Burnout and presenteeism among healthcare workers in Nigeria: Implications for patient care, occupational health and workforce productivity

Background: Burnout and presenteeism are two emerging occupational health challenges which share same locus among healthcare workers, and the trend is rising. We aim to define the magnitude of burnout and presenteeism among frontline members of the health workforce and explore any correlation between the two in order to provide empirical data from our socioeconomic and geographical background. Design and Methods: We used self-administered questionnaire to conduct a cross-sectional study among the physicians and nurses in a regional trauma centre in Enugu, Eastern Nigeria; with the respondents selected by stratified random sampling. The Oldenburg burnout inventory and Stanford presenteeism scale were used to measure burnout and presenteeism respectively, while the 2-item patient-health questionnaire (PHQ-2) was used to screen for depression. The level of statistical significance was determined by a p value of <0.05.Results: Among the healthcare workers surveyed (n=155); 34 (21.9%) were physicians, while 121 (78.1%) were nurses. Burnout prevalence was 69%. Burnout was associated with self-rated health status and length of years in professional service but not the occupation or depression screen status of the worker. Sixty-two healthcare workers (40%) screened positive for depression. A positive screen for depression was the only factor that had significant association with lower presenteeism scores (p=0.002). The mean presenteeism scores had strong negative correlation with both the exhaustion (p<0.001) and disengagement (p<0.001) domains of burnout.Conclusion: Burnout is high among the healthcare workers and correlates with presenteeism scores. The mental health of the workforce greatly impaired their productivity.

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Perception on Management of Nursing Education Institutes among Bachelors Students in Selected Nursing Colleges at Kathmandu

Journal of Advanced Academic Research ◽

10.3126/jaar.v7i1.35409 ◽

2020 ◽

Vol 7 (1) ◽

pp. 23-36

Author(s):

Bhuwan Kumari Dangol ◽

Narbada Thapa

Keyword(s):

Nursing Education ◽

Nursing Students ◽

Statistical Significance ◽

Data Entry ◽

Education Institution ◽

Cross Sectional Study ◽

Current Status ◽

P Value ◽

Cross Sectional ◽

Organizational Goals

Management is a process of planning, decision making, organizing, leading, motivating and controlling, and an effective utilization of the resources to reach the organizational goals efficiently and effectively. Management has a crucial role in quality of work and production in any institutions. Although a rapid increase of Nursing Education Institutions in Nepal since last decade which had been trained thousands of nursing cadres, the management aspects of these institutions are not studied adequately. Thus current study intended to explore the current status of Nursing Education Institution Management as experienced and perceived by the bachelors nursing students. A descriptive cross-sectional study was conducted among the nursing institutions in Kathmandu valley. Of the total 28 in the valley, 14 were selected purposively. From the selected institutions, all 377 eligible students currently in final year of study were selected. Among them, 208were from BSN and 169 were from B Sc program. The data was collected through the self administered structured questioners after taking informed consent. Data entry and analysis was done in SPSS version 16 software. The findings of the study show that 70% students were satisfied in institutional management (mean59.62, SD ± 3.66). In academic management (78%), (mean139.82, SD ± 6.22), followed by human resources 67%, (mean43.54, SD ± 2.79) and were in physical resources management 75% students were satisfied (mean45.02, SD ± 3.08). Analysis of variations between group (administrators, faculties, students) found statistical significance (p value <0.05). So it is concluded the perception of students, faculties and administrator were different on managing the nursing education.

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Climate Change Awareness and related Tree Planting Practices in a Rural Community in North-Western Nigeria

Journal of Community Medicine and Primary Health Care ◽

10.4314/jcmphc.v33i1.4 ◽

2021 ◽

Vol 33 (1) ◽

pp. 41-49

Author(s):

A.A. Gobir ◽

A.A. Aliyu ◽

A.A. Abubakar ◽

C. Esekhaigbe ◽

I.A. Joshua ◽

...

