Aim: The study assessed the documentation of nursing care before, during and after the Standardized Nursing Language Continuing Education Programme (SNLCEP). It evaluates the differences in documentation of nursing care in different nursing specialty areas and assessed the influence of work experience on the quality of documentation of nursing care with a view to provide information on documentation of nursing care. The instrument used was an adapted scoring guide for nursing diagnosis, nursing intervention and nursing outcome (Q‐DIO).Design: Retrospective record reviews design was used.Methods: A total of 270 nursing process booklets formed the sample size. From each ward, 90 booklets were selected in this order: 30 booklets before the SNLCEP, 30 booklets during SNLCEP and 30 booklets after SNLCEP.Results: Overall, the study concluded that the SNLCEP had a significant effect on the quality of documentation of nursing care using Standardized Nursing Languages.

Standardised nursing language is needed in contemporary nursing practice and education to plan, deliver and communicate the contribution of professional nursing practice to other nurses, health care providers, and health consumers. This study assessed the perception of the nursing students about integrating standardised nursing language (SNL) into nursing curriculum; nursing students’ awareness of the SNL, differences between the institution of the participants and their perception; as well as differences between the institution of the participants and their level of awareness about SNL. A cross-sectional research design was adopted. The participants were recruited by using the convenience sampling technique. Data were collected via self-structured questionnaires whose validity and reliability had been previously ascertained. The data collected were analysed, using the Statistical Package for Social Sciences (SPSS), version 20.0. Results showed that the majority of the nursing students that participated in the study were female (86.7%). Also, the majority (74.2%) were aware of SNL. While 58% had a very good perception that SNL is important and should be offered as part of their course system in the institution, only 60.6%, 13.3% and 11.0% believed it should be offered at undergraduate, postgraduate, and other courses respectively. Further, there was no significant difference in the respondents’ institution and their perception while the respondents and their level of awareness was statistically significant, respectively.

Maternal mortality remains one of Nigeria's most significant public health challenges. In order to address this issue sustainably, it is necessary to consider the perceptions of all stakeholders involved, including midwives. To examine the determinants of maternal mortality in south-western Nigeria from the midwife's perspective. A cross-sectional study was employed using mixed methods with a semi-structured questionnaire and an in-depth interview guide. Quantitative data were obtained from 215 midwives using a convenience sampling technique. Qualitative data were obtained from 25 midwives from five government health centres, selected using a stratified sampling technique. Quantitative data were analysed using SPSS Version 20 using descriptive and inferential statistics with 95 % confidence intervals, while qualitative data were analysed using thematic analyses. The mean age and work experience of the participants were 35.2 ± 9.3 years and 8.4 ± 7.0 years, respectively. The midwives perceived that the main determinants of maternal mortality were postpartum haemorrhage (86.5 %), hypertensive disorder in pregnancy (80.9 %), mismanagement at mission homes/traditional birth attendant centres (MH/TBAs) (79.1 %) and sepsis (70.1 %). Some of the priority target areas to improve the well-being of pregnant women as identified by the midwives, were increased awareness of pregnancy danger signs (97 %), destigmatising caesarean section (CS) (96 %), regulation of MH/TBAs (92 %), and increased accessibility of hospitals (84 %). Findings from the qualitative data also affirmed that regulating MH/TBAs, destigmatising CS and subsidising healthcare expenses were prerequisites to curbing maternal mortality. Inferential analysis revealed that determinants such as unsafe abortion (p < 0.001), ectopic pregnancy (p = 0.001), domestic violence (p = 0.023), malaria (p = 0.029), short interbirth interval (p = 0.03), and patients' negative perceptions of CS delivery (p = 0.036) were more commonly perceived to be associated with maternal mortality by younger midwives (age 17-34 years) compared with older midwives. The results indicate that resolving the maternal mortality crisis sustainably in Nigeria will require increased accessibility to basic health care and health promotion campaigns to counteract unhelpful sociocultural norms. Future interventions must be tailored to address both traditional and emerging causes of maternal mortality in southwestern Nigeria.

Aim: This study assessed the prevalence and management of LBP among health workers in a private teaching hospital in South West Nigeria. Background: Healthcare workers (HCWs) often experience low back pain (LBP) more than any other category of workers. While a lot has been documented about the prevalence of LBP among different categories of workers, little is known about how health workers manage LBP. Objectives: This study aimed to assess the prevalence and management of LBP among health workers in a private teaching hospital in South West Nigeria. Associations between variables: (a) sociodemographic variables (i.e., age, gender) and the prevalence of low back pain, and (b) interference with activities of daily living across different categories of health workers, were evaluated. Methods: A cross-sectional design was employed in this study. One hundred and eighty-nine HCWs were randomly selected from the wards and units of the hospital. The LBP questionnaire and the Nordic Musculoskeletal questionnaire were used for data collection. Data were analysed using descriptive (mean and percentages) and inferential (chi-square and ANOVA) statistics. Results: The prevalence of LBP among health workers was found to be 87.3%. Moreover, most of the health workers massage their back (78.3%), engage in exercise (72.0%), and use analgesics (69.3%) as a means of managing LBP. Furthermore, there was no significant relationship between gender (X² = 0.31, P>0.05), age (X² = 1.52, P>0.05), marital status (X² = 2.93, P>0.05) of HCWs and prevalence of LBP. However, a significant difference was reported in the mean interference of LBP with activities of daily living across the different categories of healthcare workers that participated in the study (F= (7,181) 3.58, P = 0.01). Conclusion: The prevalence of LBP is high among HCWs that participated in the study. Therefore, it is recommended that HCWs might use massage, engage in exercise, and take analgesics as a means to combat LBP.

The electronic health record is a growing concept that facilitates the use of standardized documentation, to improve the quality of care given to patients. This study assesses the perceptions and plausible barriers to the proper integration of the electronic health record among nurses in University College Hospital and Adeoyo Maternity Teaching Hospital, both located in Ibadan, Oyo State, in the Western part of Nigeria. The level of association between variables (age, level of academic qualification, and work experience) and nurses' perceptions of electronic health record was also tested. This was a descriptive cross-sectional study that used a simple random sampling technique to recruit 384 nurses, who completed a well-structured questionnaire. Approximately 57.0% of the respondents held poor perceptions of electronic health record integration. Barriers included poor electricity supply, lack of Internet connectivity, and infeasibility of electronic health record integration. An association between level of academic qualification, work experience, and participant perceptions about electronic health record integration was not found (P = .104; P = .027), whereas age was statistically significant (P = .014). Overall, participant perceptions about the integration of electronic health record were poor. Relevant stakeholders would find this result useful and may be required to pay more attention to electronic health records and put the necessary structures that would adequately address the barriers to the integration of electronic health records and train nurses to incorporate the same.

The study aim was to assess the perception of healthcare workers in primary healthcare centers toward the integration of EHRs into practice. A descriptive cross-sectional design was used. Out of 10 primary healthcare centers, 120 healthcare workers were selected by simple random sampling, whereas 109 questionnaires were fit for analysis. Data were collected using a questionnaire, and both descriptive and inferential statistics were used for data analyses. The findings revealed that the healthcare workers disagreed on EHR integration. They believed that user resistance, missing funds, and unavailability of knowledgeable support personnel are challenges that are hindering EHR integration. Also, limited training on how to use EHRs and lack of computer literacy were identified as challenges. Based on the literature and findings of this study, EHRs can improve the quality of the given patient care, reduce errors, increase productivity, and enable standardization of care. Therefore, education on EHR implementation and funding are needed to successfully integrate EHRs into primary healthcare centers in Nigeria.