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。
{"title":"Compliance with the patients’ rights charter in private dental clinics in Rasht, Iran: a cross-sectional study","authors":"Mehrazin Rezaeifar , Saeed Biroudian , Amirhossein Taheri , Saman Eskandari , Kourosh Delpasand","doi":"10.1016/j.ijans.2025.100957","DOIUrl":"10.1016/j.ijans.2025.100957","url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 100957"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145938475","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}
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。
{"title":"Oxygen administration practice and associated factors among nurses in Ethiopia: A systematic review and meta-analysis","authors":"Yeshiambaw Eshetie , Yirgalem Abere , Bekalu Mekonen Belay , Abraham Tsedalu Amare , Mengistu Ewunetu , Gebrie Kassaw Yirga , Astewle Andargie Baye , Solomon Demis Kebede , Demewoz Kefale","doi":"10.1016/j.ijans.2025.100970","DOIUrl":"10.1016/j.ijans.2025.100970","url":null,"abstract":"<div><h3>Introduction</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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, I<sup>2</sup> = 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, I<sup>2</sup> = 91.80 %, P < 0.001), availability of guidelines (AOR = 2.89, 95 % CI: 1.50, 4.28, I<sup>2</sup> = 83.99 %, P < 0.001), and work experience (AOR = 4.76, 95 % CI: 2.65, 6.86, I<sup>2</sup> = 87 %, P < 0.001).</div></div><div><h3>Conclusion and recommendation</h3><div>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.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 100970"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145938411","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}
Pub Date : 2026-01-01DOI: 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.
{"title":"Evaluation of obstetric triage team training for midwives to reduce third delay incidences and enhance timely treatment in Tanzania: Historical controlled study","authors":"Mugara Joseph Mahungururo , Shigeko Horiuchi , Eri Shishido","doi":"10.1016/j.ijans.2025.100946","DOIUrl":"10.1016/j.ijans.2025.100946","url":null,"abstract":"<div><h3>Background and objective</h3><div>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.</div></div><div><h3>Design</h3><div>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.</div></div><div><h3>Settings</h3><div>Muhimbili National Hospital located in Dar es Salaam, Tanzania.</div></div><div><h3>Intervention</h3><div>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.</div></div><div><h3>Results</h3><div>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 % (<em>p</em> < 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 (<em>p</em> < 0.001).</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 100946"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145938566","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}
Pub Date : 2026-01-01DOI: 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.
{"title":"Prevalence and factors associated with malnutrition: a case among hospitalized adult patients in a tertiary hospital, Eastern Uganda","authors":"Francis Obaa BSN , Samuel Olowo , Lydia V.N. Ssenyonga , Esther Nambala , Stanley J. Iramiot , Josephine Namujju , Rebecca Nekaka","doi":"10.1016/j.ijans.2025.100961","DOIUrl":"10.1016/j.ijans.2025.100961","url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Methods</h3><div>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 %.</div></div><div><h3>Results</h3><div>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/m<sup>2</sup>), 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).</div></div><div><h3>Conclusion</h3><div>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.</div><div>A holistic approach is needed to mitigate malnutrition among adult inpatients.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 100961"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145938568","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}
Pub Date : 2026-01-01DOI: 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.
{"title":"An ethnographic exploration of the lifeworld and clinical practices of Zambian Midwives: childbirth, postpartum and newborn care","authors":"Leena Honkavuo","doi":"10.1016/j.ijans.2025.100956","DOIUrl":"10.1016/j.ijans.2025.100956","url":null,"abstract":"<div><h3>Introduction</h3><div>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.</div></div><div><h3>Objective</h3><div>To discover new knowledge and analyze clinical healthcare practices employed by midwives in Zambia.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusions</h3><div>This study has expanded the ethnographic horizon, discovering and highlighting cultural dimensions, possibilities and challenges associated with the Zambian midwifery profession and caring.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 100956"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145938665","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}
Pub Date : 2026-01-01DOI: 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.
{"title":"The stigma surrounding cancer genetics: a societal challenge","authors":"Kusum Kumari , Nikhil Kumar , Ranwir Kumar Sinha","doi":"10.1016/j.ijans.2025.100972","DOIUrl":"10.1016/j.ijans.2025.100972","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 100972"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145977121","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}
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.
{"title":"Inpatient satisfaction with nursing care at the selected public hospitals in the Mopani District, Limpopo Province: Cross-sectional study","authors":"M.B. Mathoto , R.N. Malema , L. Muthelo , T.A. Ntho , P.M. Mphekgwana , T.A. Phukubye , M.O. Mbombi , L. Tladi","doi":"10.1016/j.ijans.2025.100963","DOIUrl":"10.1016/j.ijans.2025.100963","url":null,"abstract":"<div><h3>Aim</h3><div>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.</div></div><div><h3>Method</h3><div>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).</div></div><div><h3>Results</h3><div>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 (<em>p</em> = 0.043*) and patients’ satisfaction in the decisional control domain were significantly associated.</div></div><div><h3>Conclusion</h3><div>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.</div></div><div><h3>Public contribution</h3><div>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.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 100963"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145938363","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}
Pub Date : 2026-01-01DOI: 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.