Keyword(s):

Climate Change ◽

Statistical Significance ◽

Cross Sectional Study ◽

Tree Planting ◽

P Value ◽

Community Based ◽

Cross Sectional ◽

Household Heads ◽

Tree Cutting ◽

Fire Wood

Background: Tree cutting is one of the causes of climate change and a common practice in Africa, a continent under significant threat from climate change. Therefore, climate change awareness and mitigation are vital to reducing its impacts in the region. Reforestation through planting of trees is an important carbon emission reduction strategy. This study assessed climate change awareness and related tree planting practices among household heads in a Nigerian rural community.Methods: A community-based descriptive, cross-sectional study was conducted in April 2019 among all household heads in Nasarawan Buhari community. An interviewer-administered questionnaire was used to collect data from the 104 household heads (or their representatives). Data was analyzed using SPSS (version 21.0) and statistical significance was set at p value of < 0.05.Results: The mean age of respondents was 40.6±12.6 years, and most of them (87.5%) were males. Half (50.0%) were aware of climate change, and their main source of information was radio (63.5%). Most (98.1%) used fire wood for cooking. Only a minority (27.9%) planted at least a tree in the year preceding the study. There was a statistically significant association between climate change awareness and occupation (p=0.038) but not with tree planting (p=0.827).Conclusion: The results indicated that only half of respondents were aware of climate change. There was high use of wood as cooking fuel with low tree planting. Tree planting was not associated with climate change awareness. There is therefore a need for continuous climate change education and mitigation campaign in the community.

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Colostrum Avoidance Practice among primigavida Mothers in Urban Northwest Ethiopia. A Cross-Sectional Study

10.21203/rs.3.rs-108002/v1 ◽

2020 ◽

Author(s):

Tilksew Ayalew ◽

Eden Asmare

Keyword(s):

Statistical Significance ◽

Cross Sectional Study ◽

Northwest Ethiopia ◽

P Value ◽

Sectional Study ◽

Cross Sectional ◽

Normal Delivery ◽

Childhood Illnesses ◽

Complete Form ◽

Strength Of Association

Abstract Background: Breast milk is the ideal and complete form of nutrition for infants colostrum contains all the necessary nutrients for infants’ growth and development and antibodies that can protect from many childhood illnesses. Understanding the extent of and barriers to colostrum avoidance in Ethiopia is important for learning how to best improve optimal breastfeeding. No single study has been conducted on primigavida mothers in the country. Therefore, this study aimed to assess the rate of colostrum avoidance practice and associated factors among primigavida mothers Method: A community- based cross-sectional study was conducted from March to April 2016 among (n=398) randomly selected primigavida mothers in Bahir Dar city, northwest Ethiopia. Data were collected using a structured interviewer-administered questionnaire and analyzed using SPSS version25. Bivariate and multivariate logistic regression analyses were carried out. Odds ratio with 95% confidence interval was used to measure the strength of association. Statistical significance was declared at P-value ≤0.05.Results: Out of 398 primipara mothers, 8.8% discarded colostrum. The most common reasons for discarding colostrum were; yellow and creamy (39.2%), bad for infant (35.2%), traditional/cultural reason (17.1%) and infant unable to feed (8.5%).Married mothers (OR=4.52, p<0.05), employed mothers (OR=3.46, p<0.05), mothers underwent normal delivery (OR=5.20, p<0.05) and mothers who initiated breastfeeding within 1 hr. (OR=2.79, p=0.05) were less likely to discard colostrum.Conclusion: The current study revealed that colostrum was discarded by 8.8 % of premiparious mothers. Primipara mothers who were married, unemployed, underwent normal delivery and initiated breastfeeding within one hour were less likely to discard colostrum. These results suggest that multi-sectorial and multi-disciplinary approaches are needed to increase optimal breastfeeding among premiparious mothers.

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Adquisición de conocimientos en cuidados paliativos mediante un plan de estudios transversal en enfermería

Enfermería Global ◽

10.6018/eglobal.402691 ◽

2020 ◽

Vol 19 (3) ◽

pp. 322-344

Author(s):

Antonio Valenzuela Vidal ◽

Ana Folch Ayora ◽

Joan Bou Esteller ◽

Zaira Fernández Yañez ◽

Sebastian Eroles Tena ◽

...

Keyword(s):

