Oral care is a fundamental nursing procedure that has a good impact on a patient’s overall health. Ineffective patients’ oral care has big oral health consequences like oral diseases, difficulty of chewing and swallowing for fluid and diet intakes in general. Although oral health diseases can result in physical, functional, social, emotional, and mental health of the patient, it is given little attention.
Objective
The study aims to assess nurses’ patient oral care practice level and its associated factors in South Gondar Zone hospitals, Ethiopia, 2024.
Methods
Institution-based cross-sectional study design was used to assess 330 nurses, chosen through convenience sampling technique. Data were collected by using adapted, structured and self-administered questionnaires. The effect of independent variables on the outcome variables was explored by using logistic regression analyses. The levels of significance were determined using an odds ratio with a 95% confidence interval.
Results
Of the total 330 study participants, 310 participated with a response rate of 93.9 %. Among the participants, 52.9 % (95 %CI; 47–58) had a good patient oral care practice level. Based on the multivariate analysis, took training (AOR = 1.74; 95 %CI: 1.09, 2.77; p = 0.02) and being female Nurses (AOR = 1.88; 95 %CI: 1.18, 3.00; p = 0.01) were significantly associated with oral care practice of nurses.
Conclusions
The finding of this study showed that oral care practice level of nurses was poor. Took training and sex of participants were statistically significant with the nurses’ practice level towards patients’ oral care.
{"title":"Practice and associated factors of nurses’ towards patients’ oral care in South Gondar Zone hospitals, Amhara Region, Northwest Ethiopia","authors":"Yeshiambaw Eshetie , YohannesTesfahun Kassie , Demewoz Kefale","doi":"10.1016/j.ijans.2025.100817","DOIUrl":"10.1016/j.ijans.2025.100817","url":null,"abstract":"<div><h3>Introduction</h3><div>Oral care is a fundamental nursing procedure that has a good impact on a patient’s overall health. Ineffective patients’ oral care has big oral health consequences like oral diseases, difficulty of chewing and swallowing for fluid and diet intakes in general. Although oral health diseases can result in physical, functional, social, emotional, and mental health of the patient, it is given little attention.</div></div><div><h3>Objective</h3><div>The study aims to assess nurses’ patient oral care practice level and its associated factors in South Gondar Zone hospitals, Ethiopia, 2024.</div></div><div><h3>Methods</h3><div>Institution-based cross-sectional study design was used to assess 330 nurses, chosen through convenience sampling technique. Data were collected by using adapted, structured and self-administered questionnaires. The effect of independent variables on the outcome variables was explored by using logistic regression analyses. The levels of significance were determined using an odds ratio with a 95% confidence interval.</div></div><div><h3>Results</h3><div>Of the total 330 study participants, 310 participated with a response rate of 93.9 %. Among the participants, 52.9 % (95 %CI; 47–58) had a good patient oral care practice level. Based on the multivariate analysis, took training (AOR = 1.74; 95 %CI: 1.09, 2.77; p = 0.02) and being female Nurses (AOR = 1.88; 95 %CI: 1.18, 3.00; p = 0.01) were significantly associated with oral care practice of nurses.</div></div><div><h3>Conclusions</h3><div>The finding of this study showed that oral care practice level of nurses was poor. Took training and sex of participants were statistically significant with the nurses’ practice level towards patients’ oral care.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"22 ","pages":"Article 100817"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143178473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01DOI: 10.1016/j.ijans.2025.100826
Judith Bentil , Vida Ocloo , Gideon Awenabisa Atanuriba , Comfort Baaba De Graft
Purpose
Maternal deaths continue to remain unacceptably high in many resourced-constrained countries. There is a proliferation of literature about the effects of these deaths on families, communities, and nations but less on the impact of maternal deaths on midwives who directly attend to the women. Our current study seeks to explore the impact of MM on the well-being, practices and profession development of midwives in Ghana.
To explore and describe the effects of maternal deaths on midwives.
Methods
A descriptive qualitative study among midwives who have encountered maternal mortality (ies) and were audited from a referral hospital in the Bono region of Ghana. The sample size was determined by data saturation at the 12th interviewed participant using a semi-structured interview guide based on themes from earlier unstructured piloted interviews and published literature on the phenomenon. Thematic analysis was conducted. We achieved rigor through data collection and analytical triangulation, peer debriefs, and prolonged engagement with participants for validation of their descriptions.
