WEST AFRICAN JOURNAL OF NURSING REAL by pZlI4A64

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									WEST AFRICAN JOURNAL OF NURSING
Published by WEST AFRICAN COLLEGE OF NURSING
This leading peer reviewed Journal promotes excellence in
Education, Research and Health Care Practice.

Contents
    1. Editorial
        Repositioning Nursing Through Evidence- Based Practice
        West African Journal of Nursing, Board Members
        Instructions to Authors

    2.   Research
          i.     Pregnant Women Perception Of Maternity Care Given In Ladoke Akintola
                 University Teaching Hospital, Osgogbo, Osun State, Nigeria

          ii.    How Many Nurses Work In Private Hospitals In Nigeria?
                 A Study Selected Hospital In Zaria, Northern Nigeria
                 Emmanuel Ejembi Anyebe*, Mohammed Ibrahim Okeme, Vivian Ikem And Hadiza Lawal.

          iii.   Nurses’ Perception Of Evidence-Based Practice In General Hospital Calabar,
                 Cross River State, Nigeria
                 Idang Neji Ojong, Ukaegbu Comfort Ejituru, And Ruth Ita Ebong

          iv.    Knowledge, Attitude And Practice Of Cervical Cancer Screening Among Women In
                 Primary Health Care Centres In Ibadan South-East Local Government Area,
                 Oyo State, Nigeria
                 Odetola, Titlola Dorothy, And Oyetunde, Modupe Olusola

    3.   Educational
          v.     Marketing Nursing And Midwifery Services
                 Emestina, S. Donkor

          vi.    Repositioning Nigerian Nursing Profession In The 21st Century Through
                 Curriculum Review
                 Dr. Fidelis Uchendi Okafor, And Prof. Fellicia Iweze (O.O.N)

          vii.   The Role Of The Traditional Healers In The Management Of Mentally Ill Persons
                 Deborah Patience Morny

    4.   Clinical Reports
          viii.    Quality Of Care Of Emergency Contraception In Public Primary And Secondary Care
                   Facilities In Zaria, Northern Nigeria

          ix.    Psychosocial Factors Affecting Treatment And Rehabilitation Of Patients With Diabetes
                 Mellitus In Selected Hospitals In Ibadan Metropolis
                 Gifty Oluyemi Gboyesola Oyidiran, And Florence O. Adeyemo

          x.     Clients With Serious Mental Health Problems Experiencing Care With The Current
                 Mental Health Policy In The Niger Delta Region Of Nigeria
                 Jack-Ide I.O., Uys L.R.D And Middleton L.E

    5.   Nursing News
          xi.    West African College of Nursing (WACN) – BGM2013, MONROVIA, LIBERIA
          xii.   Call of Abstract
          xiii.  Celebration of the home going f the 5th president of West African College of Nursing
          xiv.   In Loving Memory of Edna v Carew (Matron)
EDITORIAL


                            REPOSITIONING NURSING THROUGH
                                   EVIDENCE-BASED PRECTICE
Nursing is an important profession in the health care industry. Nursing practice is revolutionizing and
undergoing continuous modification with globalization and knowledge explosion. This is to attain a
better care and treatment outcome for our patients and clients. In addition, it assures optimal care
outcome, quality assurance that is promised on logic and sound scientific proof. Gone are the days when
nurses and student nurses rely on task-centred approach, sole, obsolete and unscientific experience.
The need for conception, articulation and implementation of evidence-based practices cannot be over
stressed. Of course, there are challenges of getting adequate knowledge across the spectrum of nurses
and constraints of time, material and human resources tend to impinge negatively on evidence-based
practice; effort must be geared to ensure and implement evidence-based practice in all the settings
where nurses practice. This will engender sound, replicable resounding clinical expertise and challenge
shaky foundation of obsolete practice. It must be noted that patients/clients’ needs vary, depending on
their religion, ethnic groups, socio-economic status and orientation of the healthcare provider. The
kernel of this piece is that we must jettison practice and attitude that is anchored on intuition, common
sense, untested theories and traditional experience that is not data-driven. Evidence-based practice is
conscious, explicit and judicious use on current best research evidence/data in taking decision about
care and treatment of clients and patients. The traditional focus on views, tasks, actions and opinion of
leaders that, hitherto guides nursing practice should give way to data-driven, clinically patients reliable
and replicable studies. For us, this will mainstream and reposition the nursing profession in the
millennium. Thus, evidence-based practice is a sine qua non for nurses to be recognized in the comity of
health care providers/ professionals.


