يعرض 1 - 10 نتائج من 29 نتيجة بحث عن '"Wahab Osman"', وقت الاستعلام: 0.72s تنقيح النتائج
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    دورية أكاديمية

    المصدر: BMJ Open, Vol 14, Iss 5 (2024)

    مصطلحات موضوعية: Medicine

    الوصف: Background Family caregivers of children living with HIV/AIDS in most cases are found to be overwhelmed and under-resourced, yet they are believed to be the primary source of support for children living with HIV/AIDS. Family caregivers experience different challenges that affect their children’s antiretroviral therapy (ART) adherence.Aim This study explored the lived experiences of family caregivers of children living with HIV/AIDS who sought ART services for these children at the St Joseph’s Hospital of Jirapa, Ghana.Method Using a qualitative phenomenology design and a semistructured in-depth interview guide and using purposive sampling, data were gathered from 13 family caregivers of children living with HIV/AIDS receiving ART treatment at St Joseph’s Hospital, Jirapa following ethical approval. All interviews were audio-taped and transcribed verbatim. Reflexive thematic analysis was used to analyse the transcribed data.Findings Six themes were generated: five challenges and one support. Family caregivers of children living with HIV/AIDS experienced: (1) Financial challenges, (2) Human-related challenges, (3) Challenges at HIV testing and counselling (HTC) centres, (4) Challenges with transportation, (5) Challenges in disclosing children’s HIV status to them and (6) Support received from HTC and their family members.Conclusion and recommendation Family caregivers of children living with HIV/AIDS experience daunting challenges in their quest to care for their children. Governmental and non-governmental HIV/AIDS programme support should include small business skills training and acquisition including capital to help set up small-scale businesses for such caregivers to reduce their financial challenges. Access to ART at clinics closer to caregivers is also key to promoting adherence. Family and community support has been recognised as key to enhancing ART adherence. Education of caregivers on policy regarding disclosure of the HIV/AIDS status of children, the need to work to reduce the time spent by caregivers at HTC, and ensuring privacy by limiting access to HTCs to only caregivers and their children, are important to enhancing adherence.

    وصف الملف: electronic resource

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    دورية أكاديمية

    المصدر: Nursing Open, Vol 10, Iss 9, Pp 6117-6124 (2023)

    الوصف: Abstract Aim To explore the beliefs of family caregivers on adherence to Anti‐Retroviral Therapy (ART) among children living with HIV/AIDS that received care at St. Joseph's Hospital, Jirapa, Ghana. Design A qualitative phenomenological design was employed for this study. Method Data was gathered using a semi‐structured in‐depth interview guide from 13 family caregivers of children with HIV/AIDS on ART. Analysis was done using the reflexive thematic analysis approach. Results Three major themes were generated during the analysis: “Beliefs regarding the effectiveness of ART”; “Beliefs regarding taking ART”; and “Beliefs regarding other treatments for HIV/AIDS”. Most caregivers believed that the ARTs were effective and improved their children's health, especially when adhered to strictly. Some, however, believed in praying to God for healing, and the use of local/herbal to augment ARTs. Conclusion Family caregivers generally hold positive beliefs about ARTs and its effectiveness for their children. Some, however, believe in spirits, prayers, and herbal/local treatment in addition to ARTs.

    وصف الملف: electronic resource

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    دورية أكاديمية

    المصدر: International Journal of Africa Nursing Sciences, Vol 20, Iss , Pp 100714- (2024)

    الوصف: Background: Children’s rights to participate in decisions and activities of their lives have been well documented. Due to varied challenges, the implementation of children’s rights to healthcare involvement has not been fully achieved. The unsuccessful implementation could be attributed to factors originating from parents/caregivers, health professionals, children, policymakers, and the healthcare system. Therefore, investigating the barriers and enabling factors to the implementation of children’s rights to healthcare involvement is critical. Objective: This study therefore examined the enabling and barrier factors to nursing staff involvement of children in care activities. Methods: An institutional-based cross-sectional design was used to conduct the study at the Evangelical Church of Ghana Hospital, Kpandai. With a total census sampling technique, all nursing staff members providing care to paediatric patients were invited to participate in the study due to the relatively small number of nursing staff. A total of 97 nursing staff members finally participated. An adapted Patient Participation Questionnaire was used for the data collection. Descriptive and inferential analyses were done at p

    وصف الملف: electronic resource

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    دورية أكاديمية

    المصدر: International Journal of Nursing Studies Advances, Vol 5, Iss , Pp 100160- (2023)