Results
Three themes were constructed, these were physical effects, psychological trauma, and professional distress.
Conclusions
Maternal deaths and the audit process affect midwives’ heath thus physically, psychologically, and professionally. System strengthening to provide support to midwives who encounter maternal deaths is highly suggested.
{"title":"“…we suffer the trauma, yet we soldier on” midwives’ narrations of the effects of maternal deaths on their lives","authors":"Judith Bentil , Vida Ocloo , Gideon Awenabisa Atanuriba , Comfort Baaba De Graft","doi":"10.1016/j.ijans.2025.100826","DOIUrl":"10.1016/j.ijans.2025.100826","url":null,"abstract":"<div><h3>Purpose</h3><div>Maternal deaths continue to remain unacceptably high in many resourced-constrained countries. There is a proliferation of literature about the effects of these deaths on families, communities, and nations but less on the impact of maternal deaths on midwives who directly attend to the women. Our current study seeks to explore the impact of MM on the well-being, practices and profession development of midwives in Ghana.</div><div>To explore and describe the effects of maternal deaths on midwives.</div></div><div><h3>Methods</h3><div>A descriptive qualitative study among midwives who have encountered maternal mortality (ies) and were audited from a referral hospital in the Bono region of Ghana. The sample size was determined by data saturation at the 12th interviewed participant using a semi-structured interview guide based on themes from earlier unstructured piloted interviews and published literature on the phenomenon. Thematic analysis was conducted. We achieved rigor through data collection and analytical triangulation, peer debriefs, and prolonged engagement with participants for validation of their descriptions.</div></div><div><h3>Results</h3><div>Three themes were constructed, these were physical effects, psychological trauma, and professional distress.</div></div><div><h3>Conclusions</h3><div>Maternal deaths and the audit process affect midwives’ heath thus physically, psychologically, and professionally. System strengthening to provide support to midwives who encounter maternal deaths is highly suggested.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"22 ","pages":"Article 100826"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143420252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Despite improvements in child health and nutrition in Ethiopia, undernutrition remains a critical issue, causing half of child deaths. Many severely malnourished children seek treatment at therapeutic feeding centers, but a significant number still die in stabilization centers. This study aimed to estimate survival rates and identify predictors of mortality among children with severe acute malnutrition admitted to public health facilities in Hawassa City, Southern Ethiopia.
Method
A facility-based retrospective cohort study was employed to estimate survival status and predictors among under-five children with severe acute malnutrition admitted to selected health facilities. A total of 476 randomly selected under-five children with SAM from January 2018 to December 31, 2021, participated in the study. Data were analyzed by SPSS IBM version 26. Bivariable and multivariable Cox regression models assessed risk factors. Kaplan- Maier Curve and Long rank test were used to estimate cumulative survival probability and to compare survival status probability across different groups.
Results
Over the 3-year observation period, the overall survival status was, (84.7 %), [95 % CI; 81.2, 87.8]. The incidence density of death was 3.8/100 person-day. The overall median survival time was 34 [95 % CI 32.2––37.5] days. After controlling for other factors, a child who had co-morbidities [AHR = 3.305, 95 %; CI:(1.1, 10.9)], and deworming using Albendazole [AHR = 5.3, 95 %; CI:(1.3, 21.7)] were identified as the independent predictors of the time to death.