DR. F.A. BADRU
Editor-in-Chief
                         WEST AFRICAN JOURNAL OF NURSING, BOARD MEMBERS

Dr. F.A Badru                                                     -       Editor-in-Chief
6, Taylor Drive, P.M.B. 2023, Yaba, Lagos

Mrs. Valerie M. Nylander                                          -       Immediate Past Editor-in-chief
38A, Lawson Street, Lagos                                                 and Consultant

Editor, West African Sub-region
Mr. Lamin Suwareh                                                 -       Editor, Gambia
c/o School of Nursing and Midwifery
Marina Parade, Banjul, The Gambia

Mrs. Faustina Oware-Gyekye                                        -       Editor, Ghana
School of Nursing, University of Ghana
P.O. Box 43, Legon, Ghana

Mrs. Mona Shakoh                                                  -       Editor, Liberia
c/o UNDP
Monrovia, Liberia

Prof. Fajemilehin B.R.                                            -       Editor, Nigeria
Department of Nursing Science
Obafemi Awolowo University, Ile-Ife

Dr. (Mrs.) F.O. Adeyemo                                           -       Editor, Nigeria
Department of Nursing
Ladoke Akintola University of Technology, Ogbomoso, Osun State.

Dr. (Mrs) Titi Filani                                             -       Editor, Nigeria
Department of Nursing
Ladoke Akintola University of Technology, Ogbomoso, Osun State.

Mrs. E.A. Taylor                                                  -       Editor Sierra Leone
Leprosy/TB control programme
8, Lamina Sankoh Street, Freetown, Sierra Leone

Mrs. Cornelina P. Macauley                                        -       Editor Sierra Leone
c/o Faculty of Nursing
Lightfoot Boston Street, Freetown, Sierra Leone

Mr. S.A. Adeleye.                                                 -       Executive Secretary, WACN
 6, Taylor Drive, P.M.B. 2023, Yaba, Lagos.

International Editors.
Mrs. Mary Osunbunmi                                               -       United Kingdom
Dr. Mansour Jumaa                                                  -      United Kingdom
Dr. Mercy Mammah Popoola                                          -       United Sates of America
Dr. Jemima Dennis-Antwi                                            -       Ghana

Editor Advisory Board
Miss D.A. Ogunro – SRN, ONC, SCM, Neuro Surg., Th. Nursing, Dip. HAM, FWACN
Professor U.E. Archibong B.Sc., RGN, NRN, NRM, NRPHN, HSTC., Ph.D. FWACN
Mrs. Yvette Gordon – SRN, SCM, Dip. Admin., FWACN
Dr. (Mrs.) G.O. Shokoya – RN, RM, B.Sc., M.Ed., Ph.D, FWACN
Mrs. F.O Adetunji – RN, RM, RPHN, BNSC, MED, MSc

Mr. Lucky Okolie                                                  -       Advert Manager
                                          Instruction to Authors
Papers for this journal should be fully documented       If no name is mentioned the citation is placed in the
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                                                                                             6
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Following the abstract, “Key-words” following the        sensory neuropathy in an English community 1992;
article must be listed. The paper should not exceed      9: 349-553. References to books should be in
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in the body of the paper.                                Profession in Nigeria, Ikeja, Lagos: Lahern Books;
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      RESEARCH PAPER

            PREGNANT WOMEN PERCEPTION OF MATERNITY CARE GIVEN IN
                LADOKE AKINTOLA UNIVERSITY TEACHING HOSPITAL,
                        OSOGBO, OSUN STATE, NIGERIA
            *MAKINDE, O.Y. M.sc, M.Ed, BNSc, RNE, RPHN, RM, RN, FWACN, E-mail: olufemiyinyinola@yahoo.com
                Lecturer, Ladoke Akintola University Teaching Hospital, Ogbomoso, Department of Nursing,
                    Faculty of Clinical Science College of Health Sciences, Isale – Osun, Osogbo, Nigeria