    الوصف: Background: Nurses’ involvement of children in their care is essential to quality pediatric care. Various international guidelines stress the need for children's involvement in decisions and activities affecting their care and lives; widely known among them is the United Nations Convention on the Rights of the Child. This convention gives children the right to participate in decisions and activities that affect their growth and development. Objective: This study assessed the level of nursing staff involvement of children in care activities and the benefits they perceived from this involvement. Design: Descriptive cross-sectional study. Setting: Units of Evangelical Church of Ghana Hospital, Kpandai rendering services for children. Participants: A total of 116 nursing staff members were invited to participate; 97 (84%) responded. The term ''nurses'' in this study includes unlicensed nursing assistants, as well as licensed professional nursing staff. Methods: Descriptive statistics were used to analyze participants’ demographic characteristics and the nurses’ perceived benefits derived from children's involvement in care activities. A Chi-square test was used to analyze associations between nurses’ demographic data and the level of nurses’ involvement of children in care activities at a significance level of p< 0.05. Results: A majority (56.7%) of the nurses poorly involved children in their care activities. They either involved children to some extent or did not involve children at all. Nurses’ age and gender predicted involvement. Older nurses aged 30 and above (56.4%) were more likely to involve children in care activities than those under 30 (26.1%) [p=0.003]. Female nurses (31.7%) were marginally less likely to involve children in their care activities than their male colleagues (51.8%) [p=0.049]. Most of the nurses agreed to several impactful benefits of involving children in care activities, thus benefiting children, caregivers, and health professionals. Conclusion: The overall level of nurses’ involvement of children in care activities was poor. Policy documents to safeguard children's rights in healthcare involvement must be developed and implemented from the national down to the hospital level to safeguard children's rights to healthcare involvement.

    وصف الملف: electronic resource

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    دورية أكاديمية

    المصدر: International Journal of Africa Nursing Sciences, Vol 14, Iss , Pp 100281- (2021)

    الوصف: Background: The nursing process is an evidenced-based tool that guides the sequence of clinical reasoning and the delivery of quality nursing care. Nursing practice authorities worldwide, including Ghana, make it a standard of practice in the clinical setting for professional nurses. Despite this, only a few studies have attempted to assess the use of the nursing process in the country. This study, sought to assess the knowledge level, extent of use, as well as, barriers associated with the use of the nursing process at the Tamale Teaching Hospital in Ghana. Method: A quantitative cross-sectional survey of 286 registered nurses and midwives, chosen by stratified random sampling, was undertaken using a questionnaire with a Cronbach’s alpha of 0.83. Data was fed into SPSS version 24 for analysis. A questionnaire return rate of 98.6% was realized. Descriptive statistics, as well as, Kruskal-Wallis H test of association was used to check for the presence of statistically significant associations between some selected independent variables and the use of the nursing process. Results: Knowledge level of the nursing process was high (71.0%), while use of the nursing process was low (32.3%). Major barriers were stressful work environment (96.8%), absence of nursing process policy (94.7%), lack of further nursing process training (91.5%), inadequate supply of consumables (81.2%) and lack of nursing process clinical skills (42.9%). Participants age (p = 0.020), academic qualification (p = 0.038), work experience (p = 0.033), rank (p = 0.011) and the possession of nursing process clinical skills (p = 0.016) were significantly associated with the use of the nursing process for patient care. Conclusion: A nursing process theory–practice gap exist in the hospital, occasioned by a high level of theoretical knowledge but low level of use of the nursing process in the hospital. Barriers such as stressful work environment, absence of nursing process policy, lack of further nursing process training, inadequate supply of consumables and lack of nursing process clinical skills also existed in the hospital. There is the need for the hospital management and health authorities to develop a nursing process policy, supply adequate quantities of consumables and conduct periodic nursing process clinical skills training for all nurses to enhance its use for improved patient outcomes.

    وصف الملف: electronic resource

  6. 6
    دورية أكاديمية

    المصدر: Nursing Research and Practice, Vol 2021 (2021)

    مصطلحات موضوعية: Nursing, RT1-120

    الوصف: Background. The clinical learning environment and clinical rotation experience of students are integral to nursing curriculum and are a crucial component of nursing education which helps transform theoretical knowledge to clinical practical skills. Objective. This study was aimed at assessing the role of the clinical learning environment on undergraduate nursing and midwifery students’ satisfaction with their clinical rotation experience. Method. The study employed a quantitative cross-sectional survey design. Data was collected from a sample of 240 undergraduate nursing and midwifery students of the University for Development Studies, Tamale, Ghana, using a structured questionnaire. Ethical approval was obtained from the University of Cape Coast Ethics Review Board. Descriptive analysis was displayed as frequencies and percentages. Inferentially, Fisher’s exact test, linear regression, and Spearman’s correlation tests were used to test for and quantify associations between independent and dependent variables at p≤0.05. Results. The level of students’ satisfaction with both clinical rotation experience and the clinical learning environment was high (65.6% and 63.5%, respectively). A statistically significant association of the students’ satisfaction with their clinical rotation experience was found. There was a statistically significant relationship between the clinical learning environment (χ2 (9, N = 224) = 80.665, p

