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BACKGROUND: In order to select nursing actions that will produce the desired results, a nursing diagnosis is crucial. Despite this, it can be challenging for nursing students to recognize and create precise nursing diagnostic labels that are particular to a patient's situation. The study's objectives are to identify the diagnostic labels, classes, and domains that are frequently formulated by nursing students. MATERIALS AND METHODS: A descriptive cross-sectional methodology and a self-developed questionnaire were utilized to gather information from 120 nursing students who were chosen using a simple random sampling technique. Descriptive and inferential (Chi-square) statistics were used to analyze the data. The 0.05 P- value was chosen. RESULTS: The respondent's average age is 23 ± 21.4 years. The majority of respondents (94.2%) concurred that greater exposure to clinical settings, case discussion methods (92.5%), as well as group case studies (90.8%) strategy, can all improve the creation of precise diagnostic labels. Additionally, the deficient fluid volume diagnostic label is the one that is most usually utilized (78.3%). Overall results show that the diagnostic labels that are used the most frequently are those for domains 4 (Activity/Rest) and 11 (Safety/Protection). There was no relationship (P = 0.061) between the commonly used diagnostic label and the chosen schools. CONCLUSION: The study offered empirical data on the most used diagnostic labels and domains. Therefore, it will be important that nursing students involve critical reasoning skills as well as familiarize themselves with other significant domains and classes that are useful in the patient's care.

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PURPOSE: The purpose of this study was to assess the challenges to sustainability of standardized nursing care plan in selected tertiary health institutions in Nigeria. METHODS: Using convergent mixed method design, the qualitative and quantitative data were collected from 427 nurses and nine stakeholders. This was done in one phase with the use of validated questionnaires and in-depth interview guide/key informant interview guide. Data were collected for 5 months and analyzed with SPSS version 25. Qualitative data were analyzed using themes. RESULTS: The explored significant challenges by stakeholders and nurses to sustainability of standardized nursing care plan (SNCP) in all the selected hospitals were inadequate knowledge of standardized nursing languages (SNLs), inadequate staffing, lack of motivation, lack of mandate to use SNLs by the educational system, lack of computers on the wards, weakness of previous training on SNL/SNCP, lack of interest, and high patient load. CONCLUSION: The study concludes that inadequate knowledge of SNLs and inadequate staff could contribute to non sustainability of SNCP. IMPLICATIONS FOR NURSING PRACTICE: Nurses should be continuously trained on standardized nursing languages. Staff motivation and increasing the number of staff on the wards would increase the interest of the nursing staff. This will in turn improve the quality of documentation and patient care.

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BACKGROUND: The rising burden of chronic diseases has attracted the attention of public health researchers and policymakers worldwide. OBJECTIVES: To assess the demographic, morbidity and outcome patterns of chronic illness among the older patients at Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria. DESIGN: Retrospective study. SETTING: Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria. PARTICIPANTS: Seven hundred and eighty-eight (788) adults (60 years and over) hospitalized between 2010 and 2014 in the hospital. INTERVENTIONS: None. RESULTS: The age of the selected study population ranged from 60 to 99 years with a mean of 76.08(±10.42). More than half (53.0%) were between 60-69 years, with a subsequent decline. Male patients accounted for 64.0%, but females were more frequent among patients 80 years and older. The most common health conditions were heart diseases (22.5%), neoplasm (13.2%), cerebrovascular accident (12.4%), and gastrointestinal diseases (14.5%). The records showed that 14.9% were referred to other institution for various reasons (including further management, lack of space, industrial action by workers, discharged against medical advice or dead). CONCLUSION: Heart diseases were the major chronic illnesses among the older adults followed by neoplasm conditions, while musculoskeletal conditions were the least. It also found that there was a poor outcome of conditions among older adults in this setting. Therefore, efforts should be made towards the prevention and reduction of chronic illnesses, as well as improving the outcome of care. FUNDING: Doctoral Fellowship from Consortium for Advanced Research Training in Africa.

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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.

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BACKGROUND: Public health research is shifting focus to the role of socioeconomic indicators in the promotion of health. As such an understanding of the roles that socio-economic factors play in improving health and health-seeking behaviour is important for public health policy. This is because the share of resources devoted to different policy options should depend on their relative effectiveness. OBJECTIVE: To measure the effect of socio-economic status (age, education, occupation, income, religion and family structure) of mothers on the management of febrile conditions in under-fives children. METHOD: Two hundred mothers who brought their febrile under-five children to a health facility were interviewed on the treatment they gave to their children before reporting at health facility. Data collected were entered and analyzed using the SPSS software. Binary logistic regression was adopted for the quantitative analysis of the effect of socio-economic variables on the mothers' actions prior to utilizing the health facility. RESULTS: Results showed that while mothers' age was negatively correlated (-0.13), occupation was positively correlated (0.17) with under-fives mothers' action. Education, religion, income and family structure were however insignificant at 5% level. CONCLUSION: This poses a lot of challenges to policy makers in the developing nations where women's education and earning capacity is low. There is therefore a need to increase the number of women benefiting from micro credit. This will ensure that more women are engaged in a form of occupation that is profitable and can sustain the economic and health needs of the family.

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OBJECTIVE: To assess the care given to febrile children under 5 years old at home prior to attending health facility. DESIGN: Cross sectional design. SETTING: Outpatient clinic of a government health facility. SUBJECTS: Two hundred mothers who brought their sick children to the outpatient department were interviewed. RESULTS: The ages of mothers ranged from 15 to 50 years (mean of 26.2 years). Most of them had formal education although below grade 12. Only 12.5% of them were full-time housewives. Others were engaged in self-employed occupations. Fifty-one percent of the children were females. Their ages ranged between 6 months and 5 years with a mean of 2.6 years. Over 60% of the children were suffering from symptoms of acute respiratory infections while 28% had symptoms of malaria. There was no significant difference between mothers' diagnosis and researchers' diagnosis (chi(2) = 0.199, P < 0.05). The duration of children's illnesses spanned from 1 to 60 days (mean of 4.8 days). Only one mother reported at the clinic within 24 h of the onset of the child's illness. Eighty-one percent had taken action before coming to clinic. They had used combinations of drugs namely antipyretics, antimalarials and antibiotics. The average amount spent on drugs was US$0.57. These drugs were purchased at local medicine stores. CONCLUSION: The findings indicate home use of drugs that were not prescribed by health professionals. There is therefore a strong need to give appropriate education and counselling to mothers/care givers and medicine vendors on early detection and proper home management of febrile illnesses.

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