{"title":"The effects of nursing care planning through concept mapping on nursing students’ critical thinking skills","authors":"Shadi Dehghanzadeh , 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 < 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 > 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).</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}
Selecting patients to admit at the ICU is crucial. The SAPS II and APACHE II scores have been used to choose appropriate patients to the ICU particularly in resource limited setting. However, which score is the best predictor is still debating.
Objective
To compare both scores in regards of ICU mortality prediction.
Methods
This was a retrospective cohort study at xx Hospital between Jan 1, 2016 to Jan 1, 2017. The inclusion criteria were consecutive adult patients who admitted and treated at the ICU. Those patients who admitted at the ICU for procedures such as hemodialysis were excluded. Clinical factors including SAPS II and APACHE II were studied. The primary outcome was death at the ICU. Independent factors associated with mortality were analyzed by multivariate logistic regression analysis. For significant scores to predict mortality, a receiver operating characteristic (ROC) curve was executed to calculate diagnostic properties of each cut off points.
Results
During the study period, there were 201 eligible patients. Of those, 98 patients (48.76 %) died. Those who died had higher average SAPS II score and APACHE score than those who were survived significantly (49.76 vs 30.61; p value < 0.001; 23.88 vs 20.62; p value 0.016). There were three independent factors associated with mortality including SAPS II score, male sex, and sepsis with adjusted odds ratio (95 % CI) of 1.04 (1.02, 1.07), 2.10 (1.08, 4.06), and 2.33 (1.09, 4.97), respectively. The SAPS II score of more than 27 gave sensitivity of 90.82 %, specificity of 16.50 %, and the area under ROC curve of 73.18 %.
Conclusion
SAPS II showed better performance than APACHE II in this population. Further studies are needed to confirm the results of this study.
选择ICU收治的患者是至关重要的。SAPS II和APACHE II评分被用于选择合适的ICU患者，特别是在资源有限的情况下。然而，哪个分数是最好的预测指标仍在争论中。目的比较两种评分对预测ICU病死率的影响。方法回顾性队列研究于2016年1月1日至2017年1月1日在xx医院进行。纳入标准为连续在ICU住院和治疗的成年患者。那些在ICU接受血液透析等手术的患者被排除在外。临床因素包括SAPS II和APACHE II。主要结局是ICU死亡。采用多变量logistic回归分析与死亡率相关的独立因素。对于预测死亡率的显著分数，执行受试者工作特征（ROC）曲线来计算每个截断点的诊断特性。结果在研究期间，共有201例符合条件的患者。其中98例（48.76%）死亡。死亡组SAPSⅱ评分和APACHE评分均显著高于存活组（49.76 vs 30.61； p值<； 0.001; 23.88 vs 20.62； p值0.016）。与死亡相关的三个独立因素包括SAPS II评分、男性和脓毒症，校正比值比（95% CI）分别为1.04（1.02,1.07）、2.10（1.08,4.06）和2.33（1.09,4.97）。SAPSⅱ评分大于27分，灵敏度为90.82%，特异度为16.50%，ROC曲线下面积为73.18%。结论sapsⅱ在该人群中的疗效优于APACHEⅱ。需要进一步的研究来证实本研究的结果。
{"title":"SAPS II or APACHE II is better to predict mortality in patients admitted at ICU","authors":"Seksan Chaisuksant , Pavinee Noinard , Watchara Boonsawat , Kittisak Sawanyawisuth","doi":"10.1016/j.ijans.2026.100979","DOIUrl":"10.1016/j.ijans.2026.100979","url":null,"abstract":"<div><h3>Introduction</h3><div>Selecting patients to admit at the ICU is crucial. The SAPS II and APACHE II scores have been used to choose appropriate patients to the ICU particularly in resource limited setting. However, which score is the best predictor is still debating.</div></div><div><h3>Objective</h3><div>To compare both scores in regards of ICU mortality prediction.</div></div><div><h3>Methods</h3><div>This was a retrospective cohort study at xx Hospital between Jan 1, 2016 to Jan 1, 2017. The inclusion criteria were consecutive adult patients who admitted and treated at the ICU. Those patients who admitted at the ICU for procedures such as hemodialysis were excluded. Clinical factors including SAPS II and APACHE II were studied. The primary outcome was death at the ICU. Independent factors associated with mortality were analyzed by multivariate logistic regression analysis. For significant scores to predict mortality, a receiver operating characteristic (ROC) curve was executed to calculate diagnostic properties of each cut off points.</div></div><div><h3>Results</h3><div>During the study period, there were 201 eligible patients. Of those, 98 patients (48.76 %) died. Those who died had higher average SAPS II score and APACHE score than those who were survived significantly (49.76 vs 30.61; p value < 0.001; 23.88 vs 20.62; p value 0.016). There were three independent factors associated with mortality including SAPS II score, male sex, and sepsis with adjusted odds ratio (95 % CI) of 1.04 (1.02, 1.07), 2.10 (1.08, 4.06), and 2.33 (1.09, 4.97), respectively. The SAPS II score of more than 27 gave sensitivity of 90.82 %, specificity of 16.50 %, and the area under ROC curve of 73.18 %.</div></div><div><h3>Conclusion</h3><div>SAPS II showed better performance than APACHE II in this population. Further studies are needed to confirm the results of this study.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 100979"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145938648","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}
The COVID-19 pandemic has significantly affected mental health worldwide, particularly among patients with the disease. Spiritual health may influence psychological resilience and adaptation. This study examined the relationship between spiritual health, depression, and anxiety in hospitalized COVID-19 patients in Iran.
