Nursing Department

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Thesis from the Department of Nursing

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    Appraisal of Psycho-Social Stress and Burden of Palliative Care of Chronic Illness among Informal Caregivers in Ibadan Metropolis
    (Lead City University, Ibadan, 2025-12) Adenike Iyabo OSUBU
    Informal caregivers play a vital role in palliative care delivery, particularly in low- and middle income countries where formal healthcare systems are often overstretched. In Nigeria, many patients with chronic or terminal illnesses rely on family members and friends for care, exposing caregivers to emotional, physical, and psychological strain. Therefore, this study appraised psychosocial stress and burden of palliative care of chronic illnesses among informal caregivers in Ibadan metropolis. The main aim and objectives is to determine the levels of stress and burden, identifying associated factors, and examining the relationship between caregiving duration, stress, and burden. A descriptive survey design was adopted. The study population comprised informal caregivers of palliative care patients attending Adeoyo Maternity Teaching Hospital and Ring Road State Hospital in Ibadan. A sample size of 172 respondents were selected using purposive sampling. Data were collected through a structured questionnaire consisting of socio- demographic information, the Zarit Burden Interview (ZBI) to assess caregiving burden, and the Kingston Caregiver Stress Scale (KCSS) to measure psychosocial stress. Data were analyzed using descriptive and inferential statistics with the Statistical Package for the Social Sciences (SPSS) version 27. Majority (65.1%) of respondents experienced psychosocial stress, while 36.0% reported significant caregiving burden. Findings revealed that 65.1% of respondents experienced significant psychosocial stress, while 36.0% reported a high caregiving burden. The caregiver–patient relationship showed a significant association with both psychosocial stress (χ² = 11.235, p = 0.047) and caregiving burden (χ² = 12.655, p = 0.027). A strong positive relationship (χ² = 20.620, p < 0.001) was found between psychosocial stress and caregiving burden. Informal caregiving for palliative care patients imposes considerable psychological, emotional, and physical strain on caregivers. Key words: Psychosocial Stress, Caregiving Burden, Informal Caregivers, Palliative Care, Ibadan Metropolis Word count: 274
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    Midwives’ Knowledge and Utilization of World Health Organisation E-MOTIVE Care Bundle Management of Postpartum Haemorrhage in Secondary Health Institutions in Ibadan, Nigeria
    (Lead City University, Ibadan, 2025-12) Iyabode Aderonke ADELEKE
    Postpartum haemorrhage remains one of the leading cause of maternal mortality worldwide. Traditional management methods such as uterine compression and use of uterotonic drugs have shown limited effectiveness in severe cases. WHO recommended E-MOTIVE Care Bundle, an evidence-based protocol, that demonstrated up to 60% reduction in postpartum haemorrhage when used effectively by midwives. This study aimed to ascertain Midwives’ knowledge and utilization of E-MOTIVE Care Bundle management of postpartum haemorrhage in secondary health institutions in Ibadan, Oyo State, Nigeria. Descriptive survey research design was employed, and data was collected from 205 midwives using a validated questionnaire. The instrument’s reliability was determined through a pretest conducted among 21 midwives at General Hospital, Aremo, Ibadan which revealed a Cronbach’s Alpha coefficient of 0.974 that indicated a high level of internal consistency. Descriptive analysis was used to answer research questions while Chi- square was used to test the hypotheses at a 0.05 level of significance. Findings revealed that 64% respondents had knowledge of E-MOTIVE Care Bundle and 90.7% had high knowledge of its individual components, 66.8% respondents indicated high level utilization of E-MOTIVE Care Bundle to manage postpartum haemorrhage and 73.2% identified steps in management of postpartum haemorrhage correctly. Chi-square results revealed a significant association between knowledge and utilization (χ² = 16.026, p = 0.001) and between years of experience and utilization (χ² = 73.927, p = 0.000). The study concluded that although midwives possessed high knowledge of E-MOTIVE Care Bundle and its utilization but needs more adherence to E-MOTIVE protocols. Therefore, in order to manage postpartum haemorrhage effectively and thereby reduce maternal mortality the studyrecommended that there should be continuous professional training, institutional support, and supervision to promote consistent, evidence-based management of postpartum haemorrhage in line with WHO standards. Keywords: E-MOTIVE Care Bundle, Midwives’ Knowledge, Postpartum haemorrhage, Utilization Word Count: 287
