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Dominant Worldviews, Institutional, and Contextual Factors Affecting Cancer Care: Evidence From an Institutional Ethnonursing Study in Nigeria.
Nwozichi, Chinomso Ugochukwu; Ramos, Mary Dioise; Ogunmuyiwa, Ayodeji Olubunmi; Gigi, Marvellous Boma.
Afiliación
  • Ramos MD; Wellstar School of Nursing, Kennesaw State University, GA, USA.
  • Ogunmuyiwa AO; School of Nursing, Babcock University, Ilishan-Remo, Nigeria.
  • Gigi MB; School of Nursing, Babcock University, Ilishan-Remo, Nigeria.
J Transcult Nurs ; 35(3): 216-225, 2024 05.
Article en En | MEDLINE | ID: mdl-38351591
ABSTRACT

INTRODUCTION:

Cancer remains a significant health burden in Nigeria and requires the efforts of all stakeholders to address it. Little is known about how the worldviews of Nigerian patients with cancer and other institutional factors affect cancer management in Nigeria. This paper draws evidence from an ethnonursing study conducted in a Nigerian cancer care setting.

METHOD:

This study adopted a qualitative design using an ethnonursing approach. The study was conducted in one of the primary cancer treatment centers owned by the federal government of Nigeria. Data collection was conducted using participant observation, interviews, and field notes. Data collected were analyzed using NVivo 12 and presented as categories and sub-categories.

RESULTS:

Analysis yielded two themes and seven sub-themes. The major themes included (1) dominant worldview and (2) institutional/contextual factors. Participants attributed life, living, and death as being controlled by a supreme being. Cancer care was constrained by unfavorable institutional factors such as lack of equipment, staffing, and intensified workload.

DISCUSSION:

Cancer institutions should provide more cancer care infrastructure that will facilitate the work of nurses and other health care workers. There should be an enabling environment that would attract and retain nurses in the cancer wards. The hospital environment should be made conducive for the cancer care providers, patients with cancer, and their relatives.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Investigación Cualitativa / Neoplasias Tipo de estudio: Qualitative_research Límite: Adult / Aged / Female / Humans / Male / Middle aged País/Región como asunto: Africa Idioma: En Revista: J Transcult Nurs Asunto de la revista: CIENCIAS SOCIAIS / ENFERMAGEM Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Investigación Cualitativa / Neoplasias Tipo de estudio: Qualitative_research Límite: Adult / Aged / Female / Humans / Male / Middle aged País/Región como asunto: Africa Idioma: En Revista: J Transcult Nurs Asunto de la revista: CIENCIAS SOCIAIS / ENFERMAGEM Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos