Fundamental and Management Nursing Journal

Bridging the Gap: Assessing Nurses' Safe Handling and Administration of Chemotherapeutic Drugs in a Tertiary Health Facility, Benin City, Nigeria

2025-02-28T11:51:00+07:00

Introduction: The administration of chemotherapeutic drugs requires specialized knowledge and skills to ensure optimal patient outcomes and minimize risks. While global guidelines emphasize the importance of safe chemotherapy administration, there is a lack of context-specific data on the knowledge and practices of nurses in tertiary health facilities in Benin City. This study addresses the gap by providing empirical evidence on their competencies and challenges. Hence this study aimed to assess the knowledge and practices of safe handling and administration of chemotherapeutic drugs amongst tertiary health facility, Benin City.

Methods: The study adopted a descriptive cross-sectional study design among randomly selected 278 nurse working in the selected hospital. A researcher developed structured validated questionnaire was used as instrument of data collection. Data collected was analyse using descriptive statistics while hypothesis tested using multiple logistic regression at 5% level of significant. Data analysis was done using the IBM Statistical Package for Social Sciences (SPSS) version 28.0 for windows.

Results: Overall 17% of participants had poor knowledge, and 63% had fair knowledge. More than half (51%) exhibited poor practice. Most significant factors supporting the safe handling and administration of chemotherapeutic drugs are Training and Certification (3.94), Incident Encounters (3.73), Protocol Adherence (2.93), and Utilization of PPE (2.82). Being married: (OR = 1.136 (95% C.I: 1.10–3.83, p = 0.7369), Female (OR = 4.90, 95% CI: 0.23–3.54, p = 0.479), 18–34 years (OR = 7.03, 95% CI: 0.06–8.28, p = 0.298) , Bachelor Degree (OR = 7.69, 95% CI: 0.05–7.10, p = 0.174) have higher odds of exhibiting a higher level of practice compared to other categories but not statistically significant.

Conclusions: The study found that nurses have moderate knowledge and practice levels in handling chemotherapeutic drugs but still face significant gaps. It highlights the need for targeted interventions, in-service education, and institutional policies to improve competency and ensure safe chemotherapy administration.

Head Ward Nurse Core Competencies: A Mixed-Method Study

2024-09-18T15:35:48+07:00

Introduction: Head ward nurse (HWN) is the one who, within a social and health care organization, plays a key role in the functioning of the ward, organizing work and that co-workers.This study aims to identify the HWN's core competencies, mapping and grading them according to the level considered most strategic and making them evident through the configuration of a conceptual map defined by the Balanced Scorecard (BSC) model.

Methods: This study was conducted in a mixed-method methodology, with a qualitative and quantitative exploratory sequential approach. In the quantitative part, by using the administration of surveys of consecutive convenience samples consisting in doctors, nurses, healthcare worker assistants and therapists staff from the surgical department of the Azienda Unità Sanitaria Locale (AUSL) of Piacenza Italy, 39% of the population of possible respondents for the qualitative part. Another sample of only nurses ward manager from surgery department of AUSL, which is the Local Health Authority of Piacenza, located in the Emilia-Romagna region of northern Italy. It was identified for the quantitative part, 100% of the population of possible respondents.

Results: The BSC makes it possible to identify, represent, and measure the performance of nurses especially with a view to enabling the attainment of skills deemed most significant, to be able to have a balance of them within the professional's portfolio, to ensure the presence of appropriate skills in care settings, and to be able to represent a graduation and eventual measurement of them.

Conclusions: The definition, mapping, graduation and representation of the core competencies of the HWN according to the BSC model, allow to make explicit the professional act in order to maintain or improve the exercised performances of the function as well as to lay the basis for their possible evaluation.

The Relationship Between Parenting Patterns and Moral Development of Preschool-Aged Children

2024-09-18T15:15:49+07:00

Introduction: Parents have their own parenting style in educating, guiding and disciplining children which is relatively consistent from time to time, and this can affect the moral development of children. There are three types of parenting styles used, namely democratic, authoritarian, and permissive. The purpose of this study is to analyze the relationship between parenting style and the moral development of preschool-age children.