                              FILANI T.O, RN, Ph.D., MRCN, FWACN, E-mail: filanito@yahoo.com
                                      Department of Nursing, C.H.S., LAUTECH, Osogbo

                 AMOO P.O M.sc, M.Ed, BNSc, RNE, RPHN, RM, RN, FWACN, E-mail: patty2004u@yahoo.com
                  Lecturer, Department of Nursing Faculty of Clinical Sciences, College of Health Sciences,
                                              Isale- Osun, Osogbo, Nigeria

                TIJANI W.A. Ph.D., M.sc, BNSc, PDGE, RNE, RPHN, RN, FWACN, E-mail: tadejalani@yahoo.com
                   Lecturer, Department of Nursing Faculty of Clinical Sciences, College of Health Sciences,
                                                Isale- Osun, Osogbo, Nigeria
                                                    * CORRESPONDENCE

Abstract
This study examined the perception of pregnant women about their care assessed maternity care given to
the child-bearing women in LAUTACH Teaching Hospital (LTH) Osogbo, Osun State. This was done with a view
to determining the quality of maternity care given.
The study, which utilized a quantitative research approach, adopted a purposeful sampling method to obtain
women’s views about their care during antenatal period.
A sample of 150 child-bearing women in antenatal clinic and antenatal ward, in LTH osogbo was selected for
the study. The expected standard care (ESC) to be given to the child-bearing women in pregnancy was listed
out in the questionnaire. The (ESC) was used to compare with the respondents’ views of the care given to
them in the pregnancy.
Two null hypotheses where tested using chi-square statistical analysis of independent variable. The result
shown that no significant relationship exists between the care given to primigravida and that of multipara. It
was also reviewed that the views of pregnant women admitted to the antenatal word differ significantly from
the views of women in the antenatal clinic about the care given to them.
It was concluded that in order to reduce increase morbidity and mortality during pregnancy, standard care
must be give to pregnant women before, during and after delivery and thorough health education must be
given to them on standard maternity care.


            HOW MANY NURSES WORK IN PRIVATE HOSPITALS IN NIGERIA?
            A STUDY OF SELECTED HOSPITALS IN ZARIA, NORTHERN NIGERIA
                                 Emmanuel Ejembi ANYEBE*, RN, RPN, BScN, PGDPA FWACN
            Asst. Chief Nurse Educator, School of Nursing, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria

                                    Mohammed Ibrahim OKEME, RN, CRNA, RPHN, ADPA,
                                    School of Post-Basic Nursing Programme, ABUTH-Zaria

                                 Viviam IKEM, RN, St. Luke’s Hospital, Wusasa, Zaria-Nigeria.
                                     Hadiza LAWAL, RN, Department of Nursing Services,
                                   Ahmadu Bello University Teaching Hospital, Zaria, Nigeria

                                     * Correspondence: P.O. Box 704 Zaria Kaduna State,
                                   Nigeria. +2348036422771; E-mail: anyem_2@yahoo.com
Abstract
This study was carried out to assess the nursing staff strength in private hospitals and clinics in Zaria,
Northern Nigeria, with a view of determining the degree of quackery in nursing. A cross-sectional approach
was used to study twenty randomly selected private hospitals. Two set of questionnaires were used to collect
data from hospital directors and nursing staff. Many of the hospital will not participate in the study, and
some staff of the consenting hospitals also declined participation. Findings revealed that only 46.3% nurses
work in private hospitals in Zaria; majority (53.7%) of those working in private hospitals as nurses were
quacks, commonly called auxiliaries. These quacks are trained in different parts of Nigeria by medical doctors
and registered nurses, who are not necessarily their employers. They hack their ‘expertise’; many of them are
employed in private hospitals in Zaria to work as nurses after being ‘trained’ elsewhere. They perform all
most all procedure, including invasive and high-risk ones, on unsuspecting clients in these hospitals. Only a
few private hospitals in Zaria insist on using only registered nurses (RNs), while some have no RNs at all in
their employment. While it is suggested that further studies be conducted to pool sufficient data together on
the state of quackery in nursing across Nigeria and west African sub-region, relevant authorities need to
apply professional and legal instruments of control, appropriately, on the trainers and employers of these
quacks, and on the quacks themselves, to assure health care services consumers of deserved safety, and
quality delivery.