{"title":"A retrospective cohort study of survival status and mortality predictors among children with severe acute malnutrition in public health facilities, Hawassa City, Southern Ethiopia","authors":"Bargude Balta , Bedilu Bekele , Alemu Bogale , Deresse Daka","doi":"10.1016/j.ijans.2025.100824","DOIUrl":"10.1016/j.ijans.2025.100824","url":null,"abstract":"<div><h3>Purpose</h3><div>Despite improvements in child health and nutrition in Ethiopia, undernutrition remains a critical issue, causing half of child deaths. Many severely malnourished children seek treatment at therapeutic feeding centers, but a significant number still die in stabilization centers. This study aimed to estimate survival rates and identify predictors of mortality among children with severe acute malnutrition admitted to public health facilities in Hawassa City, Southern Ethiopia.</div></div><div><h3>Method</h3><div>A facility-based retrospective cohort study was employed to estimate survival status and predictors among under-five children with severe acute malnutrition admitted to selected health facilities. A total of 476 randomly selected under-five children with SAM from January 2018 to December 31, 2021, participated in the study. Data were analyzed by SPSS IBM version 26. Bivariable and multivariable Cox regression models assessed risk factors. Kaplan- Maier Curve and Long rank test were used to estimate cumulative survival probability and to compare survival status probability across different groups.</div></div><div><h3>Results</h3><div>Over the 3-year observation period, the overall survival status was, (84.7 %), [95 % CI; 81.2, 87.8]. The incidence density of death was 3.8/100 person-day. The overall median survival time was 34 [95 % CI 32.2––37.5] days. After controlling for other factors, a child who had co-morbidities [AHR = 3.305, 95 %; CI:(1.1, 10.9)], and deworming using Albendazole [AHR = 5.3, 95 %; CI:(1.3, 21.7)] were identified as the independent predictors of the time to death.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"22 ","pages":"Article 100824"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143402027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This study conducted a science mapping analysis of Self-care for nurses research until 1 January 2024. Self-care is a crucial element in promoting global health. Self-care can lead to the health and happiness of nurses. The purpose of this study was to identify the authoritative journals in this field, and topics related to nurses’ self-care.
Evidence Acquisition
The present study was a bibliometric analysis that used science mapping techniques and data was extracted from the Web of Science and Scopus. Based on the study population and the outcome, Self-care and nurses were considered as the main search terms. Data collection and analysis may be divided into two main: descriptive and bibliometric. The use of VOSviewer for analysis.
Results
This study retrieved 102 publications which, 74 (58%) were articles and 12 (11%) were reviewed articles. The United States is the most effective country in this field with the most publications and citations. Common related to self-care, nursing, work factors, and health-related. The International Journal of Nursing Studies from Elsevier has the most citations in the WOS and Scopus databases.
Conclusions
Due to the lack of research in the field, there is a concern to produce information and research in this field. The importance of research in this field is related to the role of nurses in the health system. self-care can help improve global health by improving the physical and mental health of nurses. Therefore, it is suggested that pay special attention to Self-care for nurses.
{"title":"Self-care in nursing: A bibliometric analysis (1976–2023)","authors":"Mahsa Hosseini , Soheila Shamsikhani , Masoomeh Noruzi Zamengani , Sediqullah Ahmadi , Ali Jadidi","doi":"10.1016/j.ijans.2025.100821","DOIUrl":"10.1016/j.ijans.2025.100821","url":null,"abstract":"<div><h3>Context</h3><div>This study conducted a science mapping analysis of Self-care for nurses research until 1 January 2024. Self-care is a crucial element in promoting global health. Self-care can lead to the health and happiness of nurses. The purpose of this study was to identify the authoritative journals in this field, and topics related to nurses’ self-care.</div></div><div><h3>Evidence Acquisition</h3><div>The present study was a bibliometric analysis that used science mapping techniques and data was extracted from the Web of Science and Scopus. Based on the study population and the outcome, Self-care and nurses were considered as the main search terms. Data collection and analysis may be divided into two main: descriptive and bibliometric. The use of VOSviewer for analysis.</div></div><div><h3>Results</h3><div>This study retrieved 102 publications which, 74 (58%) were articles and 12 (11%) were reviewed articles. The United States is the most effective country in this field with the most publications and citations. Common related to self-care, nursing, work factors, and health-related. The International Journal of Nursing Studies from Elsevier has the most citations in the WOS and Scopus databases.</div></div><div><h3>Conclusions</h3><div>Due to the lack of research in the field, there is a concern to produce information and research in this field. The importance of research in this field is related to the role of nurses in the health system. self-care can help improve global health by improving the physical and mental health of nurses. Therefore, it is suggested that pay special attention to Self-care for nurses.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"22 ","pages":"Article 100821"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143349776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01DOI: 10.1016/j.ijans.2025.100819
Daina Charnelle Fougang , Charles Mpofu , Dianne Wepa
Introduction
The World Health Organization advocates for preparing medical students to address health disparities experienced by minority groups. The persistent disparities in women’s health outcomes, particularly among racial and ethnic minorities, highlight critical gaps in current medical education approaches. Despite strong consensus about the significance of structural competence training in medical education, most curricula struggle to develop, teach, and assess it effectively, particularly in addressing women’s health disparities.