Method: The method of this study is correlation analysis with a cross-sectional approach with a population of 35 respondents. The research sample was 32 respondents from parents of preschool children aged 4-6 years with purposive sampling. The research instrument for parental parenting and children's moral development uses a questionnaire. Data analysis using the Chi-Square test.

Results: The results showed that most parents had a democratic parenting style in 19 respondents (59.4%), and the moral development of children mostly showed good moral development in as many as 17 respondents (53.2%). The results of the Chi-Square analysis of parental parenting with children's moral development showed that the p-value of < α was 0.011<0.05 which means that there is a relationship between parental parenting and the moral development of preschool-aged children.

Conclusion: Parenting plays a pivotal role in shaping the moral development of preschool-aged children. The application of an appropriate parenting style is essential for effectively guiding and educating children during this critical stage of development. Given the unique characteristics and needs of early childhood, this study highlights the importance of adopting a democratic parenting style—characterized by warmth, responsiveness, and appropriate boundaries—as a means of fostering positive moral growth. This study underscores the urgency of promoting parenting approaches that support moral understanding, empathy, and pro-social behavior. Future research is encouraged to further explore and develop intervention strategies and educational programs aimed at enhancing children’s moral development through supportive parenting practices.

The Relationship Between the Implementation of Islamic Values and Patient Loyalty in Inpatient Rooms

2024-10-15T09:00:33+07:00

Introduction: Patient loyalty represents a critical challenge for hospitals and other healthcare organizations. A low level of patient loyalty may negatively affect an institution’s competitiveness and reflect poorly on the quality of healthcare services and workforce performance. In increasingly diverse healthcare settings, incorporating values that align with patients’ beliefs and expectations may play a role in fostering satisfaction and loyalty. This study aims to analyze the relationship between implementing Islamic values in inpatient care and patient loyalty.

Method: This study applied a correlational analytic design with a cross-sectional approach. Data were collected from a sample of 100 inpatients, selected through consecutive sampling over a two-week period. The study investigated the relationship between the implementation of Islamic values and patient loyalty. Two instruments were used to measure the study variables: the Islamic Service Questionnaire and the Patient Loyalty Questionnaire. Data were analyzed using the Spearman rank-order correlation test to determine the strength and direction of the association between the two variables.

Results: A total of 66% of patients perceived the implementation of Islamic values by nurses to fall within the moderate category. Similarly, 70% of patients demonstrated a moderate level of loyalty. Statistical analysis using the Spearman rank-order correlation test showed a significant relationship between the implementation of Islamic values and patient loyalty (p = 0.009; rₛ = 0.260), indicating a positive, albeit weak, correlation between the two variables.

Conclusion: This study demonstrates a significant positive relationship between the implementation of Islamic values in nursing care and patient loyalty in inpatient settings. By addressing spiritual needs, modifying the care environment to reflect Islamic principles, and providing adequate worship facilities, healthcare institutions may enhance the overall patient experience and increase retention. Future research is recommended to explore the long-term impact of faith-based care models on patient outcomes in broader and more diverse hospital settings.

Improving Nurse Job Satisfaction in The Handover Process by The Documentation-Based SWITCH Handover Method

2023-10-11T15:27:47+07:00

Introduction: Implementation of the SWITCH handover method in the Operating Room has traditionally been conducted verbally, without standardized documentation. Effective handover is critical in perioperative settings, where detailed, timely, and accurate communication is essential. To address this issue, this study aimed to evaluate the effect of applying a documentation-based SWITCH handover method on nurse job satisfaction during the handover process.

Method: This study was a a pre-experimental design with a one-group pretest-post-test approach. Independent variable in this study was the application of the documentation-based SWITCH handover method, while the dependent variable was nurse job satisfaction during the handover process. The population consisted of all surgical nurses working in the operating room. A total sampling technique was used, resulting in 41 respondents who met the inclusion criteria. Data were collected using a structured questionnaire designed to measure job satisfaction before and after the implementation of the SWITCH handover method.

