Tonia Onyeka - Academia.edu (original) (raw)

Papers by Tonia Onyeka

medRxiv (Cold Spring Harbor Laboratory), Jun 1, 2024

doi: medRxiv preprint NOTE: This preprint reports new research that has not been certified by pee... more doi: medRxiv preprint NOTE: This preprint reports new research that has not been certified by peer review and should not be used to guide clinical practice.

South African journal of psychiatry, Mar 21, 2024

Palliative & supportive care, Mar 14, 2024

Objectives. High levels of caregiver burden (CB) are experienced by informal caregivers of pediat... more Objectives. High levels of caregiver burden (CB) are experienced by informal caregivers of pediatric patients with cancer. There is increasing evidence highlighting the extent of CB across sub-Saharan African countries, although there remains lack of interventions that target

Biomedical Journal of Scientific & Technical Research, 2019

Background: The childhood age group is a special population that needs critical and special care.... more Background: The childhood age group is a special population that needs critical and special care. The increase in death tolls in children globally, owing majorly to preventable and treatable causes and diseases are a burden and require urgent and immediate attention and action to ensure sustainable progress towards achieving child survival goals. This study assessed mortality pattern of under-12 and discussed the associated factors. Methods: A cross-sectional retrospective descriptive study of 4 years which spanned from January 2014 to December 2017 was carried out on the records of dead children who were 12 years and below using the death register at the health care facility. The data were summarized with descriptive and inferential statistics.

Nigerian medical journal : journal of the Nigeria Medical Association, 2008

Submental endotracheal intubation was carried out in five patients over a two-year period. Each p... more Submental endotracheal intubation was carried out in five patients over a two-year period. Each patient required maxillomandibular fixation following trauma.Acommon feature in these patients was depressed fracture of the frontonasal bone which could not permit nasal intubation. These patients were reluctant to have tracheostomy if there was an alternative option of securing their airway. Following a normal orotracheal intubation, a submand incision was made and the proximal endotracheal tube (ETT) exteriorized through it. At the end of anaesthesia and surgery, the tube was left insitu for six to forty-eight hours before extubation. The incision was closed following local anaesthetic (LA) infiltration and no airway compromisewas noted. Submental intubation is a simple and useful technique with low morbidity in cases of craniomaxillofacial trauma and the authors’ clinical experience with this technique is described. Niger Med J. Vol. 49, No. 4, Oct – Dec, 2008: 101– 103. Keywords: SubmentalEndotracheal, Intubation,Maxillofacial.

BMC Palliative Care, Nov 21, 2022

The Pan African medical journal, 2022

Frontiers in pain research, Mar 17, 2023

Nursing Open

AimThe objective of this study was to validate the Iranian translation and cross‐cultural adaptat... more AimThe objective of this study was to validate the Iranian translation and cross‐cultural adaptation of the Student Survey on Writing Nursing Care Plan (SSW‐NCP).BackgroundTo provide supporting evidence about the nursing students' skill in planning and documenting nursing care plans based on nursing process, Salvador et al. developed the SSW‐NCP to measure the extent to which nursing students are qualified in writing nursing care plans. However, an Iranian version of the SSW‐NCP is presently not available.MethodThe cross‐cultural adaptation and linguistic translation of the SSW‐NCP adhered to World Health Organization (WHO) guidelines. The reliability and validity process followed the COSMIN checklist.ResultsThe survey was well translated to Persian language and culturally adapted through confirming the relevancy, appropriateness and logical representation of all aspects on nursing process by bilingual experts and pre‐tested on Persian‐speaking nursing students. The Cronbach&#39...

Psycho-Oncology

ObjectivePsychosocial aspects of adult cancer patients in sub‐Saharan Africa (SSA) have been desc... more ObjectivePsychosocial aspects of adult cancer patients in sub‐Saharan Africa (SSA) have been described in silos of research articles. Integrative analysis of regional evidence is lacking. This review aimed to describe the scope of existing research on mental health problems, identify research gaps and make informed research, policy and practice recommendations.MethodsSearch was conducted for original peer‐reviewed research articles, irrespective of their quality, on psychosocial aspects of cancer in all SSA countries using PubMed, Google Scholar, Google search, African Index Medicus and direct searches of reference list of pertinent journal articles. Publications in English or translated to English were included. Case reports, dissertations, abstracts, publications without primary focus on psychosocial issues, psychosocial issues in children and studies conducted with SSA populations living outside the sub‐region were excluded. The methodological framework described by Arksey and O’...