Objectives
This systematic review aims to: (1) evaluate structural competency’s role in women’s health disparities and (2) develop implementation strategies for women’s healthcare education.
Methodology
A systematic literature review using Scopus, Google Scholar, and Web of Science databases (2010–2023) initially identified 905 articles. Following rigorous inclusion criteria focusing on structural competency, women’s health disparities, and medical education, 40 articles were selected for final analysis.
Findings
The review presents (1) comprehensive evidence of health disparities in women’s healthcare, particularly affecting racial and ethnic minorities; (2) the critical role of structural competency in addressing systemic barriers and discrimination in healthcare delivery; (3) effective teaching strategies including lecture-based, case-based, team-based, and simulation-based learning approaches; Findings indicate that successful implementation of structural competency requires multi-level interventions across individual, interpersonal, clinic, community, research, and policy domains.
Conclusion
This review establishes the importance of integrating structural competency into women’s healthcare education. While implementation challenges exist, the framework developed provides practical guidance to address women’s health disparities through structural competency training.
{"title":"Towards health justice: Implementing structural competency in women’s healthcare education","authors":"Daina Charnelle Fougang , Charles Mpofu , Dianne Wepa","doi":"10.1016/j.ijans.2025.100819","DOIUrl":"10.1016/j.ijans.2025.100819","url":null,"abstract":"<div><h3>Introduction</h3><div>The World Health Organization advocates for preparing medical students to address health disparities experienced by minority groups. The persistent disparities in women’s health outcomes, particularly among racial and ethnic minorities, highlight critical gaps in current medical education approaches. Despite strong consensus about the significance of structural competence training in medical education, most curricula struggle to develop, teach, and assess it effectively, particularly in addressing women’s health disparities.</div></div><div><h3>Objectives</h3><div>This systematic review aims to: (1) evaluate structural competency’s role in women’s health disparities and (2) develop implementation strategies for women’s healthcare education.</div></div><div><h3>Methodology</h3><div>A systematic literature review using Scopus, Google Scholar, and Web of Science databases (2010–2023) initially identified 905 articles. Following rigorous inclusion criteria focusing on structural competency, women’s health disparities, and medical education, 40 articles were selected for final analysis.</div></div><div><h3>Findings</h3><div>The review presents (1) comprehensive evidence of health disparities in women’s healthcare, particularly affecting racial and ethnic minorities; (2) the critical role of structural competency in addressing systemic barriers and discrimination in healthcare delivery; (3) effective teaching strategies including lecture-based, case-based, team-based, and simulation-based learning approaches; Findings indicate that successful implementation of structural competency requires multi-level interventions across individual, interpersonal, clinic, community, research, and policy domains.</div></div><div><h3>Conclusion</h3><div>This review establishes the importance of integrating structural competency into women’s healthcare education. While implementation challenges exist, the framework developed provides practical guidance to address women’s health disparities through structural competency training.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"22 ","pages":"Article 100819"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143377925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01DOI: 10.1016/j.ijans.2025.100831
Rasha Aziz Attia Salama , Rabab Gad Abd El-Kader , Talaat Matter Tadross , Shaimaa Hashem Elsalous
The current study aimed to assess marital satisfaction during and post the lockdown of the COVID-19 pandemic and explore the factors influencing marital satisfaction among the public.
Methods
A cross-sectional study was conducted in Ras Al Khaimah Emirate, United Arab Emirates. A total of 409 respondents participated in a web-based anonymous survey from April to September 2021 and completed sociodemographic and personal characteristics. The Enriching and Nurturing Relationship Issues, Communication and Happiness Marital Satisfaction scale, and the GAD-7 scale were employed in data collection. Bivariate and logistic regression were used to determine the relationship between marital satisfaction and sociodemographic and personal factors.
Results
The findings indicated that the mean score of the EMS scale increased significantly after the lockdown in all areas of marital relationships, except for leisure time activities (P = 0.42) and religious orientation (P = 0.47). Marital satisfaction during and after the COVID-19 lockdown was significantly associated with age, gender, education attainment, income, health condition, and anxiety status. Factors such as gender, education, income, and anxiety status have been identified as predictors of marital satisfaction, particularly during the COVID-19 pandemic.
