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Compliance with the patients’ rights charter in private dental clinics in Rasht, Iran: a cross-sectional study 遵守病人的权利宪章在拉什特,伊朗私人牙科诊所:一项横断面研究
Q2 Nursing Pub Date : 2026-01-01 DOI: 10.1016/j.ijans.2025.100957
Mehrazin Rezaeifar , Saeed Biroudian , Amirhossein Taheri , Saman Eskandari , Kourosh Delpasand

Background

People’s health directly affects their abilities and progress in society. Oral and dental diseases have a profound impact on people’s health and, consequently, society’s health. Raising people’s awareness and increasing the costs of health services have led to patients paying more attention to their rights.

Methods

We examined 218 clients of private dental offices in Rasht city in this cross-sectional analytical study. IBM SPSS Statistics version 16 software analyzed the obtained data after distributing and completing the questionnaires.

Results

The average score of total compliance with the patient rights charter in Rasht dental offices was 76.2%, which is at the optimal level. The provision of health services based on respect for the patient’s privacy (91.3%) and optimal receipt of health services (89.7%) achieved the highest level. We found no significant relationship between the total score and the patients’ age, gender, education level, marital status, and place of residence.

Conclusion

The level of compliance with the charter of patients’ rights in private dental offices in Rasht is generally favorable, but with gaps. The lack of a statistically significant relationship between age, gender, education level, marital status, and place of residence of patients with the total score of compliance with the charter of patient rights indicates that the dentist does not discriminate between patients, which is a favorable condition.
人们的健康直接影响到他们的能力和社会进步。口腔和牙齿疾病对人们的健康,从而对社会的健康产生深远的影响。提高人们的认识和增加保健服务的费用使患者更加注意自己的权利。方法采用横断面分析方法,对拉什特市218名私立牙科诊所就诊的患者进行调查。IBM SPSS Statistics version 16软件对发放并完成问卷后获得的数据进行分析。结果拉什特牙科门诊患者权利宪章总体遵守率平均为76.2%,处于最佳水平。在尊重病人隐私的基础上提供保健服务(91.3%)和获得最佳保健服务(89.7%)达到了最高水平。我们发现总分与患者的年龄、性别、文化程度、婚姻状况、居住地无显著关系。结论拉什特市私立牙科诊所对《患者权利宪章》的遵守程度总体较好,但存在差距。患者的年龄、性别、受教育程度、婚姻状况、居住地与患者权利宪章遵守总分之间没有统计学上显著的关系,说明牙医没有歧视患者,这是一个有利的条件。
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引用次数: 0
Oxygen administration practice and associated factors among nurses in Ethiopia: A systematic review and meta-analysis 埃塞俄比亚护士给氧实践和相关因素:系统回顾和荟萃分析
Q2 Nursing Pub Date : 2026-01-01 DOI: 10.1016/j.ijans.2025.100970
Yeshiambaw Eshetie , Yirgalem Abere , Bekalu Mekonen Belay , Abraham Tsedalu Amare , Mengistu Ewunetu , Gebrie Kassaw Yirga , Astewle Andargie Baye , Solomon Demis Kebede , Demewoz Kefale

Introduction

Supplemental oxygen therapy is a life-saving intervention that reduces cardiopulmonary strain and ensures adequate tissue oxygenation. However, inappropriate administration may result in either over- or under-oxygenation, both of which can cause patient harm. This study aimed to determine the pooled prevalence of supplemental oxygen therapy practice and its associated factors among nurses in Ethiopia.

Methods

An extensive literature search was conducted from February 3 to 27, 2025, using databases such as Google Scholar, Web of Science, and PubMed, along with a manual search. The pooled prevalence was calculated using a random-effects model.

Results

Out of 980 studies retrieved, 12 studies involving a total of 2,884 nurses met the inclusion criteria. The pooled prevalence of nurses’ practice regarding supplemental oxygen therapy was 54.47 % (95 % CI: 43.18, 65.76, I2 = 97.39 %, P < 0.001). Factors significantly associated with nurses’ practice of supplemental oxygen therapy include, receiving training (AOR = 5.94, 95 % CI: 1.90, 9.98, I2 = 91.80 %, P < 0.001), availability of guidelines (AOR = 2.89, 95 % CI: 1.50, 4.28, I2 = 83.99 %, P < 0.001), and work experience (AOR = 4.76, 95 % CI: 2.65, 6.86, I2 = 87 %, P < 0.001).

Conclusion and recommendation

The pooled prevalence of supplemental oxygen therapy practice among nurses in Ethiopia was relatively low, indicating that nearly half did not adhere to appropriate practice standards. Availability of guidelines, receiving training, and greater work experience were significant determinants of appropriate practice of supplemental oxygen therapy. To improve patient safety and outcomes, it is crucial to implement regular, comprehensive in-service training, provision of clear and accessible oxygen therapy guidelines, and experience sharing platforms should be prioritized in all healthcare settings.
补充氧治疗是一种挽救生命的干预措施,可减少心肺劳损并确保足够的组织氧合。然而,不适当的给药可能导致氧合过度或氧合不足,这两种情况都可能对患者造成伤害。本研究旨在确定埃塞俄比亚护士中补充氧治疗实践的总体患病率及其相关因素。方法于2025年2月3日至27日,利用谷歌Scholar、Web of Science、PubMed等数据库进行广泛的文献检索,并进行人工检索。合并患病率采用随机效应模型计算。结果980项研究中,12项研究符合纳入标准,共涉及2884名护士。护士对补充氧治疗的总患病率为54.47% (95% CI: 43.18, 65.76, I2 = 97.39%, P < 0.001)。影响护士进行辅助氧疗的因素包括:接受过培训(AOR = 5.94, 95% CI: 1.90, 9.98, I2 = 91.80%, P < 0.001)、是否获得指南(AOR = 2.89, 95% CI: 1.50, 4.28, I2 = 83.99%, P < 0.001)、工作经验(AOR = 4.76, 95% CI: 2.65, 6.86, I2 = 87%, P < 0.001)。结论和建议埃塞俄比亚护士补充氧疗实践的总体流行率相对较低,表明近一半的护士没有遵守适当的实践标准。指南的可用性,接受培训和更多的工作经验是适当的辅助氧治疗实践的重要决定因素。为了提高患者的安全性和治疗效果,在所有医疗机构中,实施定期、全面的在职培训、提供清晰易懂的氧疗指南和经验共享平台至关重要。
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引用次数: 0
Evaluation of obstetric triage team training for midwives to reduce third delay incidences and enhance timely treatment in Tanzania: Historical controlled study 评估产科分诊小组培训助产士,以减少第三次延误发生率和加强及时治疗在坦桑尼亚:历史对照研究
Q2 Nursing Pub Date : 2026-01-01 DOI: 10.1016/j.ijans.2025.100946
Mugara Joseph Mahungururo , Shigeko Horiuchi , Eri Shishido

Background and objective

The health facility environment can influence the incidence of third delay in Tanzania, and delays in receiving appropriate care can significantly contribute to maternal mortality. This study aimed to evaluate an Obstetric Triage Team Training conducted to reduce incidences of third delay by enhancing timely treatment.

Design

This was a historical controlled study with a pre-intervention and post-intervention group. The primary outcome was to increase the ratio of obstetric patients assessed within 15 min of arrival at the triage unit.

Settings

Muhimbili National Hospital located in Dar es Salaam, Tanzania.

Intervention

The intervention was education for all twelve midwives in the Obstetric Triage Team training; Helping Mothers Survive Jhpiego training package was used to teach about Hemorrhage (two days) and HDP (one day). Objective Structured Clinical Examination (OSCE) measured secondary outcomes. IBM SPSS version 21 was used to analyze the data.

Results

Participants were obstetric patients in pre-intervention group (N = 120) and post-intervention group (N = 143). An increased ratio from 30.8 % to 95.1 % (p < 0.001) of obstetric patients assessed within 15 min of their waiting time was observed. In the post-intervention group, the ratio of 15 min or less of the waiting time from registration to admission was significantly higher than in the pre-intervention group, this indicated an improvement in triage (p < 0.001).

Conclusion

The post-intervention group demonstrated the positive impact of the midwives training on managing obstetric emergencies such as hemorrhage and HDP. This resulted in a significant reduction in waiting times, suggesting the potential for improved maternal health outcomes.
背景和目的在坦桑尼亚,卫生设施环境会影响第三次延误的发生率,而在接受适当护理方面的延误会大大增加孕产妇死亡率。本研究旨在评估产科分诊小组培训,通过加强及时治疗来减少第三次延误的发生率。这是一项历史对照研究,分为干预前组和干预后组。主要结果是增加了到达分诊单元后15分钟内评估的产科患者的比例。位于坦桑尼亚达累斯萨拉姆的smuhimbili国家医院。干预措施干预措施是对产科分诊组所有12名助产士进行培训;帮助母亲生存Jhpiego培训包用于教授出血(两天)和HDP(一天)。目的结构化临床检查(OSCE)测量次要结局。采用IBM SPSS version 21对数据进行分析。结果干预前组(N = 120)和干预后组(N = 143)为产科患者。观察到在等待时间15分钟内接受评估的产科患者比例从30.8%增加到95.1% (p < 0.001)。在干预后组中,从登记到入院等待时间少于15分钟的比例显著高于干预前组,这表明在分诊方面有所改善(p < 0.001)。结论干预后组助产士培训对产科出血、HDP等突发事件的管理有积极影响。这大大缩短了等待时间,表明有可能改善产妇保健结果。
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引用次数: 0
Prevalence and factors associated with malnutrition: a case among hospitalized adult patients in a tertiary hospital, Eastern Uganda 营养不良的发病率和相关因素:乌干达东部一家三级医院住院成人患者的一例
Q2 Nursing Pub Date : 2026-01-01 DOI: 10.1016/j.ijans.2025.100961
Francis Obaa BSN , Samuel Olowo , Lydia V.N. Ssenyonga , Esther Nambala , Stanley J. Iramiot , Josephine Namujju , Rebecca Nekaka

Background

Malnutrition among adult inpatients is often overlooked, underdiagnosed, and consequently undertreated. The global prevalence of malnutrition among adults is reported to vary between 15 % and 76 %. Malnutrition is associated with increased; “healthcare expenditure, morbidity and mortality, and poor quality of life”. This study aimed to determine the prevalence and factors associated with malnutrition among adult inpatients at Mbale regional referral hospital in Eastern Uganda.

Methods

This was a cross-sectional descriptive survey. Data were collected from adult inpatients admitted to the medical ward for at least 48 h, aged ≥18 years and ≤65 years. The nutrition status was assessed using “Body Mass index (BMI), mid-upper arm circumference (MUAC) and subjective global assessment (SGA)”. Those variables in the bivariate analysis with p-value <0.25 were considered candidates for inclusion in the univariate logistic regression. The level of significance was set at 95 %.

Results

A total of 140 participants were enrolled in the study. The mean age was 47 ± 12.94 years. The prevalence of malnutrition was 37 % (BMI < 18.5 kg/m2), 67.9 % (MUAC ≤ 19 cm), and 61.4 % (SGA). The factors associated with malnutrition were, being HIV positive (AOR = 9.87, CI: 1.43–67.71, p = 0.004); low-income status (COR = 2.03 CI: 1.35–3.04, (p = 0.001); and age >40 (COR = 2.08, 95 % CI: 1.39–3.14, p = 0.000).