Palliative Care ◽

Nursing Students ◽

Statistical Significance ◽

Cross Sectional Study ◽

P Value ◽

Future Health ◽

Cross Sectional ◽

Care Experience ◽

Compulsory Subject ◽

Academic Year

La implementación de los cuidados paliativos en las universidades ha sido paulatina. Su reciente implantación requiere de su evaluación para la mejora en la formación de nuestros futuros profesionales. Por tanto, el objetivo de este trabajo es valorar el conocimiento en paliativos, en estudiantes de enfermería de la Universidad Jaume I, tras la implementación de un plan de estudios de enseñanza transversal y evaluación mediante una asignatura de carácter obligatorio. Método: Estudio observacional, de corte transversal, durante el curso académico 2017/2018 mediante la escala Palliative Care Quiz for Nursing. Análisis descriptivo, comparativo de las variables cuantitativas y cualitativas global y según aciertos/errores, significación estadística p-value <0,05.Resultados: La muestra de n=155, edad 22,21±6,61 años, con predominio del sexo femenino en el 80% (n=124). La esfera con mayor número de aciertos fue la relacionada con el control de dolor y los síntomas 69,1% y la esfera con más fallos la relacionada con la filosofía y los principios 46,9%. El conocimiento en paliativos viene explicado en un 16% por el curso académico y con la experiencia previa en paliativos. Conclusiones: Mediante nuestros resultados observamos, que la educación en paliativos desarrollada de forma transversal con la culminación de una asignatura obligatoria en cuarto curso, resulta ser efectiva en estudiantes de enfermería, donde el 63% ostentó una buena tasa de aciertos en conocimientos de paliativos. The inclusion of palliative care content in university curricula has been gradual. Due to the recent incorporation of palliative care as a subject, an evaluation is necessary in order improve the education of our future health professionals. The objective of this study was thus to assess palliative care knowledge in nursing students at Jaume I University after the transversal inclusion of palliative care content throughout the program, culminating in a subject of an obligatory nature. Method: This observational cross-sectional study was undertaken over the 2017/2018 academic year using the Palliative Care Quiz for Nursing. A descriptive and comparative analysis of the quantitative and qualitative global variables was performed with respect to correct/incorrect responses. Statistical significance was set at p <0.05.Results: The sample included 155 participants, with a mean age of 22.21±6.61 years. Females (n=124) were predominant in the sample (80%). The domain which received the highest number of correct responses was related to the control of pain and symptoms (69.1%) and the domain which received the highest number of incorrect responses was related to philosophy and principles (46.9%). Academic year and prior palliative care experience explained 16% of the variance in knowledge. Conclusions: Through our results, we observed that palliative care education, implemented in a transversal manner and with the completion of compulsory subject in the fourth year, was effective in nursing students, with 63% achieving good scores with respect to palliative care knowledge.

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Occupational Health Hazards in ICU Nursing Staff

Nursing Research and Practice ◽

10.1155/2010/849169 ◽

2010 ◽

Vol 2010 ◽

pp. 1-6 ◽

Cited By ~ 2

Author(s):

Helena Eri Shimizu ◽

Djalma Ticiani Couto ◽

Edgar Merchán-Hamann ◽

Anadergh Barbosa Branco

Keyword(s):

Occupational Health ◽

Statistical Significance ◽

Federal District ◽

Cross Sectional Study ◽

Health Hazards ◽

Symptom Scale ◽

Cross Sectional ◽

Work Related ◽

Social Risks ◽

Frequent Use

This study analyzed occupational health hazards for Intensive Care Unit (ICU) nurses and nursing technicians, comparing differences in the number and types of hazards which occur at the beginning and end of their careers. A descriptive cross-sectional study was carried out with 26 nurses and 96 nursing technicians from a public hospital in the Federal District, Brazil. A Likert-type work-related symptom scale (WRSS) was used to evaluate the presence of physical, psychological, and social risks. Data were analyzed with the use of the SPSS, version 12.0, and the Kruskal-Wallis test for statistical significance and differences in occupational health hazards at the beginning and at the end of the workers' careers. As a workplace, ICUs can cause work health hazards, mostly physical, to nurses and nursing technicians due to the frequent use of physical energy and strength to provide care, while psychological and social hazards occur to a lesser degree.

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Perinatally acquired HIV-positive status disclosure and associated factors in Dire Dawa and Harar, Eastern Ethiopia: a health facility-based cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2017-019554 ◽

2018 ◽

Vol 8 (8) ◽

pp. e019554 ◽

Cited By ~ 3

Author(s):

Melkamu Merid Mengesha ◽

Yadeta Dessie ◽

Aklilu Abrham Roba

Keyword(s):