Conclusions
The results underscore the importance of considering sociodemographic and personal factors in understanding fluctuations in marital satisfaction during challenging times. They highlight the need to address mental health and emotional well-being within marital contexts, especially during crises. Tailored interventions aimed at enhancing coping strategies, communication skills, and emotional support could help mitigate anxiety’s adverse impact on marital satisfaction, ultimately strengthening relationships and overall well-being.
{"title":"Assessment of the effect of the COVID-19 pandemic on levels of satisfaction in marital relationships during and post-lockdown","authors":"Rasha Aziz Attia Salama , Rabab Gad Abd El-Kader , Talaat Matter Tadross , Shaimaa Hashem Elsalous","doi":"10.1016/j.ijans.2025.100831","DOIUrl":"10.1016/j.ijans.2025.100831","url":null,"abstract":"<div><div>The current study aimed to assess marital satisfaction during and post the lockdown of the COVID-19 pandemic and explore the factors influencing marital satisfaction among the public.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted in Ras Al Khaimah Emirate, United Arab Emirates. A total of 409 respondents participated in a web-based anonymous survey from April to September 2021 and completed sociodemographic and personal characteristics. The Enriching and Nurturing Relationship Issues, Communication and Happiness Marital Satisfaction scale, and the GAD-7 scale were employed in data collection. Bivariate and logistic regression were used to determine the relationship between marital satisfaction and sociodemographic and personal factors.</div></div><div><h3>Results</h3><div>The findings indicated that the mean score of the EMS scale increased significantly after the lockdown in all areas of marital relationships, except for leisure time activities (P = 0.42) and religious orientation (P = 0.47). Marital satisfaction during and after the COVID-19 lockdown was significantly associated with age, gender, education attainment, income, health condition, and anxiety status. Factors such as gender, education, income, and anxiety status have been identified as predictors of marital satisfaction, particularly during the COVID-19 pandemic.</div></div><div><h3>Conclusions</h3><div>The results underscore the importance of considering sociodemographic and personal factors in understanding fluctuations in marital satisfaction during challenging times. They highlight the need to address mental health and emotional well-being within marital contexts, especially during crises. Tailored interventions aimed at enhancing coping strategies, communication skills, and emotional support could help mitigate anxiety’s adverse impact on marital satisfaction, ultimately strengthening relationships and overall well-being.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"22 ","pages":"Article 100831"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143509221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cardiotocograph (CTG) tracing is a routine intrapartum care procedure for women who have been diagnosed with high-risk pregnancy. The aim of the CTG is to identify fetuses that are at risk in order to expedite delivery.
Purpose
To asssess midwives’ competence in the interpretation of the intrapartum cardiotocograph at public hospitals in Gauteng.
Methods
An explanatory sequential mixed-methods approach was used. During phase one, 122 midwives in Johannesburg and Tshwane District filled in self-administered questionnaires, and during phase two, 30 midwives took part in semi-structured qualitative interviews. The data from both phases was analyzed separately and then integrated using the Pillar Integration Process.
Results
The Pillar Integration Process led to the identification of six pillars: 1) substandard CTG interpretation training leads to a lack of understanding of key concepts; 2) absence of norms and standards pertaining to CTG interpretation training; 3) Essential Steps in Managing Obstetric Emergencies (ESMOE) training does not result in improved CTG interpretation scores; 4) lack of standardization of CTG interpretation guidelines causes confusion among interpreters; 5) level of knowledge of foundational concepts of CTG interpretation affects clinical judgment; and 6) CTG interpretation skill is a combination of understanding of CTG characteristics, fetal heart rate pattern, fetal physiology and clinical context.
Conclusion
The results highlighted a knowledge deficit in CTG interpretation and shortfalls in the current CTG training programs. This can be remediated by the development of a CTG training program which is benchmarked with existing programs which have demonstrated good knowledge scores of participants over a long period.