Conclusion

The prevalence of malnutrition amongst adult inpatients was found to be high. HIV status, low-income status, and age above 40 years were significantly associated with malnutrition.
A holistic approach is needed to mitigate malnutrition among adult inpatients.
背景:成年住院患者的营养不良往往被忽视、诊断不足,因而治疗不足。据报道,全球成年人营养不良发生率在15%至76%之间。营养不良与增加;“保健支出、发病率和死亡率以及生活质量差”。本研究旨在确定乌干达东部Mbale地区转诊医院成年住院患者营养不良的患病率和相关因素。方法采用横断面描述性调查。数据收集于住院至少48小时、年龄≥18岁、≤65岁的成年住院患者。采用“身体质量指数(BMI)、中上臂围(MUAC)和主观总体评价(SGA)”对营养状况进行评估。那些在双变量分析中p值为<;0.25的变量被认为是纳入单变量逻辑回归的候选变量。显著性水平设为95%。结果本研究共纳入140名受试者。平均年龄47±12.94岁。营养不良发生率分别为37% (BMI 18.5 kg/m2)、67.9% (MUAC≤19 cm)和61.4% (SGA)。与营养不良相关的因素有:HIV阳性(AOR = 9.87, CI: 1.43 ~ 67.71, p = 0.004);低收入状态(软木= 2.03置信区间:1.35—-3.04,(p = 0.001);和年龄在40(软木= 2.08,95%置信区间CI: 1.39 - -3.14, p = 0.000)。结论成人住院患者营养不良发生率较高。艾滋病毒感染状况、低收入状况和年龄在40岁以上与营养不良显著相关。需要一种整体的方法来减轻成年住院病人的营养不良。
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引用次数: 0
An ethnographic exploration of the lifeworld and clinical practices of Zambian Midwives: childbirth, postpartum and newborn care 对赞比亚助产士的生活世界和临床实践的民族志探索:分娩,产后和新生儿护理
Q2 Nursing Pub Date : 2026-01-01 DOI: 10.1016/j.ijans.2025.100956
Leena Honkavuo

Introduction

Enhancing the quality and safety of midwifery practices, clinical childbirth procedures and newborn care in Zambia is fundamental to promoting health and sustaining life. The midwife community, the environment and societal values and beliefs influence these approaches, principles and goals.

Objective

To discover new knowledge and analyze clinical healthcare practices employed by midwives in Zambia.

Methods

A qualitative, inductive and descriptive approach with an interpretative ethnographic design was utilized. Data were collected through fieldwork observations of midwifery care episodes, supplemented by written field notes. Five Zambian midwives participated in open, in-depth discussions resembling interviews.

Results

The data analysis was conducted through thematic analysis, resulting in the identification of four main themes: (i) Initial stages of childbirth; (ii) Maternal and fetal monitoring during the active phase of labor; (iii) Circumstances within the maternity ward during the childbirth effort phase and delivery; (iv) Postpartum care and care of the newborn and breastfeeding practices.

Conclusions

This study has expanded the ethnographic horizon, discovering and highlighting cultural dimensions, possibilities and challenges associated with the Zambian midwifery profession and caring.
在赞比亚,提高助产实践、临床分娩程序和新生儿护理的质量和安全是促进健康和维持生命的根本。助产士社区、环境和社会价值观和信仰影响这些方法、原则和目标。目的发现新的知识,并分析赞比亚助产士的临床保健实践。方法采用定性、归纳和描述的方法,并采用解释性人种学设计。通过对助产护理事件的实地观察收集数据,并辅以书面的实地记录。五名赞比亚助产士参加了类似访谈的公开、深入的讨论。结果通过主题分析进行数据分析,确定了四个主要主题:(一)分娩初期;(ii)在产程活跃阶段对母婴进行监测;分娩阶段和分娩期间产科病房内的情况;产后护理和新生儿护理以及母乳喂养做法。本研究扩展了民族志的视野,发现并强调了与赞比亚助产专业和护理相关的文化维度、可能性和挑战。
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引用次数: 0
The stigma surrounding cancer genetics: a societal challenge 癌症遗传学的耻辱:一个社会挑战
Q2 Nursing Pub Date : 2026-01-01 DOI: 10.1016/j.ijans.2025.100972
Kusum Kumari , Nikhil Kumar , Ranwir Kumar Sinha
Genetic discoveries in oncology have revolutionized personalized medicine, early diagnosis, and targeted interventions. Yet, these scientific advances are not immune to social repercussions. One of the most pressing and under-recognized issues is the stigma associated with cancer genetics. This stigma affects individuals’ willingness to undergo genetic testing, disclose results, and seek support. Rooted in cultural beliefs, historical fears, and a lack of public understanding, the stigma surrounding cancer genetics poses ethical, psychological, and healthcare access challenges. This review examines the multifaceted nature of this stigma, its impact on individuals and communities, and strategies for reducing its burden in contemporary society.
肿瘤学的基因发现彻底改变了个性化医疗、早期诊断和有针对性的干预措施。然而,这些科学进步也难免受到社会反响的影响。最紧迫和未被认识到的问题之一是与癌症遗传学相关的耻辱。这种耻辱感影响了个人接受基因检测、披露结果和寻求支持的意愿。由于文化信仰、历史恐惧和公众缺乏理解,围绕癌症遗传学的耻辱感构成了伦理、心理和医疗保健获取方面的挑战。这篇综述探讨了这一耻辱的多面性,它对个人和社区的影响,以及在当代社会减轻其负担的策略。
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引用次数: 0
Investigating factor analysis of emotional intelligence questionnaire among nursing, midwifery and emergency department students of Ilam University of Medical Sciences 伊拉姆医科大学护理、助产、急诊科学生情绪智力问卷调查因素分析
Q2 Nursing Pub Date : 2026-01-01 DOI: 10.1016/j.ijans.2026.100981
Hamed Tavan

