Aims: Diabetes leg ulcer is the ulceration of the leg associated with diabetes and in most cases result into amputation. Studies showed inadequate knowledge of the disease and this is why most of the patients only seek healthcare services after the Leg ulcer is already infected and seems not to be healing. Consequently, this study aims is to examine the effect of nurse-led education on knowledge of leg ulcer prevention. Materials and methods: A pre and post-test quasi experimental design was conducted with a multi-stage sampling technique to select forty participants through a convenient sampling method, and then allocated them into two groups by simple randomization (n=30 control, and n=30 experimental group). A modified structured questionnaire from preventive aspects of leg care practices used in America Diabetes Association and the National Diabetes Education were used to measure the knowledge level. Participants in experimental group were educated based on European Wound Management Association educational package. Data collected were analysed using frequency, mean, standard deviation, and independent paired t-test at 0.05 significant levels. Results: Result showed pre-intervention knowledge mean score of 5.2±2.3 and 5.1±2.0 with mean different of 0.1, while the Post-intervention knowledge means score of 12.5±3.2 and 5.4±2.6 with mean different of 7.1, in experimental and control respectively. Significant different was observed between the control and experimental group, after the intervention (t=11.82, ˂ 0.001). Conclusions: The nurses must provide a continuous and focused training program on leg ulcer for the diabetes patients to improve their knowledge on prevention of the diseases.

Background: Diabetes-related cataract extraction is a minor surgery required to regain full vision. One of the recognized factors that can delay or prevent full-vision recovery is poor management, and most of this management is being carried out by patients themselves. Objective: This study aimed to assess the knowledge of diabetes patients on self-management after cataract extraction in two tertiary hospitals in Osun State. Methods: A cross-sectional descriptive design was conducted among 97 diabetes patients who underwent cataract extraction and were attending clinics and follow-up visits in Osun State. A self-structured questionnaire was used for data collection. Results: Moderate knowledge was found among the participants on an appropriate diet (56.7%), prevention of injury risk (57.5%), prevention of infection risk (50.9%), and low knowledge on the technique of administration of eye drop (60.8%) after cataract extraction, whereas 74.7% of the total respondents were knowledgeable on the indication for follow-up visit after cataract extraction, these results were found to be below the expected knowledge level. Conclusion: An intensive and comprehensive educational initiative by nurses should be tailored to meet the specific needs of diabetes patients with cataract surgery. Nurses also need to implement the use of checklist which will enhance learning and improve patient understanding of self-management after cataract extraction.

Aseptic Technique (AT) plays a key role in the management of surgical cases within the hospital including the operating rooms. Surgical Nurse uses AT to alleviate the suffering of patients by protecting them during invasive clinical procedure thereby providing optimal care resulting in positive outcome. Therefore, the goal of this study was to train surgical nurses on knowledge and practice of aseptic technique in two teaching hospitals in Lagos State, Nigeria. A two group pre -test and post-test quasi experimental design was utilized and a sample size of 129 was used by simple random technique. A self- structured questionnaire was used for data collection, which was pilot tested and both were analysed through Cronbach Alpha and result yielded four research questions and six hypotheses were formulated. Data were analysed using SPSS version 22. Questionnaire was analysed using descriptive statistics of percentages, means and standard deviation while inferential statistics of t-test and Analysis of Variance(ANOVA) were used to test the hypotheses. Findings revealed that majority 28 (42.5%) and 17 (38.4%) of the participants were between the ages of 30 to 39 years in experimental and control group. The gender showed majority to be female 54 (74%) and 33 (82.5%) in both groups while most participants had degree in Nursing (53.4%) and (50%) in both groups. Their years of service showed that (34.2%) and (45.0%) have worked between 11 and 15 years, more than half were on grade level 7 and10. The pre-intervention mean scores of knowledge level was 27.009 (54.02%) and 26.511 (53.02%) in both groups, this revealed that the level of knowledge among them was below average. The pre-intervention mean scores level of practice in both groups was 7.432 (53.09%) and 7.507 (53.62%), this signified that the practice level of both group was below average. The post-intervention mean scores of the knowledge level in both groups was 43.807 (87.61%) and 26.461 (52.92%). The difference observed in the mean score of both groups was as a result of the training that only experimental group was exposed to, therefore , there was a significant improvement. The post-intervention mean scores of the practice level of both groups was 13.009 (92.92%) and 7.616 (54.4%). The difference observed in the mean score of both groups was as a result of the training of the experimental group therefore, there was a significant improvement. In conclusion, the influence of nurse-led intervention had a significant outcome on the training of knowledge and practice of aseptic technique that the experimental group was exposed to. It is therefore recommended that nurse clinicians be exposed to periodic training and re-training to facilitate good outcome of all invasive clinical procedures thereby reducing sepsis.