                 NURSES’ PERCEPTION OF EVIDENCE-BASED PRACTICE
             IN GENERAL HOSPITAL CALABAR, CROSS RIVER STATE, NIGERIA
              IDANG Neji Ojong, RM, RN, B.Sc, Nursing PDGE, MED Ph.D, FWACN E-mail adangojong@yahoo.com
                         (Lecturer II) Department of Nursing Science, University of Calabar, Calabar

                                      UKAEGBU, Comfort Ejituru, RN, BNSC Nursing
                              (Student) Department of Nursing University of Calabar, Calabar

                                          RUTH Ita Ebong, RN, RM, BNSC Nursing
                               (Tutor) School of Midwifery, St. Margaret’s Hospitals, Calabar

Abstract
Critical reflection upon nursing practice is pivotal in achieving optimal patient outcome. Implicit in this
statement is the knowledge and attitude towards implementation of evidence-based practice. This study
sought to assess nurses’ perception of evidence based practice in general Hospital Calabar. Three research
objectives and one hypothesis was formulated to guide the study. The study design was a descriptive survey
and a continent sampling techniques was used to get 83 nurses out of 208nurses, representing 40% of the
total population. The instrument for data collection was a questionnaire. Data was analyzed using descriptive
statistics, while the hypothesis was tested using Pearson Product Moment Correlation. The results of the
findings revealed that nurses in General Hospital were aware of evidence-based practice and their attitude
towards it was favourable. There was a significant relationship between nurses’ knowledge and attitude
towards implementation of evidence-based when the calculated r-value of 0.73 was greater than the critical
r-value of 0.211 at 0.5 level of significance with 81 degree of freedom. Perceived barriers to implementation
were lack of time, resources, education, uncooperative attitude of doctors and unavailability of relevant
research. Based on these finding, it was recommended that health services should support and provide a
receptive environment that is amendable to change and recognized the role of research utilization through
formation of nursing research committee as a potent way to promote evidence-based practice by nurses in
Cross River State. Lastly, the government should provide research grants and resources to support
implementation of evidence-based practice in health settings.

Keywords: Evidence-based practice, nurses’ perception, knowledge, attitude and barriers
              KNOWLEDGE, ATTITUDE AND PRACTICE OF CERVICAL CANCER
                SCREENING AMONG WOMEN IN PRIMARY HEALTH CARE
              CENTRES IN IBADAN SOUTH-EAST LOCAL GOVERNMENT AREA,
                                OYO STATE, NIGERIA
                       ODETOLA, Titilayo Dorothy, BN.Sc (IF), MSc (IBADAN) RN, RM, RPHN, FWACN,
                  E-mail: odetolatitilayo@yahoo.com Lecturer, Department of Nursing, University of Ibadan

                       OYETUNDE, Modupe Olusola, B.Sc., MSc., Ph.D (IBADAN) RN, RM, RNA, FWACN
                     E-mail: dusoyet@yahoo.com Lecturer, Department of Nursing, University of Ibadan

Abstract
Cervical cancer is the second most common cancer in women all over the world. In Nigeria, research has
shown that the incidence of cervical cancer is on the increase and that most 85% of those diagnosed with the
disease die (11.2 per 100,000); almost thrice the rate in the developed countries. This research was
conducted to assess the level of knowledge, attitude to, and he practice of cervical cancer screening among
women in some selected PHC’s in Ibadan, Nigeria. This became expedient because cervical cancer is highly
preventable with regular cervical screening for early detection and treatment.

The study was descriptive. It was carried out in two randomly selected PHC centres in Ibadan. A total of 261
women aged from 25 to 50 years at the PHC participated in the study. Data was collected with the aid of a
self-structured questionnaire which was thoroughly validated by available literature on the topic to elicit
their knowledge, attitude and practice about cervical cancer and screening.

Results showed that just 28.7% of the women possessed a good knowledge of cervical cancer with 46% of
them being aware of what cervical screening is all about. None of the women had ever heard of self
collection ofcervical sample which is now globally acclaimed to be the most culturally and readily accepted
method. It was further revealed that 31.4% of the women had never had a cervical screening done in the
past. Some of the women did not perceive cervical cancer as a serious disease and 7.3% of them did not even
see themselves at risk of contracting the disease despite being sexually active. An association existed
between respondent’s level of awareness about cervical screening and their actual screening practice; and
that there was also a significant relationship between their perceived barriers and the various screening
methods.