Journal of Nursing Research

Background Environmental design in palliative and end-of-life care is known to improve care outco... more Background Environmental design in palliative and end-of-life care is known to improve care outcomes, service-user satisfaction, and the continuation of service uptake. No study in the literature has investigated the influence of the environment on palliative and end-of-life care in Nigeria or other African contexts. Purpose This study was designed to explore the impact of the physical environment (i.e., place and people) on staff and service users and how these influence the experiences of providing and using palliative and end-of-life care in a Nigerian hospital context. Methods Ethnographic methodology was employed because this approach facilitates understanding of environmental realities. This study is part of a larger ethnographic research project developed to uncover aspects of organizational complexities related to the provision and use of palliative and end-of-life care in the Nigerian context. Three hundred fifty hours of participant observation was achieved, and semistruct...

International Journal of Medicine and Health Development

European Journal of Cancer Care, 2020

Functional status (FS) is a concept that is important in caring for cancer patients and is used t... more Functional status (FS) is a concept that is important in caring for cancer patients and is used to assess the effect of cancer on self-care and daily activities. Considered a component of global health-related quality of life (HRQOL) (Petrick et al., 2014), poor FS scores may lead to loss of autonomy and impairment in the quality of life of cancer patients (Ghanbari et al., 2011). The concept of functional status can be defined as the level of activities performed by an individual to realise needs of daily living in many aspects of life including physical, psychological, social, spiritual and intellectual roles. Level of performance is expected to correspond to normal expectation in the individual's nature, structure and conditions, all of which are affected by the patient's perceptions of the effect of the disease and its related treatments on her/his daily functioning (Wang, 2004). Because understanding functional status is key for delivering patient-centred care and helping patients and their families determine the need for long-term services and supports (Spar et al., 2017), it should be taken into consideration during treatment period (Ozkan & Ogce, 2008). In addition, the functional status is affected by biological condition such as age and gender, acute and chronic nature of the disease and its symptoms, disability and the use of drugs for treatment of diseases. (Ogce & Ozkan, 2008). Functional status includes doing daily activities, meeting basic needs, playing roles and maintaining health and well-being, along with the medical, emotional and cognitive health of the individual. Thus when disease prevents a person

BMC Medical Education, 2022

Background Innovative and student-centered teaching methods are required to improve critical thin... more Background Innovative and student-centered teaching methods are required to improve critical thinking and clinical reasoning skills. The objective of this study was to determine the impact of an oncology internship training on learning outcomes of nursing students using an integrated teaching-learning method. Methods A pre- and post-test quasi-experimental study was conducted among 107 undergraduate nursing students in fourth year who were allocated to two groups (intervention group = 51 and control group = 55) to receive an integrated teaching-learning method and routine method respectively. Data was collected using the Clinical Decision Making in Nursing Scale (CDMNS) and the students’ cognitive learning test. Results Difference in mean scores of cognitive learning test post-intervention was significant between the two groups (p < 0.001). Total CDMNS scores and its dimensions increased significantly for the intervention group post-intervention (p < 0.001). Analysis of covari...

Journal of Health Care for the Poor and Underserved, 2021

With the escalation of the novel coronavirus disease (COVID-19) across the globe, shortages in th... more With the escalation of the novel coronavirus disease (COVID-19) across the globe, shortages in the already scarce medical workforce are imminent. Historically, more developed economies have looked abroad to augment their health systems. This paper aims to offer plausible solutions on how to avert future medical brain drain from sub-Saharan Africa (SSA) in the aftermath of COVID-19. We opine that emigration of medical workers from low-resource settings to more industrialized regions should be viewed by the destination countries as both a moral and an ethical issue. Countries in SSA must generally provide good leadership, diversify their economies, and ensure adequate security. Specifically, there are needs to improve health care workers' remuneration, provide more opportunities for specialization, and reduce waiting time for employment. It is our opinion that such multisectoral and multi-modal approaches will effectively halt and even reverse the on-going brain drain in the region, converting it to brain gain.