Results: The results showed that after the documentation-based SWITCH handover method was applied, satisfied respondents increased to 8 respondents and no respondents felt unsatisfied with the score of mean pretest = 65.98 increase to 70.12 of the mean posttest. The results of the paired t test show that the p value = 0.005 with α = 0.05, this shows that the p value = 0.005 <α = 0.05 it means there is an effect of applying the documentation-based switch handover method to nurse job satisfaction in the operating room.

Conclusion: Nurses should be able to improve their ability to provide services to patients, especially in the handover process by attending seminars or training related to handover so that nurses can carry out their duties better and can feel more satisfied and comfortable at work.

Effect of Slow Deep Breathing on Lung Function Among Individuals with Multi-Drug-Resistant Tuberculosis (MDR-TB) at a Regional General Hospital in Indonesia

2024-12-02T11:28:03+07:00

Introduction: Multi Drug Resistant Tuberculosis (MDR-TB) sufferers experience decreased lung function. Non-pharmacological therapy such as slow deep breathing has been widely applied to improve lung function of individuals with Tuberculosis. However, the results were inconsistant. The aim of this research is to analyze the effect of slow deep breathing on lung function pf individuals with multi-drug resistant (MDR-TB) at the MDR-TB Polyclinic Ibnu Sina General Hospital Gresik, Indonesia.

Method: This study employed a quasi-experimental design with a pre-test and post-test. The population consisted of 294. A total of 35 participants were selected using purposive sampling based on inclusion and exclusion criteria. Data collection involved a Standard Operating Procedure (SOP)-guided intervention in slow deep breathing exercises as the independent variable. Lung function, the dependent variable, was measured using a calibrated spirometry device before and after the intervention. An accidental sampling method was applied, focusing on the availability and willing to participate.

Results: The results showed of 19 (54.3%) and almost half of participants had abnormal lung function, 16 (45.7%) people. After being given intervention, the majority of particupants presented normal lung function, 21 (65.7%) of them and almost half of them had abnormal lung function, 12 (34.3%) of them. Mc Nemar test to determine the effect of slow deep breathing on lung function was p-value of 0.125 > 0.05.

Conclusion: This study documented that slow deep breathing exercises had no significant effect on lung function in individuals with MDR-TB. This likely attributable to other contributing factors, such as routine pharmacological treatment, consistent physical activity, and improved adherence to therapy. These confounding variables may have played a more substantial role in the observed changes. Further research with rigorous experimental designs, involved larger sample sizes, and longer duration of intervention is needed.

Analysis Knowledge of Spiritual Care and HbA1c Among Individual Living with Diabetes Mellitus

2025-03-11T08:18:45+07:00

Introduction: Diabetes mellitus (DM) is a metabolic disease represented by hypoglycemia due to abnormalities in insulin secretion, insulin action, or both. Normal blood glucose levels influence the healing process for DM complications. Reducing blood glucose levels can be achieved by releasing the hormone endorphin, secreted when the patient is calm and comfortable. One way to achieve self-calm is by getting spiritual care. Spiritual care is a process of healing by fulfilling spiritual needs. The objective assessment of DM is seen in hematological parameters, one of them is Glycate Haemoglobin (HbA1c). This study to identifying the analysis between the knowledge of spiritual care and HbA1c assessment.

Methods: This was a quantitative research correlation analysis design using person correlation. The dependent variable is the patient's knowledge of spiritual care, while the independent variable is HbA1C levels. The sample is 32 from 115 DM patients with new cases in RSUD Cibinong, Bogor 2022. questionnaire used to collect the knowledge of spiritual care and HbA1c assessment was taken at the same time.

Results: The results showed that the majority were female (68.8%), aged 56-65 years (46.9%), knowledge level high category (56.3%), and HbA1c levels were normal (81.3%.) Bivariate analysis has significant results in identifying the relationship between the knowledge of spiritual care and HbA1c levels in DM patients (p-value 0.02).

Conclusions: This study concludes that spirituality care can influence HbA1c assessment to a normal level. Spirituality care could be non-pharmacological therapy for DM patients.