This is an urgent need for the community health nurses and the government at various levels to increase the
level of knowledge and awareness of cervical cancer and screening methods among Nigerian women and also
provide screening facilities in our primary Health Care Centres.

Key Words: cervical cancer, cervical screening, knowledge, attitude, practice


EDUCATION PAPERS

                       MARKETING NURSING AND MIDWIFERY SERVICES
                                   EMESTINA, S. Donkor, RN, RM, Ph.D., GCAP, FWACN
                               Senior Lecturer, School of Nursing, College of Health Science,
                                                 University of Ghana, Legon

Abstract
Nursing and midwifery services form a backbone of health systems. Nurses collaborate between the clients
and the family, significant other and other members of the health team, contributing in diverse way for the
client to achieve optimal health. This paper set off to explore how the nursing/midwifery could be marketed.
It is believed that the public will be able to fully appreciate and utilize the services once they are aware of
what is available to them, hence the need for marketing nursing/midwifery service. Nursing/midwifery is a
service industry and marketing a service industry is different from marketing a tangible product.

In developing an effective marketing plan, commonly marketing principles that involve the “four Ps” –product
(or service), price (cost or value), place, and promotion should be used. The “four Ps” form the foundation for
understanding the marketing process. If these principles are adhered to and nurses execute their works in
professional manner, our services will not require fortunes for our advertisement and publicity. These efforts
can help nurses gain recognition as providers and develop a professional reputation.

Key words: Nursing, marketing principle, midwifery, services.


                      REPOSITIONING NIGERIAN NURSING PROFESSION
                   IN THE 21ST CENTURY THROUGH CURRICULUM REVIEW
               DR. FIDELIS UCHENDI OKAFOR, Ph.D., E-mail: uchedifedilis2001@yahoo.com, GSM: 08037442403

                PROF. FELLICIA IWEZE (O.O.N) E-mail: feleweze@yahoo.com, GSM: 08023368175, 08054319260
                                Department of Nursing Science, University of Benin, Benin City

Abstract
The paper examined the need for curriculum review in the professional Nursing education. This is aimed at
meeting the need of the society; correct the public criticism and the expansion of knowledge in the field on
nursing science. The paper analyze the training programme workload vis-à-vis which means the certification
and compare the nursing training programme with tertiary educational programme like polytechnic and any
other monotechnic education. It also examined the role of Nursing profession in the health care industry in
Nigeria. Attributes of professional nursing and process of developing standard curriculum for students in
tertiary institutions like nursing schools were carefully examined
There is the need to organize National Workshops and seminars on the review of the curriculum of
professional nursing and fashion it into systems approach and certified with appropriate and acceptable
tertiary certification nomenclature. For example Higher National Diploma in Nursing Science (HND.NSc);
Associate Diploma in Nursing Science (AD.NSc) and Bachelor in Nursing Science (B.NSc)

Keyword: Repositioning, nursing profession, and curriculum review.

             THE ROLE OF THE TRADITIONAL HEALERS IN THE MANAGEMENT
                             OF MENTALLY ILL PERSONS
                      DEBORAH Patience Morny, M’Phil, B.A (Hons), SRN, RMN, RM, DDNS(Ed), FWACN
                        Lecturer, Department of Nursing, Central University College, Former Principal
                                    Ankaful Nurses Training College, Cape Coast, Ghana

Abstract
Majority of participant in a study on how stigma of mental illness affects chronic mentally ill patients stated
that they only reported for treatment at the mental hospital as a last resort. Rather, the traditional healers
are most often their first line of treatment and care. This paper describes the treatment that participants in
the study received at various prayer camps and fetish shrine they visited. The purpose of prayer is that
through this evidence-based report, readers especially senior and executive leaders, managers, mental health
advocates and health care professional will be able to learn about the dehumanizing treatment centres,
despite global developments in mental health care. Policy makes will also find it useful since it will contribute
to decision making on best practice and strategies based on research and initiatives that comprehensively
address local issues related to mental health. Factors which lead to this choice of treatment have also been
listed. They include citing on the only few available mental health services in developing countries in
repressive and isolated hospitals which are not accessible to the majority. For trial and perception of
psychiatric hospitals as penal rather than therapeutic, as well as inadequate numbers and poor distribution of
specialist psychiatric personnel where also mentioned. Collaboration with traditional practitioners was
strongly recommended. In addition, a clarion called to be World Health Organization (WHO) and the Ministry
of Health (MOH) in Ghana for scientific research on mental health issues which was found to be almost
lacking in developing countries was emphasized. Urgent passage of the long overdue mental health bill as a
legal document for protection of mentally ill person was also advocated for.