Nigerian Journal of Medicine, 2019

Background: Diabetes mellitus has serious consequences for patients and the presence of complicat... more Background: Diabetes mellitus has serious consequences for patients and the presence of complications increases its morbidity and mortality including reduced quality of life. The health-related quality of life of adults with complicated diabetes in South-East Nigeria is largely unknown.Aim: This study determined the health-related quality of life among adults with complicated diabetes mellitus seen at the foremost public tertiary hospital in South East Nigeria.Methods: Consecutive subjects with complicated diabetes, attending the dedicated out-patient clinic of the University of Nigeria Teaching Hospital were recruited over twelve weeks. Informed consent, socio-demographic and clinical data were obtained. Quality of life was determined for each patient using the validated WHOQoL-BREF instrument. Data was analyzed using the Statistical Package for Social Sciences (version 23).Results: One hundred and twenty patients (54.2% females) with 42.5% aged 18-45 years were recruited. The overall mean quality of life score was reduced for all patients and especially for the very young (aged 26-35 years).The lowest quality oflife score was seen in Domain 1 (physical health). Females had significantly better quality of life scores than males in social relationships domain. Presence of co morbidities had the worst impact on quality of life across all domains.Conclusion: Patients with complicated diabetes mellitus in Enugu, South East Nigeria demonstrated a reduced quality of life across all domains. This was most prevalent in the very young patients. There is a need for optimal management of the condition in Nigeria.Keywords: Diabetes mellitus, complicated, quality of life, Nigeria

Nursing Open, 2020

AimThis study sought to investigate the beliefs, fear and awareness about breast cancer and mammo... more AimThis study sought to investigate the beliefs, fear and awareness about breast cancer and mammography screening practices of women in Iran.MethodsThis descriptive‐correlational study was conducted at Tabriz, East Azerbaijan Province, northwest of Iran from February–July 2017. One hundred and fifty‐two women aged 40 years and older, who were referred to 12 health centres for health services were selected via clustering sampling. Associations between variables and mammography screening practices were examined using bivariate and multivariate logistic regression analyses. Participants who had a mammogram within the last 24 months were compared with those who had none. Sociodemographic questionnaire, Champion's Breast Cancer Fear Scale, Champion's Health Belief Model Scale for Mammography Screening, Breast Cancer Awareness Scale and Powe Fatalism Inventory were the tools used for data gathering.ResultsJust 38.2% of women reported having a mammogram within the last 24 months. S...

Journal of Clinical Nursing, 2020

Aims and objectivesThis study aimed to determine the predictive values of patient‐centred communi... more Aims and objectivesThis study aimed to determine the predictive values of patient‐centred communication (PCC) and patient's characteristics on the body image (BI) perception in postmastectomy patients.BackgroundPatient‐centred communication has been touted as a means of addressing BI issues, especially for postmastectomy patients.Design and MethodsThis predictive correlational study was conducted on 275 surgically treated breast cancer patients admitted to the Oncology Departments of two hospitals in Tabriz, Iran. These patients were selected using a convenience sampling method. The Body Image after Breast Cancer Questionnaire (BIBCQ) and patient‐centred communication questionnaire (PCCQ) were used for collecting the data. Descriptive and inferential statistics were applied to the data. Reporting was in accordance with the STROBE guideline.ResultsA multivariable model significantly predicted BI perception in participants using surgery type and time elapsed following surgery. Par...

SAGE Open, 2020

Most clinicians receive little or no palliative care (PC) education. Similarly, patients and thei... more Most clinicians receive little or no palliative care (PC) education. Similarly, patients and their families receive little or no information on PC. Our study explored education in PC, while examining for its impacts on service delivery and utilization from the perspective of health care professionals (HCPs), patients, and their families. An ethnographic approach was utilized to gather data from 41 participants. Spradley’s ethnographic analytical framework guided data analysis. Two themes identified were inadequate HCPs’ knowledge base and impact of service-users’ inadequate health education. The findings show that most HCPs had no formal education in PC, attributed to the lack of PC residency programs and the absence of educational institutions that provide such education. Patients and families also conveyed poor understandings of their illness and palliation, rooted in the HCP culture of partial disclosure of information about their diagnosis, care, and prognosis. Findings suggest ...