Introduction

Emotional intelligence is a set of abilities that enables the processing of information related to one’s own and others’ emotions. Therefore, this study aimed to investigate the factor analysis and validation of an emotional intelligence questionnaire among nursing, midwifery, and emergency department students at Ilam University of Medical Sciences.

Materials and Methods

In this descriptive-analytical study, 118 students from the Faculty of Nursing and Midwifery at Ilam University of Medical Sciences were selected using stratified sampling. The study utilized a 90-item emotional intelligence questionnaire. Cronbach’s alpha coefficient and confirmatory factor analysis were employed to assess the questionnaire’s validity and internal consistency. A scree plot was used to determine the number of factors. The adequacy of the sample size for factor analysis was evaluated using the KMO index and Bartlett’s test.

Results

Factor analysis revealed that the components of emotional intelligence consist of four independent factors: the first factor (accounting for 32.066% of the variance), the second factor (8.113%), the third factor (7.823%), and the fourth factor (7.140%). The Cronbach’s alpha coefficient for the dimensions was 81%. The KMO index was estimated at 0.72, indicating sample size adequacy.

Conclusion

The present study demonstrated that the emotional intelligence questionnaire is a valid and reliable tool for collecting information necessary to assess students’ emotional intelligence.
情商是一组能够处理与自己和他人情绪有关的信息的能力。因此,本研究旨在对伊兰医科大学护理、助产和急诊科学生的情绪智力问卷进行因素分析和验证。材料与方法在本描述性分析研究中,采用分层抽样方法选取伊拉姆医科大学护理与助产学院118名学生。这项研究使用了一份包含90个项目的情商问卷。采用Cronbach’s alpha系数和验证性因子分析来评估问卷的效度和内部一致性。使用屏幕图来确定因素的数量。使用KMO指数和Bartlett检验来评估因子分析的样本量是否充足。结果因素分析显示,情绪智力的组成由4个独立因素组成:第一因素(占方差的32.066%)、第二因素(占方差的8.113%)、第三因素(占方差的7.823%)和第四因素(占方差的7.140%)。各维度的Cronbach 's alpha系数为81%。KMO指数估计为0.72,表明样本量充足。结论本研究表明,情绪智力问卷是收集学生情绪智力测评信息的有效、可靠的工具。
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引用次数: 0
Disclosure of HIV status to partners: A qualitative enquiry among adults diagnosed with HIV receiving care in a resourced-constrained hospital in rural Ghana 向合作伙伴披露艾滋病毒状况:在加纳农村一家资源有限的医院接受治疗的艾滋病毒确诊成人的定性调查
Q2 Nursing Pub Date : 2026-01-01 DOI: 10.1016/j.ijans.2026.100990
Dogbey Abigail Dziedzorm, Kennedy Dodam Konlan, Kennedy Kwasi Addo

Background

Despite global advancements in treatment and awareness, stigma and socio-environmental factors continue to hinder open discussions among individuals living with HIV/AIDS (PLWHA). This study explored the disclosure of HIV status to partners by adults diagnosed with HIV receiving care in a resourced-constrained hospital in rural Ghana.

