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The Role of Clinical Nursing in the Management of Chronic Illnesses in Federal Medical Centers in Plateau State

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  • NGN 5000

Background of the Study

Chronic illnesses, defined as long-lasting conditions requiring ongoing medical attention, have become a significant health concern globally, particularly in developing nations. The World Health Organization (WHO) emphasizes that chronic diseases such as diabetes, hypertension, and asthma are responsible for a substantial proportion of mortality and morbidity worldwide. In Nigeria, chronic illnesses represent a growing burden on healthcare systems, with Federal Medical Centers playing a pivotal role in their management. These centers are critical in delivering specialized care, particularly for underserved populations in regions like Plateau State.

Clinical nursing encompasses a broad spectrum of activities, including assessment, diagnosis, care planning, and evaluation, all tailored to meet the needs of chronically ill patients. Nurses are integral in ensuring adherence to treatment regimens, monitoring disease progression, and providing patient education to enhance self-management. In Plateau State, the role of clinical nursing is increasingly recognized as crucial for bridging gaps in healthcare delivery, particularly in settings where resources and medical personnel are limited.

However, despite the acknowledged importance of clinical nursing, challenges persist. These include inadequate staffing, limited training opportunities, and insufficient access to advanced medical equipment. The prevalence of chronic illnesses, compounded by lifestyle changes and urbanization, places additional strain on the existing healthcare infrastructure. Consequently, there is a need for empirical studies to explore and highlight the contributions of clinical nursing in chronic disease management within this context.

Statement of the Problem

Chronic illnesses impose significant physical, emotional, and economic burdens on individuals, families, and society at large. While the importance of clinical nursing in managing these conditions is well-established globally, the extent of its impact within the Federal Medical Centers in Plateau State remains underexplored. These facilities, which cater to a diverse and often underserved population, face challenges in adequately addressing the rising prevalence of chronic diseases.

There is limited empirical evidence on how clinical nurses in Plateau State contribute to improving patient outcomes in chronic illness management. Additionally, factors such as insufficient training, inadequate nurse-to-patient ratios, and resource constraints hinder optimal care delivery. Understanding the specific roles, challenges, and outcomes associated with clinical nursing practices in this context is essential for designing interventions that enhance the effectiveness of chronic illness management.

Objectives of the Study

  1. To examine the specific roles of clinical nurses in managing chronic illnesses in Federal Medical Centers in Plateau State.
  2. To evaluate the challenges faced by clinical nurses in delivering effective care for chronically ill patients.
  3. To assess the impact of clinical nursing interventions on patient outcomes in chronic illness management.

Research Questions

  1. What roles do clinical nurses play in managing chronic illnesses in Federal Medical Centers in Plateau State?
  2. What challenges do clinical nurses encounter in providing care for chronically ill patients?
  3. How do clinical nursing interventions influence patient outcomes in the management of chronic illnesses?

Research Hypotheses

  1. Clinical nurses play a significant role in improving patient outcomes in chronic illness management.
  2. Challenges faced by clinical nurses negatively impact the quality of care provided to chronically ill patients.
  3. Effective clinical nursing interventions lead to better patient outcomes in chronic illness management.

Scope and Limitations of the Study

The study focuses on the role of clinical nursing in managing chronic illnesses within Federal Medical Centers in Plateau State. It covers the responsibilities, challenges, and outcomes associated with clinical nursing practices. Limitations include potential challenges in obtaining accurate data due to variations in record-keeping practices and the possibility of response bias from participants.

Definitions of Terms

  • Clinical Nursing: A specialized field of nursing focused on providing direct patient care through assessment, diagnosis, planning, and evaluation.
  • Chronic Illnesses: Long-term medical conditions requiring continuous medical care and lifestyle management.
  • Federal Medical Centers: Government-funded tertiary healthcare facilities providing specialized medical services.




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