Cognitive-behavioural reflective training for improving critical thinking disposition of nursing students.

BACKGROUND/OBJECTIVE: The importance of critical thinking in improving treatment practices in, for instance, the nursing profession, cannot be overemphasized. Despite this importance, empirical studies have shown that helping strategies to train learners on critical thinking disposition are needed. Given this knowledge gap, this study investigated the impacts of cognitive-behavioral reflective training for improving the critical thinking disposition of nursing students. METHOD: Of all the students screened, a total of 167 participants were assigned to the treatment group and waitlisted control group. A researchers-developed training program aimed at improving critical thinking disposition was delivered in English language by therapists. RESULTS: Repeated-measures ANOVA showed that there was no significant difference between the critical thinking disposition of nursing students in the treatment and control groups as measured by CTDI-M at the posttest. At the posttreatment and follow-up measures, there were consistently improved impacts of CBRT on the critical thinking disposition of nursing students in Nigeria as measured by CTDI-M. CONCLUSION: Following the results, we concluded that cognitive-behavioral reflective training was beneficial and had sustained improvement in enhancing the critical thinking disposition of nursing students.

The Aspergillus nidulans IQGAP orthologue SepG is required for constriction of the contractile actomyosin ring.

In this research we report that the sepG1 mutation in Aspergillus nidulans resides in gene AN9463, which is predicted to encode an IQGAP orthologue. The genetic lesion is predicted to result in a G-to-R substitution at residue 1637 of the 1737-residue protein in a highly conserved region of the RasGAP-C-terminal (RGCT) domain. When grown at restrictive temperature, strains expressing the sepGG1637R (sepG1) allele are aseptate, with reduced colony growth and aberrantly formed conidiophores. The aseptate condition can be replicated by deletion of AN9463 or by downregulating its expression via introduced promoters. The mutation does not prevent assembly of a cortical contractile actomyosin ring (CAR) at putative septation sites, but tight compaction of the rings is impaired and the rings fail to constrict. Both GFP::SepG wild type and the GFP-tagged product of the sepG1 allele localize to the CAR at both permissive and restrictive temperatures. Downregulation of myoB (encoding the A. nidulans type-II myosin heavy chain) does not prevent formation of SepG rings at septation sites, but filamentous actin is required for CAR localization of SepG and MyoB. We identify fourteen probable IQ-motifs (EF-hand protein binding sites) in the predicted SepG sequence. Two of the A. nidulans EF-hand proteins, myosin essential light chain (AnCdc4) and myosin regulatory light chain (MrlC), colocalize with SepG and MyoB at all stages of CAR formation and constriction. However, calmodulin (CamA) appears at septation sites only after the CAR has become fully compacted. When expression of sepG is downregulated, leaving MyoB as the sole IQ-motif protein in the pre-compaction CAR, both MrlC and AnCdc4 continue to associate with the forming CAR. When myoB expression is downregulated, leaving SepG as the sole IQ-motif protein in the CAR, AnCdc4 association with the forming CAR continues but MrlC fails to associate. This supports a model in which the IQ motifs of MyoB bind both MrlC and AnCdc4, while the IQ motifs of SepG bind only AnCdc4. Downregulation of either mrlC or Ancdc4 results in an aseptate phenotype, but has no effect on association of either SepG or MyoB with the CAR.

Healthcare professionals awareness of the consequences of medical error on patients.