Methods

Using an exploratory-descriptive qualitative design, we purposively sampled 15 adult PLWHA receiving care. The data was collected through semi-structured interviews. The interviews were audio-recorded and transcribed verbatim. Thematic analysis was conducted with the aid of NVivo 13.0.

Results

The analysis of the data generated five main themes: fear and mistrust, internal emotional reactions, community reactions and stigmatization, physical environmental limitations, partner disclosure dynamics. The participants stated that they hesitated to disclose their status due to fear of stigma and gossip, fear of losing social support and respect, shock and denial, loneliness, gossip and public shaming, lack of privacy and trust, unaware of partner’s status and possibly selective disclosure to children.

Conclusion and recommendation

Disclosure of HIV status to partners by PLWHA in rural Ghana is influenced by individual fears, psychological vulnerabilities, and environmental barriers. We recommend that hospital administrators should initiate community sensitization programs in collaboration with religious, youth, and traditional leaders. These programs should aim to reduce HIV-related stigma, promote acceptance, and raise awareness of the benefits of partner disclosure on the quality of life of PLWHA. The Ghana Aids Commission and the Ghana Health Service must embark on community education to mitigate stigma and enhance disclosure so as to improve adherence to treatment.
尽管全球在治疗和认识方面取得了进步,但耻辱和社会环境因素继续阻碍艾滋病毒/艾滋病感染者(PLWHA)之间的公开讨论。本研究探讨了在加纳农村一家资源有限的医院接受治疗的成人艾滋病毒感染者向伴侣透露艾滋病毒状况的情况。方法采用探索性描述性定性设计,对15名接受治疗的成人艾滋病患者进行有目的的抽样调查。数据是通过半结构化访谈收集的。采访被录音并逐字记录下来。采用NVivo 13.0软件进行主题分析。结果对数据的分析产生了五个主要主题:恐惧和不信任,内部情绪反应,社区反应和污名化,物理环境限制,伴侣披露动态。参与者表示,由于害怕耻辱和流言蜚语、害怕失去社会支持和尊重、震惊和否认、孤独、流言蜚语和公开羞辱、缺乏隐私和信任、不知道伴侣的状态以及可能选择性地向孩子透露自己的状态,他们犹豫不决。结论和建议在加纳农村,艾滋病病毒携带者向合作伙伴披露艾滋病毒状况受到个人恐惧、心理脆弱性和环境障碍的影响。我们建议医院管理者应与宗教、青年和传统领袖合作,启动社区敏感化项目。这些规划的目标应是减少与艾滋病毒有关的污名,促进接受,并提高对性伴披露对艾滋病感染者生活质量的益处的认识。加纳艾滋病委员会和加纳卫生局必须开展社区教育,减轻耻辱感,加强信息披露,以提高治疗依从性。
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引用次数: 0
Inpatient satisfaction with nursing care at the selected public hospitals in the Mopani District, Limpopo Province: Cross-sectional study 林波波省莫帕尼区选定公立医院住院病人护理满意度:横断面研究
Q2 Nursing Pub Date : 2026-01-01 DOI: 10.1016/j.ijans.2025.100963
M.B. Mathoto , R.N. Malema , L. Muthelo , T.A. Ntho , P.M. Mphekgwana , T.A. Phukubye , M.O. Mbombi , L. Tladi

Aim

This study aimed to determine factors associated with patients’ satisfaction regarding nursing care provided at the selected public hospitals in the Mopani District, Limpopo Province.