{"title":"Midwives’ competence in interpretation of the intrapartum cardiotocograph at public hospitals in Gauteng: An explanatory sequential mixed-methods study","authors":"Sanele Lukhele , Fhumulani Mavis Mulaudzi , Rodwell Gundo","doi":"10.1016/j.ijans.2025.100825","DOIUrl":"10.1016/j.ijans.2025.100825","url":null,"abstract":"<div><h3>Background</h3><div>Cardiotocograph (CTG) tracing is a routine intrapartum care procedure for women who have been diagnosed with high-risk pregnancy. The aim of the CTG is to identify fetuses that are at risk in order to expedite delivery.</div></div><div><h3>Purpose</h3><div>To asssess midwives’ competence in the interpretation of the intrapartum cardiotocograph at public hospitals in Gauteng.</div></div><div><h3>Methods</h3><div>An explanatory sequential mixed-methods approach was used. During phase one, 122 midwives in Johannesburg and Tshwane District filled in self-administered questionnaires, and during phase two, 30 midwives took part in semi-structured qualitative interviews. The data from both phases was analyzed separately and then integrated using the Pillar Integration Process.</div></div><div><h3>Results</h3><div>The Pillar Integration Process led to the identification of six pillars: 1) substandard CTG interpretation training leads to a lack of understanding of key concepts; 2) absence of norms and standards pertaining to CTG interpretation training; 3) Essential Steps in Managing Obstetric Emergencies (ESMOE) training does not result in improved CTG interpretation scores; 4) lack of standardization of CTG interpretation guidelines causes confusion among interpreters; 5) level of knowledge of foundational concepts of CTG interpretation affects clinical judgment; and 6) CTG interpretation skill is a combination of understanding of CTG characteristics, fetal heart rate pattern, fetal physiology and clinical context.</div></div><div><h3>Conclusion</h3><div>The results highlighted a knowledge deficit in CTG interpretation and shortfalls in the current CTG training programs. This can be remediated by the development of a CTG training program which is benchmarked with existing programs which have demonstrated good knowledge scores of participants over a long period.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"22 ","pages":"Article 100825"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143429434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01DOI: 10.1016/j.ijans.2025.100830
Kafui A. Hobenu , Anthonio O. Adefuye , Florence Naab , Champion N. Nyoni
Background
Nursing education is intended to produce practice-ready nurses at graduation to render high-quality care to the deserving populace. This expectation is, however, far-fetched amid the numerous challenges confronting clinical education. Although frameworks for nursing education have proved effective in guiding clinical education, nurse educators in low-income contexts acknowledge the difficulty in identifying appropriate frameworks to guide clinical education. Currently, clinical education in Ghana is compromised and fragmented, and the existing frameworks are not aligned with context-specific needs, resulting in undesirable outputs, and are not informed by practice needs or the needs of the broader community involved in clinical education. A need to develop a framework that aligns with the prevailing needs in clinical nursing education, leading to desirable outcomes, was identified.
Purpose
The current study, therefore, aimed to develop a theory-informed framework to enhance clinical learning and teaching in undergraduate nursing education in Ghana.
Methods
A multi-method research design underpinned by the theory of change logic model guided the development of the framework through a three-phased approach. Preceding the development of the framework, two separate studies were conducted. Triangulated data from the two earlier studies were used to develop a draft framework. Twelve (n = 12) expert stakeholders were purposively invited to participate in a one-day workshop to refine and validate the framework.
Result
The final framework visualises the six theory of change logic model components, and incorporates the best available evidence and stakeholders’ inputs.
Conclusion
The developed framework could enhance clinical learning and teaching in undergraduate nursing education in Ghana.
{"title":"A framework to enhance clinical learning and teaching in undergraduate nursing education in Ghana","authors":"Kafui A. Hobenu , Anthonio O. Adefuye , Florence Naab , Champion N. Nyoni","doi":"10.1016/j.ijans.2025.100830","DOIUrl":"10.1016/j.ijans.2025.100830","url":null,"abstract":"<div><h3>Background</h3><div>Nursing education is intended to produce practice-ready nurses at graduation to render high-quality care to the deserving populace. This expectation is, however, far-fetched amid the numerous challenges confronting clinical education. Although frameworks for nursing education have proved effective in guiding clinical education, nurse educators in low-income contexts acknowledge the difficulty in identifying appropriate frameworks to guide clinical education. Currently, clinical education in Ghana is compromised and fragmented, and the existing frameworks are not aligned with context-specific needs, resulting in undesirable outputs, and are not informed by practice needs or the needs of the broader community involved in clinical education. A need to develop a framework that aligns with the prevailing needs in clinical nursing education, leading to desirable outcomes, was identified.</div></div><div><h3>Purpose</h3><div>The current study, therefore, aimed to develop a theory-informed framework to enhance clinical learning and teaching in undergraduate nursing education in Ghana.</div></div><div><h3>Methods</h3><div>A multi-method research design underpinned by the theory of change logic model guided the development of the framework through a three-phased approach. Preceding the development of the framework, two separate studies were conducted. Triangulated data from the two earlier studies were used to develop a draft framework. Twelve (n = 12) expert stakeholders were purposively invited to participate in a one-day workshop to<!--> <!-->refine<!--> <!-->and validate<!--> <!-->the<!--> <!-->framework.</div></div><div><h3>Result</h3><div>The final framework visualises the six theory of change logic model components, and incorporates the best available evidence and stakeholders’ inputs.</div></div><div><h3>Conclusion</h3><div>The developed framework could enhance clinical learning and teaching in undergraduate nursing education in Ghana.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"22 ","pages":"Article 100830"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143561924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Heart failure represents the most severe and prevalent form of chronic cardiac disease, significantly impacting patients’ quality of life. Scientific evidence has established palliative care as a crucial component in the treatment of heart failure patients. However, limited research has examined how spirituality-based palliative care education affects these patients’ quality of life, death anxiety, and resilience.