Health Status ◽

Statistical Significance ◽

Cross Sectional Study ◽

Hiv Treatment ◽

Hiv Positive ◽

P Value ◽

Sectional Study ◽

Cross Sectional ◽

Eastern Ethiopia ◽

Dire Dawa

ObjectivesThe aim of this study was to assess the level and factors associated with caregivers’ disclosure of perinatally HIV-infected (PHIV+) children’s seropositive status.DesignWe conducted a cross-sectional study in five public health facilities providing HIV treatment and care in Dire Dawa and Harar, Eastern Ethiopia. The data were collected from 310 caregivers through face-to-face interviews and record reviews. Data analyses were done using STATA V.14.2 and statistical significance was declared at p value <0.05.ResultsThe study revealed that the level of PHIV+ diagnosis disclosure was 49.4% (95% CI 43.8 to 54.9). Mean age at disclosure was 11.2 years. Disclosure level was higher among children who frequently asked about their health status (aOR (adjusted OR) 2.04, 95% CI 1.04 to 4.03) and when caregivers knew other people who had a disclosure experience (aOR 2.49, 95% CI 1.17 to 5.32). Disclosure level was less among children of 12 years or below (aOR 0.04, 95% CI 0.02 to 0.09) and among caregivers practising deception about the children’s HIV positive status (aOR 0.38, 95% CI 0.19 to 0.74).ConclusionOnly half of the caregivers disclosed their child’s PHIV+ diagnosis. To facilitate disclosure, caregivers should be counselled about the appropriate age of disclosure and related misconceptions that hinder it. It is also apparent that caregivers need to be guided as to how to address children’s frequent questions about their health status. These interventions can be made in a one-on-one approach or through patient group counselling when they come to get healthcare services.

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Prevalence, Pattern and Correlates of Intimate Partner Violence among Postpartum Women in Osogbo, Nigeria

Asian Journal of Medicine and Health ◽

10.9734/ajmah/2019/v14i330100 ◽

2019 ◽

pp. 1-12

Author(s):

Adejoke Deborah ◽

Abiodun Afolabi Benjamin ◽

Ibigbami Olanrewaju

Keyword(s):

Intimate Partner Violence ◽

Partner Violence ◽

Emotional Abuse ◽

Statistical Significance ◽

Cross Sectional Study ◽

Intimate Partner ◽

Public Health Issue ◽

P Value ◽

Postpartum Women ◽

Cross Sectional

Aim: Intimate partner violence (IPV) is a public health issue in both developed and developing countries. It is one of the most common forms of violence against women. It affects all ethnic groups and it is not impeded by cultural, socio-economic or religious barriers. IPV in postpartum women can increase the risk of homicide and suicide. The study aimed to assess the prevalence, pattern and correlates of IPV among postpartum women attending postnatal and infant welfare clinics of LAUTECH Teaching Hospital, Osogbo. Study Design: This was a cross-sectional study. Place and Duration of Study: This study was conducted at LTH, Osogbo Nigeria between September and November 2015. Methodology: This was study conducted among 220 consenting postpartum women using Composite Abuse Scale and socio-demographic questionnaire. Data were analyzed using Statistical Package for Social Sciences (SPSS) version 21. The level of statistical significance was set at p-value less than 0.05. Results: Prevalence of IPV was 26.8%, patterns of IPV were physical abuse 14.5%. Emotional abuse, 26.3, severe combined abuse 9.9% and Harassment 14.5%. IPV was significantly associated with support from respondents’ partner during pregnancy (χ2= 5.470, p=0.019) and partner’s religion. (χ2= 7.746, p= 0.010) The odd ratio for those who had partner’s support was less than 1. (OR =0.337, p=0.014, CI=0.141-0.803). Conclusion: The prevalence of IPV is high among postpartum women. Increased media campaign about intimate partner violence and preventive measures is urgently needed.

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Early implanon discontinuation and associated factors among women ever used implanon in Mettu district, Oromia regional state, southwest Ethiopia, 2021

Reproductive Health ◽

10.1186/s12978-021-01222-8 ◽

2021 ◽

Vol 18 (1) ◽

Author(s):

Hana Tesfaye ◽

Ebissa Negara ◽

Kenbon Bayisa

Keyword(s):

