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Dominant Worldviews, Institutional, and Contextual Factors Affecting Cancer Care

Evidence From an Institutional Ethnonursing Study in Nigeria

Bibliographic Data

ID19462875
AuthorsChinomso Ugochukwu Nwozichi (0000-0002-7638-3496, corresponding author), Mary Dioise Ramos (0000-0002-9371-2925, Kennesaw State University), Ayodeji Olubunmi Ogunmuyiwa (0000-0001-5982-3288, Babcock University), Marvellous Boma Gigi (Babcock University)
Year2024
Volume35
Issue3
Pages216-225
Publication date2024-05-01
Open AccessYes
TypeARTICLE
VenueJournal of Transcultural Nursing (JOURNAL)
Journal identifiersISSN: 1043-6596 • E-ISSN: 1552-7832
PublisherSAGE Publications (PUBLISHER • US)
DOI10.1177/10436596241230998
PMID38351591
OpenAlexW4391817600
LanguageEN
References cited29

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

Cancer · Family medicine · Health care · Management · Participant observation · Political science · Qualitative research · Sociology · Staffing · Workload · Advances in Oncology and Radiotherapy · Cancer survivorship and care · Global Cancer Incidence and Screening · Medicine · Nursing · Psychology

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