Materials & Methods
A cross-sectional study was conducted on 200 patients admitted to Amiralmomenin Hospital, Arak, Iran, using convenience sampling between June and December 2022. Data were collected using a demographic questionnaire, the Ellison & Paloutzian Spiritual Health Questionnaire, the COVID-19 Anxiety Scale (CDAS), and the Beck Depression Inventory. Data were analyzed using SPSS version 25, applying descriptive and inferential statistical methods.
Results
More than half of the participants reported minimal levels of depression and COVID-19–related anxiety. Depression was significantly and positively correlated with mental anxiety (rs = 0.250, p < 0.001) and physical anxiety (rs = 0.292, p < 0.001). Religious well-being showed a statistically significant positive correlation with physical anxiety (rs = 0.143, p = 0.043), while no significant correlations were observed between religious or existential well-being and depression. Existential well-being was significantly correlated with religious well-being (rs = 0.401, p < 0.001). No significant differences in depression, anxiety, or spiritual health scores were observed according to sex or marital status.
Conclusion
Depression was associated with COVID-19–related anxiety, while spiritual health showed no significant link with depression. These findings highlight the importance of addressing mental health in hospitalized COVID-19 patients.
2019冠状病毒病大流行严重影响了全世界的心理健康，特别是患者的心理健康。精神健康可能影响心理弹性和适应能力。本研究调查了伊朗住院的COVID-19患者的精神健康、抑郁和焦虑之间的关系。材料&方法对2022年6月至12月在伊朗Arak Amiralmomenin医院住院的200例患者进行横断面研究，采用方便抽样。使用人口统计问卷、Ellison & Paloutzian精神健康问卷、COVID-19焦虑量表（CDAS）和Beck抑郁量表收集数据。数据分析采用SPSS 25版，采用描述性和推理性统计方法。结果超过一半的参与者报告了最低程度的抑郁和与covid -19相关的焦虑。抑郁与精神焦虑（rs = 0.250, p < 0.001）和身体焦虑（rs = 0.292, p < 0.001）呈显著正相关。宗教幸福感与身体焦虑呈显著正相关（rs = 0.143, p = 0.043），而宗教或存在幸福感与抑郁无显著相关。存在幸福感与宗教幸福感显著相关（rs = 0.401, p < 0.001）。根据性别或婚姻状况，没有观察到抑郁、焦虑或精神健康得分有显著差异。结论抑郁与新冠肺炎相关焦虑相关，而精神健康与抑郁无显著相关性。这些发现强调了解决住院COVID-19患者心理健康问题的重要性。
{"title":"The relationship between spiritual health and depression and anxiety among COVID-19 patients: a cross-sectional study","authors":"Razieh Mokhtari , Kamel Abdi , Mohamad Golitaleb , Ali Safdari","doi":"10.1016/j.ijans.2025.100941","DOIUrl":"10.1016/j.ijans.2025.100941","url":null,"abstract":"<div><h3>Background</h3><div>The COVID-19 pandemic has significantly affected mental health worldwide, particularly among patients with the disease. Spiritual health may influence psychological resilience and adaptation. This study examined the relationship between spiritual health, depression, and anxiety in hospitalized COVID-19 patients in Iran.</div></div><div><h3>Materials & Methods</h3><div>A cross-sectional study was conducted on 200 patients admitted to Amiralmomenin Hospital, Arak, Iran, using convenience sampling between June and December 2022. Data were collected using a demographic questionnaire, the Ellison & Paloutzian Spiritual Health Questionnaire, the COVID-19 Anxiety Scale (CDAS), and the Beck Depression Inventory. Data were analyzed using SPSS version 25, applying descriptive and inferential statistical methods.</div></div><div><h3>Results</h3><div>More than half of the participants reported minimal levels of depression and COVID-19–related anxiety. Depression was significantly and positively correlated with mental anxiety (r<sub>s</sub> = 0.250, p < 0.001) and physical anxiety (r<sub>s</sub> = 0.292, p < 0.001). Religious well-being showed a statistically significant positive correlation with physical anxiety (r<sub>s</sub> = 0.143, p = 0.043), while no significant correlations were observed between religious or existential well-being and depression. Existential well-being was significantly correlated with religious well-being (r<sub>s</sub> = 0.401, p < 0.001). No significant differences in depression, anxiety, or spiritual health scores were observed according to sex or marital status.</div></div><div><h3>Conclusion</h3><div>Depression was associated with COVID-19–related anxiety, while spiritual health showed no significant link with depression. These findings highlight the importance of addressing mental health in hospitalized COVID-19 patients.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 100941"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145938564","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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