Method

A quantitative cross-sectional survey of 201 inpatients, chosen by simple random sampling, was conducted using an adapted questionnaire with a Cronbach’s alpha of 0.85. Data were analysed using SPSS. Descriptive statistics and the Chi-Square Test of Independence were used to determine the relationship between socio-demographic and patient satisfaction. Patient satisfaction was compared among marital status using a one-way Analysis of Variance (ANOVA).

Results

The study found that 77 % of the respondents were satisfied with the nursing care. Greater satisfaction was observed in the aspects of nurses’ respect for patients’ rights (89 %); I have been given privacy by nurses (88 %), nurses deliver care competently (87 %), and nurses are skilful in performing procedures (86 %). Participants’ marital status (p = 0.043*) and patients’ satisfaction in the decisional control domain were significantly associated.

Conclusion

The results of this study indicate that the predominant factor contributing to the respondents’ satisfaction was affective support, followed by professional technical competencies. The majority of the respondents were least satisfied with the health information provided to them and the decisional control given to them, particularly on the aspects of nurses’ involvement of the family in care.

Public contribution

The findings of this study provide valuable empirical evidence on the factors influencing patient satisfaction with nursing care and may assist the Limpopo Provincial Department of Health and policymakers in developing targeted strategies to improve the quality of nursing services and enhance patient experiences.
目的本研究旨在确定在林波波省莫帕尼区选定的公立医院提供的护理服务中患者满意度的相关因素。方法采用简单随机抽样的方法对201例住院患者进行定量横断面调查,采用Cronbach 's alpha = 0.85的适应性问卷。数据采用SPSS进行分析。使用描述性统计和卡方独立性检验来确定社会人口统计学与患者满意度之间的关系。采用单因素方差分析(ANOVA)比较不同婚姻状况患者的满意度。结果77%的受访患者对护理满意。在护士尊重患者权利方面满意度较高(89%);护士给予我隐私(88%),护士有能力提供护理(87%),护士在执行程序方面很熟练(86%)。参与者的婚姻状况(p = 0.043*)与患者在决策控制域的满意度显著相关。结论本研究结果显示,影响被调查者满意度的主要因素是情感支持,其次是专业技术能力。大多数答复者对提供给他们的健康信息和给予他们的决策控制最不满意,特别是在护士参与家庭护理方面。本研究结果为护理满意度的影响因素提供了有价值的实证证据,并可协助林波波省卫生厅和政策制定者制定有针对性的策略,以提高护理服务质量,改善患者体验。
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引用次数: 0
The effects of nursing care planning through concept mapping on nursing students’ critical thinking skills 概念图护理计划对护生批判性思维能力的影响
Q2 Nursing Pub Date : 2026-01-01 DOI: 10.1016/j.ijans.2025.100945
Shadi Dehghanzadeh , Fatemeh Moaddab

Background

Critical thinking (CT) is essential for nursing students to make sound clinical decisions and manage actual and potential problems in nursing. Concept mapping (CM), as an active learning strategy and teaching method, can enhance CT by helping students visually organize and connect clinical concepts during nursing care planning.

Aim

This study was conducted to assess the effects of nursing care planning through CM on nursing students’ CT skills.

Methods

This study was a quasi-experimental study with a two-group pretest–posttest design. All 84 nursing students who had enrolled on the critical care clinical course, had already been divided into eleven six- to nine-person small groups. Students in these eleven groups were randomly allocated to a control group (n = forty students) and an intervention group (n = 44 students). Clinical education in the control and the intervention groups was provided through routine linear nursing care planning method and CM, respectively. The California Critical Thinking Skills Test Form B and a CM scoring scale were used to assess participants’ CT and care plans, respectively. Data were analyzed using SPSS-V.25 and descriptive and inferential statistical tests (Chi-square test, t-test and ANCOVA), considering a significance level of P < 0.05.

Results

The mean age of participants was 21.84 ± 1.16 years. There were no statistically significant differences between the groups respecting participants’ demographic characteristics (P > 0.05). The post-test mean scores of care plans and the inductive reasoning and the analysis dimensions of CT skills in the intervention group were significantly greater than the control group (P < 0.05). Within-group comparisons also showed that the mean scores of CT skills and its inductive reasoning, deductive reasoning, and analysis dimensions significantly increased in the intervention group (P < 0.05).