Aims: Diabetes is a chronic non-communicable disease with many irreversible complications that can be prevented by strict adherence to self-care practice. This study aims to investigate the factors influencing adherence to self-care practices among diabetes patients Study Design: This study adopted a descriptive research design carried out among diabetes patients attending outpatient endocrinology clinic of Obafemi Awolowo University Teaching Hospital, Ile-Ife, Osun State between July and September 2021. Methodology: Sample size was calculated using Cochran formula and total number of sample used were two hundred and eight (208) diabetes patients. Samples were selected using convenient sampling technique. A self-developed structured Questionnaire on knowledge of diabetes and factors influencing adherence to diabetes self-care practices with reliability index of 0.858 and 0.863 respectively. Two (2) adapted questionnaire; Diabetes self-care practices by Schmitt et al (2013) and Level of adherence to self-care practices scale by Morisky et al. (1986) with reliability index of 0.731 and 0.851 respectively were also used for data collection. Data collected were analyzed using descriptive statistics of frequency, percentage, mean and standard deviation while inferential statistics of Pearson product moment correlation and regression were used to test stated hypotheses at 0.05 level of significance. Results: The result from the study revealed good knowledge of diabetes mellitus and diabetes self-care practices among the respondents. The results also revealed high level of adherence to diabetes medication, diet, physical activity, blood glucose testing, follow-up and foot care. Factors influencing the level of adherence with diabetes self-care practices include cost of treatment, longer year of being diagnosed, good relationship between healthcare team, level of education, good family and social support. There is also a significant relationship between knowledge of diabetes mellitus and adherence with physical activity (r = 0.210; P = 0.02) and blood glucose testing (r = 0.203; P = 0.003). However, there is no significant relationship between knowledge of self-care practices and adherence to self-care practices; socio-demographic characteristics of age (r = -0.040; P = 0.568), education (r = 0.112; P = 0.107) and adherence to self-care practices. Conclusion: The study concluded that there was high level of knowledge about diabetes and diabetes self-care practices as well as adherence to diabetes self-care practices, therefore, health care providers should continue to monitor self-care practices among diabetes patients to achieve positive health outcome and reduce morbidity and mortality associated with diabetes mellitus.

Burnout is considered to be the challenges that have made the life of workers unbearable especially with respect to healthcare professionals. Therefore, this research is aimed at examining factors influencing burnout among nurses working in Obafemi Awolowo University Teaching Hospitals complex, Osun State, Nigeria. The research adopted a quantitative descriptive survey research design. The sample size of 280 was determined by Taro’s formular. A self-structured questionnaire was validated and was used to collect data. Data collected were analyzed using descriptive and inferential statistics at 0.05 level of significance. The result shows that most of the respondents (84.4%) were affected by the burnout because majority of them agreed that the burnout can occur as a result of increased work load with a mean score of 4.80. Majority also claimed that poor remuneration could contribute to burnout since they are likely to have little or nothing to show for their consistent exhaustion, these respondents have a mean value of 4.30. Overall, the mean score of burnout of the respondents was 4.44. This implies that most of the respondents were moderately affected by the burnout among nurses. Further results on the hypotheses shows that there was a positive and low correlation between work-related factors and environmental factors influencing burn out among nurses (r=.377, p<0.0.01). Also, there was a positive and low correlation between work related factors and personal factors influencing burn out among nurses (r=.329, p<0.0.01). The research concluded work-related, personal and environmental factors were established as strong factors contributing to the effect of burnout among nurses. It is recommended that government agencies and medical practitioners should device ways by which burnout can be prevented among employees.