Browsing by Author "Oloyede, Taofeek"
Now showing 1 - 2 of 2
Results Per Page
Sort Options
Item Development and validation of a questionnaire to assess the doctors and nurses knowledge of acute oxygen therapy(PLoS ONE, 2019-02-04) Desalu, Olufemi; Aladesanmi, Adeniyi; Ojuawo, Olutobi; Opeyemi, Christopher; Ibraheem, Rasheedah; Suleiman, Zakari; Oyedepo, Olanrewaju; Adesina, Kikelomo; Oloyede, Taofeek; Sanya, EmmanuelBackground: Prescription and administration of oxygen in emergencies by healthcare providers are reported to be inappropriate in most settings. There is a huge gap in the knowledge of health care providers on various aspects of oxygen therapy, and this may be a barrier to optimal oxygen administration. Hence, it is essential to ascertain providers’ knowledge of acute oxygen therapy so that appropriate educational interventions are instituted for better delivery. There is no available validated instrument to assess knowledge of acute oxygen therapy. The study aimed to develop, validate and evaluate the test-retest reliability of a questionnaire to determine the doctors and nurses understanding of acute oxygen therapy. Methods: This study involved the development of the questionnaire contents by a literature review, assessment of face validity (n = 5), content validity, using a panel of experts (n = 10), item analysis and test-retest reliability among a sample (n = 121) of doctors and nurses. Results: Face validity indicated that the questionnaire was quick to complete (10–15 min), most items were easy to follow and comprehensible. The global content validity index (S-CVI) was 0.85. The test-retest reliability statistics showed a kappa coefficient of 0.546–0.897 (all P<0.001) and percentage agreement of 80–98.3% indicating high temporal stability in the target population. In total, 90% of the items fulfilled the reliability acceptance criteria. Item discrimination analysis showed that most questions were at an acceptable level. The final questionnaire included 37 item questions and eight sections. Conclusion: The designed questionnaire is a reliable and valid tool for assessing knowledge of acute oxygen therapy among doctors and nurses.Item Smear Negative Pulmonary Tuberculosis Is a Distinct Clinical Entity, Not a “Misdiagnosis Waste Basket”(Clinical Medicine International Library, 2022) Fawibe, Ademola E; Desalu, Olufemi O; Agede, Olalekan A; Ojuawo, Olutobi B; Oloyede, Taofeek; Aladesanmi, Adeniyi OBackground: PTB can mimic many chronic lung diseases resulting in misdiagnosis with serious consequences. Objectives: To appraise all SN PTB patients who were referred to us from lower health facilities after unsuccessful treatment in order to confirm the appropriate diagnosis. Methods: A cross sectional study at the pulmonary section of our hospital. Results: The median age of our patients was 46 with interquartile range of 32 to 54 years. The commonest presenting symptom was difficulty in breathing which was present in almost 90% of them (30 out of 34), cough was present in 24 with sputum production in 22 while haemoptysis was reported in 3. All the 5 patients with malignancy reported chest pain. Sixty eight percent of the patients were referred from Peripheral TB DOT centers and sputum smear tests were done in 82% of them while radiologic tests were done in less than 50% of the patients. The final diagnoses include COPD, malignancy, sarcoidosis, interstitial lung diseases and fungal infection among others. Conclusion: Many lung diseases are misdiagnosed as SN PTB because of similarity in clinical presentation, overreliance on diagnostic test with low TB detection and non adherence to local guidelines. We advocate for WHO-recommended rapid molecular test for all our suspected TB cases and prompt referral of difficult to diagnose cases.