Conclusion

Nursing care planning through CM is effective in significantly improving CT skills among nursing students. Nursing education authorities and policy makers as well as nursing instructors are recommended to use CM for improving nursing students’ CT skills.
摘要批判性思维是护理专业学生做出正确的临床决策和处理护理中实际和潜在问题的必要条件。概念映射作为一种积极的学习策略和教学方法,可以帮助学生在护理计划过程中直观地组织和连接临床概念,从而增强CT的功能。目的探讨中医护理计划对护生CT技能的影响。方法本研究为准实验研究,采用两组前测后测设计。所有84名注册了重症护理临床课程的护理专业学生,已经被分成了11个6到9人的小组。这11组学生被随机分为对照组(n = 40)和干预组(n = 44)。对照组和干预组分别通过常规线性护理计划法和CM进行临床教育。加州批判性思维技能测试表B和CM评分量表分别用于评估参与者的CT和护理计划。数据采用SPSS-V分析。25和描述性和推断性统计检验(卡方检验、t检验和ANCOVA),考虑P <; 0.05的显著性水平。结果患者平均年龄21.84±1.16岁。两组受试者人口学特征差异无统计学意义(P > 0.05)。干预组护理计划、归纳推理、CT技能分析维度的后测均分显著高于对照组(P < 0.05)。组内比较也显示干预组CT技能及其归纳推理、演绎推理、分析维度的平均得分显著提高(P < 0.05)。结论通过CM制定护理计划能显著提高护生的CT技能。建议护理教育当局和政策制定者以及护理指导员使用CM来提高护理学生的CT技能。
{"title":"The effects of nursing care planning through concept mapping on nursing students’ critical thinking skills","authors":"Shadi Dehghanzadeh ,&nbsp;Fatemeh Moaddab","doi":"10.1016/j.ijans.2025.100945","DOIUrl":"10.1016/j.ijans.2025.100945","url":null,"abstract":"<div><h3>Background</h3><div>Critical thinking (CT) is essential for nursing students to make sound clinical decisions and manage actual and potential problems in nursing. Concept mapping (CM), as an active learning strategy and teaching method, can enhance CT by helping students visually organize and connect clinical concepts during nursing care planning.</div></div><div><h3>Aim</h3><div>This study was conducted to assess the effects of nursing care planning through CM on nursing students’ CT skills.</div></div><div><h3>Methods</h3><div>This study was a quasi-experimental study with a two-group pretest–posttest design. All 84 nursing students who had enrolled on the critical care clinical course, had already been divided into eleven six- to nine-person small groups. Students in these eleven groups were randomly allocated to a control group (n = forty students) and an intervention group (n = 44 students). Clinical education in the control and the intervention groups was provided through routine linear nursing care planning method and CM, respectively. The California Critical Thinking Skills Test Form B and a CM scoring scale were used to assess participants’ CT and care plans, respectively. Data were analyzed using SPSS-V.25 and descriptive and inferential statistical tests (Chi-square test, <em>t-</em>test and ANCOVA), considering a significance level of P &lt; 0.05.</div></div><div><h3>Results</h3><div>The mean age of participants was 21.84 ± 1.16 years. There were no statistically significant differences between the groups respecting participants’ demographic characteristics (P &gt; 0.05). The post-test mean scores of care plans and the inductive reasoning and the analysis dimensions of CT skills in the intervention group were significantly greater than the control group (P &lt; 0.05). Within-group comparisons also showed that the mean scores of CT skills and its inductive reasoning, deductive reasoning, and analysis dimensions significantly increased in the intervention group (P &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>Nursing care planning through CM is effective in significantly improving CT skills among nursing students. Nursing education authorities and policy makers as well as nursing instructors are recommended to use CM for improving nursing students’ CT skills.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 100945"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145938570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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International Journal of Africa Nursing Sciences
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