Keywords: Traditional healers, conventional/allopathic/orthodox medicine, mental illness, stigma, traditional
medicine, fetish shrine.

CLINICAL PAPERS

                     QUALITY OF CARE OF EMERGENCY CONTRACEPTION
                    IN PUBLIC PRIMARY AND SECONDARY CARE FACILITIES
                               IN ZARIA, NORTHERN NIGERIA
                 MUSA H.A, BNSc, RN, RM, FWACN, E-mail: limaabool@yahoo.com, Reproductive Health Unit
              Department of Obstetrics and Gynecology, Ahmadu Bello University Teaching Hospital Zaria, Nigeria
                                          Correspondence: MUSA HALIMA ABDUL
                                             1
                                Abdul M.A, MBBS, MPH, FWACN, Balarabe F BNSc, RN, RM,
                      Department of Nursing, Faculty of Medicine, Ahmadu Bello University Zaria, Nigeria.

Abstract:
Emergency contraception (EC) reduces the incidence of unwanted pregnancy. Since the introduction of EC
into the national family programme in Nigeria nearly two decades ago, there is a little information regarding
the quality of EC services for the providers’ perspective. This study seeks to examine the level of knowledge
and the provision of EC services among family planning providers in public/mission primary and secondary
level facilities within Zaria metropolis. All public and mission secondary and primary level facilities providing
family planning services within Zaria metropolis where used for the study. Cross-sectional study with a
qualitative component (In-depth interview) information on EC was collected from providers of family
planning in public/mission primary and secondary health centres using a semi structured questionnaire. The
head of two selected family planning centres where engaged in-depth interview sessions. There were 25 FP
providers distributed among 12 facilities given an average of 2 providers per facility. Majority of the provider
where nurse/midwifes and no physician provider in any of the facility. Only 14% of the respondents had good
knowledge of the EC, 5% of the respondent knew that IUCD can be used as EC. The level of knowledge of EC
is not related to years of experience and cadre of the respondents. Non of the respondent had an update
course in contraception 6 months prior to study. There were no IEC material or EC or single package of
levonogestrel (Postinor) in any of the 12 facilities. The quality of care of EC services in secondary and primary
care facilities in Zaria is poor owing largely to providers’ poor knowledge to EC and lack of competence in the
provision of EC services.

Keywords: Emergency contraceptives, quality care, family planning, providers’ knowledge

                    PSYCHOSOCIAL FACTORS AFFECTING TREATMENT AND
                   REHABILITATION OF PATIENTS WITH DIABETES MELLITUS
                      IN SELECTED HOSPITALS IN IBADAN METROPOLIS
                  Gifty Oluyemi Gboyesola Oyidiran, B.Sc. M.Sc (Nursing), Email: gboyesola01@yahoo.com
            Department of Nursing, College of Health Sciences, Ladoke Akintola University of Technology, Ogbomoso