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    Effectiveness of Nutritional Education on Knowledge, Attitude and Food Choices among Pregnant Women in Ibadan Semi-Urban Areas, Oyo State
    (Lead City University, Ibadan, 2025-12) Iyabode Olufunmike ADEKANMBI
    Inadequate knowledge of pregnant women on nutrition in semi-urban Nigeria contributes significantly to adverse maternal and neonatal outcomes. This study assessed the effectiveness of a nutritional education intervention (NEI) on knowledge, attitude, and food choices among pregnant women in Ibadan Semi-urban Areas, Oyo state. A quasi- experimental pretest-posttest design was employed with 118 pregnant women (59 per group) from Primary healthcare centers in Ibadan. The experimental group received a structured Nutritional Education Intervention (NEI), while the control group received family planning education. A Statistical Package for the Social Sciences (SPSS) version 25 was used to analyze the data using descriptive statistics and inferential tests, including Analysis of Covariance (ANCOVA), to determine the effectiveness of the intervention at a significance level of p<0.05. At baseline, groups were comparable with no significant differences in Knowledge (Experimental: 16.4±2.3 vs Control: 16.2±2.3, p=0.668), Attitude (39.7±7.8 vs 39.4±6.8, p=0.803), or Food choices (41.1±7.5 vs 40.9±8.3, p=0.926). Post-intervention, the experimental group showed significant improvements. Knowledge scores increased to 18.8±1.8 versus 16.3±2.2 in controls (p<0.001). The proportion with excellent knowledge rose to 71.2% (n=42) from 20.3% (n=12). Attitude scores improved to 44.7±6.1 (p<0.001), with 91.5% (n=54) exhibiting a favourable attitude. Food choice scores increased to 48.4±5.1 (p<0.001), and 42.4% (n=25) demonstrated high adherence to healthy choices. Analysis of Covariance (ANCOVA) confirmed significant main effects of the intervention on knowledge (F=55.436, p<0.001), attitude (F=34.2, p<0.001), and food choices (F=40.872, p<0.001). The nutritional education intervention significantly enhanced knowledge, improved attitudes, and positively influenced healthier food choices among pregnant women. It is recommended that Nutritional Education should be integrated into routine antenatal care to improve maternal and child nutrition by the Government. Community Health Nurses should involve family members particularly husbands, mother - in - laws in nutritional education programmes to build a supportive home environment. Keywords: Nutritional Education, Pregnant Women, Knowledge, Attitude and Food Choices. Word Count: 290.
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    Factors Influencing Practice of Birth Preparedness and Complications Readiness among Primigravidae attending Adeoyo Maternity Teaching Hospital Ibadan, Oyo State
    (Lead City University, Ibadan, 2025-12) Olanike Fehintola ADEBIMPE
    Maternal mortality remains a pressing public health concern globally, with sub- Saharan Africa contributing about two-thirds of all maternal deaths. In Nigeria, maternal mortality continues to be unacceptably high despite numerous interventions. One key strategy in reducing these preventable deaths is Birth Preparedness and Complication Readiness (BPCR), which ensures that pregnant women are adequately prepared for safe delivery and emergency situations. However, evidence suggests that primigravidae may have poor knowledge and practice of BPCR due to inexperience. Hence, this study assessed the factors influencing the practice of BPCR among primigravidae attending Adeoyo Maternity Teaching Hospital (AMTH), Ibadan, Oyo State, Nigeria. The study adopted a descriptive survey, using a self-developed validated questionnaire with Cronbach alpha score 0.832. A total of 183 primigravid women attending antenatal clinic at AMTH were selected through random sampling. Data were analyzed, employing descriptive and inferential statistics including Chi- square and logistic regression at a significance level of p ≤ 0.05. Results revealed that the mean age of respondents was 28.85 ± 4.93 years, majority were married 179(97.8%). Less than half 88(48.1%) had tertiary education, and 153(83.6%) are employed. Furthermore, 97(53.1%) demonstrated good knowledge of BPCR, 124(68.3%) showed good knowledge of danger signs, and 103(56.2%) practiced adequate BPCR. Meanwhile, partner support 169(92.4%), cultural belief 83(45.4%), and education 153(83.6%) were strong factors influencing their practices of BPCR. Inferential analysis indicated that social support (p = 0.001), knowledge of danger signs (p = 0.001) have significant association with practice of Birth Preparedness and Complication Readiness. In conclusion, knowledge and practice of BPCR are positively linked, and strong social support further strengthens readiness significantly. Strengthening antenatal counseling, improving community health education, and deliberate partner involvement are recommended to enhance preparedness for BPCR among primigravidae. Keywords: Birth Preparedness, Complication Readiness, Primigravidae, Maternal Health, Antenatal Care. Word Count: 291