with the view of producing skilled personnel to provide midwifery services. Built into the programme is the one-year mandatory community service. The one-year mandatory community service in an intervention aimed at ensuring the availability of midwives (skilled attendants) to provide maternal care in the communities and thus encourage women to access care at the health centre. The study investigated the variation in the levels of utilization of maternal healthcare before and after the inception of the one year mandatory midwives’ community service by assessing the perceptions of the Midwives regarding the impact of the mandatory service on the utilization of maternal care services. The General System Theory and the Logic Model were the theoretical models used in this study. The research was conducted in three selected local government areas (LGAs) out of the eighteen (18) LGAs in Ondo State. The time-series type of non-controlled experimental design was the research design used for the study. Records of maternal health care attendance from the selected health facilities from July 2002 to July 2010 were assessed to generate data for the study. The study population comprised the midwives who had participated in the mandatory service in the three selected communities where the three primary health care centres are located. Multistage sampling technique was adopted to select three Local Government Areas (LGAs) from where data was collected. All midwives that have served or are still serving in the selected PHCs were purposely involved, a total of 50 in number. In-depth interview guide and format for recording data from records were used in the study. The interview guide was divided into two sections. Section A, was a checklist was used to explore the participants’ opinions on the mandatory community service and Section B was a questionnaire to assess the midwives experience, opinions and challenges. Lastly, a format/checklist was developed to record data from records (antenatal care attendance, deliveries and postnatal care attendance between July 2002 and July 2011). Data from the study was analyzed using both descriptive and inferential statistics utilizing the Statistical Package for the Social Sciences (SPSS) Correlation coefficient was used. The result obtained from the study indicated that there was no significant difference in the levels of utilization of maternal care services before and after the inception of the mandatory community service except for the slight increase in antenatal care utilization. The majority of the midwives claimed that their presence had increased the patronage of maternal care services. However this subjective data was not justified by the statistics obtained. The midwives also highlighted their challenges as well as the way forward.
Abstract: The unacceptably high maternal mortality in Nigeria led the Nursing and Midwifery Council of Nigeria to introduce the basic midwifery training with the view of producing skilled personnel to provide midwifery services. Built into the programme is the one-year mandatory community service. The one-year mandatory community service in an intervention a...
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