                    Dr. Florence O. Adeyemo, Ph.D., RN. RM, RPHN, E-mail: doctoradeyemo@yahoo.com
            Department of Nursing, College of Health Sciences, Ladoke Akintola University of Technology, Ogbomoso
Abstract
The treatment and rehabilitation of patients of diabetes mellitus have been issues of concern for both the
government and health care workers. Several approaches to these have not yielded desired results because
the psychosocial factors relating to the disease have not been considered in the past. It is against this
background that this study investigated the psychosocial factor affecting the treatment and rehabilitation of
patients with diabetic mellitus in selected hospitals in Ibadan metropolis
The descriptive research design was adopted for the study. A random sampling technique was used in
selecting the study sample which consisted of 240 patients with diabetic mellitus. A standard structure
questionnaire tagged: ‘Psychosocial Problems in Diabetes Questionnaire (PPIDQ)’ was used to collect the
data. The data were analyzed using frequency count percentage and Pearson product Moment correlation to
test the three research hypotheses formulated for the study at 0.05 level of significance.
The results established that there was a significant relationship between psychosocial factors and the
treatment/rehabilitation of patients with diabetes mellitus (r=.548, N=200,p<0.05). There was a significant
relationship between social support and treatment/rehabilitation of patients with diabetes mellitus (r=.548,
N=200,p<0.05) but the relationship was weak. Stigmatization was also found to have positive significance on
the treatment and rehabilitation of patients with diabetic mellitus (r=.548, N=200,p<0.05).
Based on the findings, the study concluded that if the various psychosocial needs of patients with diabetic
mellitus are adequately met during the period of crisis of illness, majority of the patients with experience
pleasant emotions which will aid their treatment and rehabilitation and improved early recovery from their
illness. It is therefore, recommended that, relatives and friends of the patient with diabetes mellitus should
give adequate financial, material and emotional supports to the patient to facilitate and motivate the
patients in their treatment and rehabilitation.

Keywords: Psychosocial factors, treatment, rehabilitation, patients with diabetic mellitus.


           CLIENTS WITH SERIOUS MENTAL HEALTH PROBLEMS EXPERIENCING
                   CARE WITH THE CURRENT MENTAL HEALTH POLICY
                       IN THE NIGER DELTA REGION OF NIGERIA
                              Jack-Ide I.O., PhD Candidate, E-mail: izibelokojackide@ymail.com,
                    School of Nursing and Public Health University of Kwazulu-Natal, Durban, South Africa

                        Uys L.R.D Soc Sc, Email: uys@ukzn.ac.za School of Nursing and Public Health,
                                     University of Kwazulu-Natal, Durban, South Africa.

                   Middleton L.E., PhD. School of Nursing and Public Health, University of Kwazulu-Natal,
                                       Durban, South Africa. Phone: +27-714751016

Abstract
Persons with serious mental health problems experience fluctuating course of illness that interacts both with
the environment and the individuals’ effort to sustain healthy living. The burdens associated with mental
illness may increase further given the policy and implementation challenges facing mental health service in
Nigeria. This study explored the experiences of clients with serious mental health problems receiving care
within the current health care environment.
Method – A qualitative study was conducted among 30 clients attending the neuropsychiatric outpatient
clinic in Port Harcourt, Rivers States, Nigeria. Socio-demographic characteristics of clients were recorded.
Results – The mean age of clients is 36.43 years; duration of illness is 7years; 46.6% are males, then 13.3
percent have a regular monthly income, 3.3% used the free medical care programme and 66.6% have used
spiritual or traditional model of care. A high burden associated with mental illness presented with symptoms
of illness, family members’ negative attitude, cost of medication, long-distance travels and high service
charges among unemployed and low-income clients.
Conclusion – Clients experiences significant burden of the disease mainly associated with cost of service
utilization, long waiting times, discrimination and stigma. In spite of difficulties caused by mental illness,
clients with serious mental health problems can be treated and live productive lives if provided with
adequate social support.

Keywords: Burden, mental health policy, Nigeria, primary mental health care, stigma, social support .
                               CALL FOR ABSTRACT:
                          2013 BGM, MONROVIA, LIBERIA

                                  Theme:
                   EDUCATING THE NURSING AND MIDWIFERY
                       WORKFORCE FOR TOMORROW:
               OPPURTUNITIES AND CHALLENGES IN THE SUB REGION

The Biennial General Meeting and scientific session of the West African College of
Nursing will offer opportunities for fellows of the college, other nurses and midwives
from the sub-region and beyond to come together to share experience, innovations in
education and practice, and evidence from practice. The week will also feature
meetings of the college and the constituent faculties where members will share on
their past biennium. The scientific session will feature keynote and plenary sessions
with invited speakers and concurrent sessions from a wide selections of accepted
abstracts.

CALL FOR ABSTRACTS
Abstract are invited for you to share your ideas, research and new knowledge in the
concurrent sessions that will explore the themes and subthemes of the meeting. The
submission should be relates to one of the themes, and show a link with the main
theme.