Objectives
This study investigated the effects of spirituality-based palliative care education on quality of life, death anxiety, and resilience among heart failure patients in southern Iran.
Methods
This investigation employed a randomized controlled clinical trial design without blinding, incorporating both experimental and control groups. 80 patients who were randomly assigned to intervention and control groups (40 patients per group). Participants were recruited from patients receiving treatment at a teaching hospital in southern Iran between June and October 2022. Participants in the intervention group received spirituality-based palliative care education through six one-hour sessions. Data were collected using three validated instruments; the Minnesota Living with Heart Failure Questionnaire (MLHFQ), the Templer Death Anxiety Scale, and the Connor-Davidson Resilience Scale. Both groups completed these assessments at baseline, immediately post-intervention, and at a three-month follow-up. Data analysis was performed using SPSS version 20, employing descriptive statistics, Chi-square tests, Indipendent sample t test, and Repeated measures ANOVA. Statistical significance was set at P < 0.05.
Results
The mean age of participants was 63.11 ± 12.2 years in the intervention group and 62.14 ± 13.1 years in the control group. In the intervention group, 50 % of participants were married, compared to 30 % in the control group. The majority of patients had completed high school education (50 % in the intervention group and 60 % in the control group). The intervention group showed significant improvements in quality of life, death anxiety, and resilience scores both immediately after the intervention and at the three-month follow-up (p < 0.05). No significant changes were observed in the control group.
Conclusion
The findings demonstrate that spirituality-based palliative care education effectively reduces death anxiety while enhancing quality of life and resilience among heart failure patients. We recommend that healthcare administrators implement this novel educational approach in the care of heart failure patients.
{"title":"Spirituality-based palliative care education on quality of life, death anxiety, and resilience of heart failure patients: Randomized controlled clinical trial","authors":"Roghayeh Balaghi Inaloo , Mostafa Bijani , Leila Nikrouz , Azizallah Dehghan , Abdulhakim Alkamel , Ali Taghinezhad , Zahra Khiyali","doi":"10.1016/j.ijans.2025.100818","DOIUrl":"10.1016/j.ijans.2025.100818","url":null,"abstract":"<div><h3>Background</h3><div>Heart failure represents the most severe and prevalent form of chronic cardiac disease, significantly impacting patients’ quality of life. Scientific evidence has established palliative care as a crucial component in the treatment of heart failure patients. However, limited research has examined how spirituality-based palliative care education affects these patients’ quality of life, death anxiety, and resilience.</div></div><div><h3>Objectives</h3><div>This study investigated the effects of spirituality-based palliative care education on quality of life, death anxiety, and resilience among heart failure patients in southern Iran.</div></div><div><h3>Methods</h3><div>This investigation employed a randomized controlled clinical trial design without blinding, incorporating both experimental and control groups. 80 patients who were randomly assigned to intervention and control groups (40 patients per group). Participants were recruited from patients receiving treatment at a teaching hospital in southern Iran between June and October 2022. Participants in the intervention group received spirituality-based palliative care education through six one-hour sessions. Data were collected using three validated instruments; the Minnesota Living with Heart Failure Questionnaire (MLHFQ), the Templer Death Anxiety Scale, and the Connor-Davidson Resilience Scale. Both groups completed these assessments at baseline, immediately post-intervention, and at a three-month follow-up. Data analysis was performed using SPSS version 20, employing descriptive statistics, Chi-square tests, Indipendent sample <em>t</em> test, and Repeated measures ANOVA. Statistical significance was set at P < 0.05.</div></div><div><h3>Results</h3><div>The mean age of participants was 63.11 ± 12.2 years in the intervention group and 62.14 ± 13.1 years in the control group. In the intervention group, 50 % of participants were married, compared to 30 % in the control group. The majority of patients had completed high school education (50 % in the intervention group and 60 % in the control group). The intervention group showed significant improvements in quality of life, death anxiety, and resilience scores both immediately after the intervention and at the three-month follow-up (p < 0.05). No significant changes were observed in the control group.</div></div><div><h3>Conclusion</h3><div>The findings demonstrate that spirituality-based palliative care education effectively reduces death anxiety while enhancing quality of life and resilience among heart failure patients. We recommend that healthcare administrators implement this novel educational approach in the care of heart failure patients.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"22 ","pages":"Article 100818"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143178472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01DOI: 10.1016/j.ijans.2025.100833