    وصف الملف: electronic resource

  7. 7
    دورية أكاديمية

    المصدر: Nursing Research and Practice, Vol 2019 (2019)

    مصطلحات موضوعية: Nursing, RT1-120

    الوصف: Background. Efforts to reduce under-five mortality across the globe are being hindered by a disproportionately high rate of neonatal deaths. About a quarter of these neonatal deaths are caused by birth asphyxia. Available evidence shows that effective neonatal resuscitation delivered by providers skilled in and knowledgeable about neonatal resuscitation can significantly reduce neonatal mortality rates. Objectives. This cross-sectional study was conducted to determine knowledge and experience in neonatal resuscitation among midwives in Tamale, and the factors associated with their knowledge on neonatal resuscitation. Methods. This was a cross-sectional study involving all midwives practicing in three large hospitals in Tamale. We developed a questionnaire to collect data on demographic characteristics of participants, and their knowledge and experience in neonatal resuscitation. We used the Statistical Package for Social Sciences (SPSS), version 21, to analyse the data. Demographic characteristics of participants were summarized using descriptive statistics. Pearson’s correlation was used to determine associations between knowledge and some selected demographic features, while the one-way ANOVA was conducted to determine differences in level of knowledge based on the demographic features. Results. 98.1% of the participants in this study had insufficient knowledge on neonatal resuscitation. Midwives at the Tamale Central Hospital demonstrated a statistically significantly higher level of knowledge (24.67 ± 2.79, p = .014), compared to those at the Tamale Teaching Hospital (22.92 ± 4.56, p = .028) and Tamale West Hospital (21.50 ± 6.24, p = .021). Those who had a first-degree qualification in midwifery and those with a Post-NAC/NAP midwifery certificate had a statistically significantly higher knowledge than those with a diploma in midwifery. Training in neonatal resuscitation was associated with more knowledge in neonatal resuscitation (r(158) = .195, p = .013). In terms of experience, 55% of the participants in this study were not experienced in performing neonatal resuscitation. There were no differences in their level of experience based on their academic qualification, work place, and years of practice as a midwife. Conclusion. Considering the generally low level of knowledge and experience of midwives in neonatal resuscitation as discovered in this study, there is an urgent need for government to provide more opportunities for all practicing midwives to be trained in this important lifesaving skill.

    وصف الملف: electronic resource

  8. 8
    دورية أكاديمية

    المؤلفون: Ibnouf, MAM, A Wahab, Osman, Massad, A M

    المصدر: المجلة العالمية للعلوم الطبيه والصحية; مجلد 1 عدد 2 (2006): مجلد 1 عدد 2 (2006) ; 143-146 ; Sudan Journal of Medical Sciences; Vol. 1 No. 2 (2006): Vol. 1 No. 2 (2006) ; 1858-5051 ; 1858-8530 ; 10.52981/sjms.v1i2

    الوصف: The upside down stomach (UDS) is an organo-axial rotation. The condition results from upwards migration of the antrum of the stomach towards the negative intrathoracic pressure particularly in cases having communication with the thoracic cavity as in penetration or eventration of the diaphragm. The antrum lies above the fundus i.e. the antrum lies high up adjacent to the base of the right lung. The lower oesophageal sphincter lies below the pylorus. The oesophagus has a normal length and

    وصف الملف: application/pdf

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    المصدر: Journal of Community Medicine and Public Health Research. 3:92-103

    مصطلحات موضوعية: General Medicine

    الوصف: The burden faced by informal caregivers in caring for a child diagnosed with HIV/AIDS, and placed on Antiretroviral Therapy (ART) is high due to the nature of the child’s dependence on the caregiver for fulfilling the child’s necessary needs. Evidence linking knowledge to the likelihood of performing the desired action exists. It is therefore crucial to explore caregivers’ knowledge of ART, and how that influences their children’s adherence to ART. The sought to explore the knowledge of informal caregivers on adherence to ART among their children with HIV/AIDS who received care at St. Joseph’s Hospital, Jirapa, Ghana. A qualitative phenomenology design was used. Data were collected from 13 purposively chosen caregivers of children with HIV/AIDS on ART at a hospital, using a semi-structured in-depth interview guide. A reflexive thematic analysis approach was used for data analysis. Informal caregivers were knowledgeable in the regularity of visits to the HIV Testing and Counselling (HTC) Centre for ARTs, identifying ARTs, ARTs administration, ARTs side effects identification, HIV transmission, and the nutritional restrictions for ARTs. A few, however, had misconceptions about HIV transmission. Informal caregivers still need education in the area of HIV transmission. The findings will guide nurses to focus on areas of education for informal caregivers to improve upon their knowledge of ART and to ensure increased adherence among children living with HIV/AIDS under their care.

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