The abstract will provide the scientific committee with opportunity to make informed
choice of abstract suitable for presentation. It will also provide participants at the
programme of written materials to support the presentations.
                                CALL FOR ABSTACTS: 2013 BGM,
                                 MONROVIA, LIBERIA. Contd.

Abstract submission guidelines:
In order to facilitate the process of selecting and processing abstracts, we require the following
information from all the authors. Where there is more than one author, the presenting a7uthor
information will be required. You can encourage to submit your abstract online at www.wacn-
online.com by Friday, 28th September, August, 2012.
Authors of successful abstract will be notified by Monday, 22nd October 2012.

The abstract, which should be concise and precise, should contain the title of paper, type of
presentation, aim, and abstract of not more than 300 words. There should be at least two learning
outcomes/ objectives. A short professional biography of the presenter (and any co presenter)
should be written in the third person.

Personal information for abstract:
Title, first name and surname, qualifications, job title, workplace, co author(s) name, job title,
workplace, mailing and e-mail addresses, accessible telephone numbers

Commercial organization and prospective exhibitors should contact the exhibition committee on:
Tel: +231886573649, +231777911091
Or email westafricancollegenursing@yahoo.co.uk for more details


Information update can be obtained from:
Mrs. Lawuo Gwesa                           Mr. Solomon Adeleye
Chapter Chairperson                        Executive Secretary
WACN Liberia                               WACN Secretary
Monrovia                                   6, Taylor Drive, off Edmond Crescent
Email: lawuogwesa@yahoo.com                Yaba, Lagos. Nigeria
                                           westafricancollegenursing@yahoo.co.uk

                     And

              The College website: www.wacn-online.com
                                   WEST AFRICAN COLLEGE OF NURSING
                                    CALENDER OF EVENTS – YEAR 2012

S/NO             DATE                                                  EVENTS
1.   February 2012                    West African Journal of Nursing Board Meeting, Lagos, Nigeria.
2.   March 25th – 28th 2012           WACN F&GPC and 32nd Council Meeting, Yaba, Lagos, Nigeria
3.   March 28th – 31st 2012           Harmonization of Nursing and Midwifery Curricula – Final Meeting on
                                      the submission of comments/suggestions from members states
4.    June 2012 ?Date                 President – WACN Meeting with WACN Benin Republic
                                      Executives/fellows
5.    July 1st – 14th 2012            WACN/Neuro Psychiatric Hospital, Yaba – Lagos, Nigeria
                                      Collaboration on 2weeks course in child and adolescent psychiatry.
6.    July 8th – 21st 2012            WACN 2 Weeks course on Disaster Nursing – Emergency
                                      preparedness for Nurses, National Orthopedic Hospitals, igbobi,
                                      Lagos, Nigeria
7.    August 26th – 29th 2012         WACN Faculties Board/JCHPNE meeting, Lagos, Nigeria
8.    September 2nd – 5th 2012        Sub-regional workshop on “Neonatal Death in West Africa: Reviewing
                                      strategies and Policies, Accra, Ghana
9     September 2nd-15th2012          WACN 2 Weeks course on Disaster              Nursing - Emergency
                                      Preparedness for Nurses, national Orthopedic Hospital, Dala, Kano,
                                      State.
10.   September 23rd – 26th 2012      Sub-Regional Workshop on “Building the capacity of Nurses and
                                      Midwives for Effective community Mental Health Services, Lagos,
                                      Nigeria
11.   October 212 ?Dates              In-country workshop on “New Trends in Critical Care Nursing”
      (All member staff)
12.   October 7th – 20th 2012         WACN 2 weeks Course on Human Resources Management, Skills
                                      Acquisition for Nurses/Midwives, Enugu, Nigeria
13.   Oct 28th – Nov 2nd              Sub-regional Workshop on “Accelerated Reduction of Maternal
                                      Morbidity and Morality to meet MDG5” Banjul, The Gambia
14.   November 2012 ?Date             Extra-Ordinary Meeting of Finance and General Purpose Committee
                                      (F&GPC) of the Council, Monrovia, Liberia
15    November 2012 ?Date             WACN Fellowship Examination, Lagos, Nigeria
16    December 2012                   Evaluation of College Activities for year 2012

								
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