OBJECTIVE: To ascertain the awareness level and demographic differences of the consequences of medical errors on patients' health, safety, resources and survival by healthcare professionals. METHODS: The descriptive study was conducted at five different public hospitals in Nigeria from August to October 2017, and comprised healthcare professionals who were permanent staff members. Awareness of medical errors questionnaire was used for data collection. Dimensions assessed were safety, health, resources and survival. A mean score of >2.50 was taken as a cut-off value for acceptable level of awareness. SPSS 20 was used for data analysis.. RESULTS: Of the 200 participants initially enrolled, 186(93%) completed the questionnaire completely. Of them, 98(53%) were females, 92(49%) were aged 30 49 years, 98(53%) were staff nurses, 24(13%) were doctors and 64(34%) were healthcare assistants. Overall mean questionnaire score was 2.60±0.05, indicating that the participants were aware of the consequences of medical error on patients. In terms of individual dimensions, the scores were acceptable for safety, health and resources (>2.50) but the mean score on patients' survival was 2.34±0.08. CONCLUSIONS: There appeared to be a need for the government to raise the awareness level for healthcare professionals regarding consequences of medical errors on patients in public hospitals.

The need for school administrative policies to manage meningitis amongst students in Nigeria: a viewpoint.

Students are at greater risk of meningitis than non-students of similar age. However, a lack of specific school administrative policies for the management of meningitis may contribute to the increasing incidence of meningitis in the student population. The study aims were to promote the need for a policy framework in school settings to manage meningitis, and to encourage research to assess the readiness of school administrators to adopt such a policy in Nigeria. The material reviewed here derives from expert opinion, gray literature, national data sources, websites, and peer-reviewed journals. It is important to offer comprehensible, reliable, and accurate information about meningitis to students and staff of every school in Nigeria, as one of the best ways of achieving the goal of preventing meningitis in students may be through the adoption and implementation of meningitis policy frameworks by school administrators. Furthermore, studies are required to examine the readiness of school administrators to adopt a meningitis policy framework.

Effect of music therapy combined with cognitive restructuring therapy on emotional distress in a sample of Nigerian married couples.

BACKGROUND: Music therapy combined with cognitive restructuring could provide a mechanism to improve patients' sense of control over emotional distress. This study evaluates the effect of music therapy combined with cognitive restructuring therapy on emotional distress in a sample of Nigerian couples. METHODS: The participants for the study were 280 couples in south-east Nigeria. Perceived emotional distress inventory (PEDI) was used to assess emotional symptoms. Repeated measures with analysis of variance were used to examine the effects of the intervention. Mean rank was also used to document the level of changes in emotional distress across groups. Effect sizes were also reported with partial η. RESULTS: There were no significant baseline differences in emotional distress level between participants in the music therapy with cognitive restructuring group and waitlisted group. Significant decreases in the level of emotional distress were observed in the music therapy with cognitive restructuring group, but the waitlisted group demonstrated no significant change in their score both at posttreatment and 3 follow-up assessments. CONCLUSION: Our findings suggest music therapy with cognitive restructuring therapy is effective for reducing emotional distress of couples. In addition, the positive effect of the music therapy with cognitive restructuring therapy program can persist at follow-up. Therefore, therapists have to continue to examine the beneficial effects of music therapy with cognitive restructuring therapy on emotional distress level of couples both in Nigeria and in other countries.

Alcohol consumption and awareness of its effects on health among secondary school students in Nigeria.

Alcohol consumption among secondary school students is a major public health issue worldwide; however, the extent of consumption among secondary school students and their understanding of its effects on human health remain relatively unknown in many Nigerian States. This study aimed to determine the extent of alcohol consumption and of the awareness of its negative effects on human health among secondary school students.The study used a cross-sectional survey design. Self-report questionnaire developed by the researchers was administered to representative sample (N = 1302) of secondary school students in the study area. The data collected from the respondents were analyzed using means and t test.The results showed that male secondary school students moderately consumed beer (55.2%) and local cocktails (51.5%), whereas their female counterparts reported rare consumption of these 2 alcoholic drinks (44.8%; 48.5% respectively). The findings also indicated rare consumption of distilled spirits among both male and female students in the investigated area, whereas wine, liquor, local spirits, and palm wine were consumed moderately, regardless of gender. Finally, male and female secondary school students differed significantly in their awareness of the negative effects of alcohol consumption on health.There is a need to intensify efforts to further curtail the extent of alcohol consumption and increase awareness of the negative effects of alcohol use on human health among secondary school students.