Lebogang B. Phehla
Background
The use of simulation-based learning in nursing education and training has grown in recent years so much that it is nearly impossible for a nurse not to have practiced in simulation environments [with or without the guidance of an instructor] before being credentialed to treat real patients. However, student nurses’ access to a clinical teaching and learning facility like a multidisciplinary clinical simulation laboratory is hindered by several factors that impact negatively on the use of this teaching and learning facility for self-directed simulation-based learning (SSL).
Aim
The study aimed to explore and describe the experiences of student nurses with booking and use of a multidisciplinary clinical simulation laboratory for self-directed simulation-based learning (SSL) at a higher education institution (HEI).
Methods
A qualitative, exploratory, and descriptive design that is contextual in nature was employed in this study. A purposeful sample (N = 19) of student nurses were interviewed through focus group interviews. Data were analyzed using Tesch’s method of data analysis.
Results
Ambiguous booking process of the clinical simulation laboratory for SSL was the main theme with the following subthemes 1) Inadequate information on how student nurses can book simulation laboratory 2) Student nurses not being prioritized 3) Rules for utilizing the clinical simulation laboratory are not clearly defined.
Conclusion
The study participants described their experiences with the booking of the clinical simulation laboratory for SSL brought to light that the ambiguous clinical simulation laboratory booking system contributes to the underutilization of SSL by student nurses.
{"title":"Experiences of student nurses with the booking and use of a multidisciplinary clinical simulation laboratory for self-directed simulation learning at a higher education institution","authors":"Lebogang B. Phehla","doi":"10.1016/j.ijans.2025.100833","DOIUrl":"10.1016/j.ijans.2025.100833","url":null,"abstract":"<div><h3>Background</h3><div>The use of simulation-based learning in nursing education and training has grown in recent years so much that it is nearly impossible for a nurse not to have practiced in simulation environments [with or without the guidance of an instructor] before being credentialed to treat real patients. However, student nurses’ access to a clinical teaching and learning facility like a multidisciplinary clinical simulation laboratory is hindered by several factors that impact negatively on the use of this teaching and learning facility for self-directed simulation-based learning (SSL).</div></div><div><h3>Aim</h3><div>The study aimed to explore and describe the experiences of student nurses with booking and use of a multidisciplinary clinical simulation laboratory for self-directed simulation-based learning (SSL) at a higher education institution (HEI).</div></div><div><h3>Methods</h3><div>A qualitative, exploratory, and descriptive design that is contextual in nature was employed in this study. A purposeful sample (N = 19) of student nurses were interviewed through focus group interviews. Data were analyzed using Tesch’s method of data analysis.</div></div><div><h3>Results</h3><div>Ambiguous booking process of the clinical simulation laboratory for SSL was the main theme with the following subthemes 1) Inadequate information on how student nurses can book simulation laboratory 2) Student nurses not being prioritized 3) Rules for utilizing the clinical simulation laboratory are not clearly defined.</div></div><div><h3>Conclusion</h3><div>The study participants described their experiences with the booking of the clinical simulation laboratory for SSL brought to light that the ambiguous clinical simulation laboratory booking system contributes to the underutilization of SSL by student nurses.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"22 ","pages":"Article 100833"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143550102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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