Side Effects ◽

Associated Factors ◽

Statistical Significance ◽

Descriptive Analysis ◽

Sampling Technique ◽

Cross Sectional Study ◽

Relative Effect ◽

Outcome Variable ◽

P Value ◽

Cross Sectional

Abstract Background Implanon is an effective form of long-acting reversible contraceptive used to prevent conception with a clinical failure rate of less than one per 100 users. However, in sub-Saharan countries the utilization of implanon was very low. Regardless of low utilization; its early discontinuation is very common in most developing countries including Ethiopia. Objectives To assess the prevalence of early implanon discontinuation and associated factors among women ever used implanon in Mettu district. Methods A community based cross-sectional study design was conducted from October 11 to December 4, 2020 G C. A total of 430 women were included in the study by systematic random sampling technique. Data were entered into epi data version 3.1 and analyzed by SPSS version 25.0. Descriptive analysis was computed to describe descriptive results. Logistics regression was computed to see the relative effect of factors on the outcome variable. Adjusted odds ratio was calculated with 95% confidence intervals to show strength of association and p-value < 0.05 was used to declare statistical significance. The finding of the study was presented using narrations, tables and chart. Result The total proportion of early implanon discontinuation among 430 mothers was 19.3%. Women who did not counseled about the presence of alternatives methods [AOR = 2.28: 95% CI (1.22–4.26)], women who experienced dizziness after insertion of implanon [AOR = 1.90: 95% CI (1.06–3.43)] and being having menstrual disturbance after insertion of implanon [AOR = 2.17: 95% CI (1.16–4.08)] were significantly associated with early implanon discontinuation. Women who were counseled about the advantage of implanon [AOR: 0.49: 95% CI (0.28–0.87)] were protective from early implanon discontinuation. Conclusion and recommendation Early implanon discontinuation among mothers was found to be high. Hence, effective counseling on advantages and side effects of implanon and proper management of the side effects should be made to increase implanon retention.

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Seroprevalence of Chikungunya (CHIK) Infection during Non Epidemic Periods in Chennai, Southern India

JOURNAL FOR CLINICAL AND DIAGNOSTIC RESEARCH ◽

10.7860/jcdr/2021/50545.15349 ◽

2021 ◽

Author(s):

Kaliyamoorthy Kayalvili ◽

Murugan Duraivel ◽

Elangovan Nivedhitha ◽

Subramanian Arul Selvan

Keyword(s):

Disease Transmission ◽

Statistical Significance ◽

Cross Sectional Study ◽

Southern India ◽

Enzyme Linked Immunosorbent Assay ◽

P Value ◽

Chi Square ◽

Monsoon Period ◽

Cross Sectional ◽

Igm Antibody

Introduction: Chikungunya (CHIK) infection has caused many outbreaks in India with more than 13 lac people affected by the disease. Epidemics of CHIK infection occur during post monsoon period when there is a high vector density. Evidences on the prevalence of CHIK infection during non epidemic periods are limited. Aim: To determine the seroprevalence of CHIK infection during non epidemic periods among patients attending fever clinic in Chennai, Southern India. Materials and Methods: This cross-sectional study was done in 180 suspected cases of CHIK infection between the months of September 2014 and February 2015. A 5 mL of blood samples were collected from the suspected cases and serum was separated to detect for the presence of CHIK-IgM antibody by using CHIK-IgM antibody capture Enzyme Linked Immunosorbent Assay (ELISA) kit. Chi-square test was done to find out the statistical significance with p-value <0.05 kept as statistically significant. Results: The seroprevalence of CHIK infection during non epidemic periods was found to be 5.5% (10/180). Fever and joint pain were the major complaints present in all the study population. All the seronegative cases were tested for the presence of other infections and it was found that 13% were positive for typhoid, 9% were positive for leptospirosis, 4% for malaria and 2% for dengue infections. Conclusion: There are no vaccines or specific medications available till date. Prevention is the only effective approach against the disease. Even though the prevalence of CHIK infection is low during non epidemic periods, strict vector control and elimination of mosquito breeding sites are very important in controlling the disease transmission.

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Prevalence of depression and its association with parental neglect among adolescents at governmental high schools of Aksum town, Tigray, Ethiopia, 2019: A cross sectional study

10.21203/rs.2.17823/v1 ◽

2019 ◽

Author(s):

Enguday Tirfeneh ◽

Mengesha Srah

Keyword(s):

High Schools ◽

Statistical Significance ◽

Sampling Technique ◽

Cross Sectional Study ◽

Mental Illnesses ◽

P Value ◽

Sectional Study ◽

Cross Sectional ◽

Parental Neglect ◽

Prevalence Of Depression

Abstract Background depression is one of the most serious and prevalent mental illnesses that can result in serious disability and ending life by committing suicide and homicide. The risks of having depression are substantially higher in persons who have parental neglect when compared to the general population.Objective To detect prevalence of depression and its association with parental neglect among adolescents in governmental high schools at Aksum town, Tigray, Ethiopia 2019Method A facility based cross-sectional study was conducted from January 1-30/2019 at Aksum town high schools. Public health questionnaire was used in this study to detect Depression. Study participants were selected using simple random sampling technique. Data was collected with face to face interview. Data was analyzed using statistical package for social science version 22. Bivariate and multivariate logistic regressions were used to see the association between depression and parental neglect. Adjusted Odds ratio at a p-value <0.05 with 95% confidence interval was taken to declare statistical significance of variables.

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