International Journal of Africa Nursing Sciences最新文献

Background

Uncontrolled hypertension in hypertensive patients is a significant public health issue in both developed and developing nations, and it can result in early death and disability on a global scale.

Objective

To assess factors associated with uncontrolled BP among adult patients with hypertension attending Enat General Hospital, Ethiopia.

Method

An institutional-based cross-sectional study design was employed from May 1 to June 30, 2021. A systematic random sampling technique was used to select 403 study participants. Epi-data version 4.6 and SPSS version 25 was used to enter and analyze the data respectively. Variables with P-value < 0.25 in bi-variable logistic regression analysis were imported to multivariate logistic regression analysis. Finally, variables with p-value < 0.05 were declared for statistical significance.

Results

About 47.8% of participants had uncontrolled BP with a response rate of 95%. Abnormal waist circumference (AOR: 3.703, 95% CI 1.690–8.133), moderate stress (AOR: 4.838, 95% CI 2.072–11.294), high stress (AOR: 3.894, 95% CI 1.653–9.170), alcohol use (AOR: 3.097, 95% CI 1.665–5.763), high anxiety (AOR: 4.127, 95% CI 1.120–15.00), borderline anxiety (AOR: 6.560, 95 % CI 2.941–14.633), not eating fruit (AOR: 3.022, 95 % CI 1.430–6.386), medication non-adherence (AOR: 9.266, 95 % CI = 2.054–41.804), salt (AOR: 2.336, 95 % CI 1.269–4.302), and comorbidity (AOR: 3.204, 95 % CI 1.046–9.808) were factors associated with uncontrolled BP.

Conclusions

Uncontrolled BP was strongly correlated with stress, alcohol use, anxiety, less fruit-eating habits, salt intake, medication nonadherence, co-morbidities. Regular follow-up, early care seeking for co-morbidity and the provision of health education regarding lifestyle changes are all recommended.

Introduction

Obstetrics danger signs are the major health problems and cause of mortality among women in developing countries including Ethiopia. To make an informed decision man should know the danger signs of pregnancy, childbirth, and postpartum and be able to act when they occur. In this regard, the role of men as decision-makers cannot be overlooked. However, studies regarding knowledge and associated factors of obstetric danger signs were limited in Ethiopia.

Objectives

This study aimed to assess knowledge and associated factors towards obstetric danger signs among men in Debretabor town North West, Ethiopia.

Method

A community-based cross-sectional study was conducted among 609 participants from February 1 -March 30/2021 in Debre Tabor town. A cluster sampling procedure was used. Data were collected through a pretested semi-structured interviewer-administered questionnaire. Data were entered into Epi data version 4.6 and exported into SPSS version 25 for analysis. All variables with a p-value < 0.2 in the Bivariable analysis were entered into multivariable logistic regression analysis. The statistically significant association of variables was determined based on the Adjusted Odds ratio with a 95 % confidence interval and p-value < 0.05.

Results

Six hundred and nine men were interviewed which made a response rate of 96.9 %. Men’s knowledge of obstetrics danger signs was (44.8 %). In logistic regression analysis the wife's previous obstetrics danger sign (AOR = 5.34,95 %CI (3.49–8.16), diploma and above education (AOR = 7.27, 95 %CI (2.13–8.83), wife's antenatal care (AOR = 2.44, 95 % CI (1.29–4.64), wives gave birth at the hospital (AOR = 4.38, 95 %CI 1.69–11.31) and health development army leader (AOR = 3.86, 95 %CI (1.38–10.75) were associated with knowledge level.

Conclusion

In this study men’s knowledge of obstetrics danger signs was low. Husband’s education, place of delivery, and antenatal care have a great role in improving men’s knowledge. The government and stakeholders should give due emphasis to creating awareness and health education about obstetrics danger signs in this particular community.

Background

Foodborne diarrhea prevention in children under five is simple, but it is critical to address the infection's three components prioritized for preventive intervention. This study has developed a local strategy of preventive measures for foodborne diarrhea in children under five in collaboration with stakeholders (caregivers, community leaders, nurses, doctors and health technicians).

Design and method

A Nominal Group Technique (NGT) was used to develop the strategy in two districts, and 31 stakeholders participated. In the rural area (Marracuene), 16 stakeholders participated, while in the urban area (KaMaxaqueni), 15 stakeholders participated. In each area, the NGT session with stakeholders generated ideas and reached a consensus on what should be done in the strategy as measures to prevent foodborne diarrhea in children under the age of five. The process was inclusive, and the strategy summarized the general agreement.

Findings

In rural areas, stakeholders emphasized the importance of hand washing, improving traditional medicine storage conditions, and not giving traditional medicine to children under six months. The measures in urban areas were environmental hygiene, water treatment, and putting ash inside latrines.

Conclusion

The stakeholders prioritized foodborne diarrhea prevention measures based on the reality of the household. The inclusion of stakeholders in the strategy design brings measures that allow for the mitigation of factors.

Background

Job security is one of the basic needs of nurses and it has a great influence on their willingness to work. The effectiveness of job performance of nurses will reflect on the whole organization’s performance by providing high quality health services.

Aim

The purpose of this study is to investigate the relationship between job security and employee performance among Jordanian nurses.

Method

The study utilized a descriptive, comparative cross-sectional design. It was conducted in two governmental and two private hospitals. A sample of 156 nurses was recruited conveniently to participate in the study. The Job security questionnaire and The Six-Dimension Scale of Nursing Performance were used to collect data.

Results

The mean value of the job security score was (3.26) which reflect a moderate level of job security. The employee performance score average was (2.68) reflecting a high level of job performance. There is a significant moderate positive relationship between job security and employee performance (r = 0.404, p < 0.01). Years of experience as a registered nurse (r = −0.18, p < 0.05), years of experience in the current hospital (r = −0.20, p < 0.05), and years of experience in the current unit (r = −0.19, p < 0.05) had a weak negative but significant relationship with employee performance.

Conclusion

Nurses with moderate levels of job security obtained high scores on job performance. Future research can look into the characteristics of Jordanian nursing work environments that might have contributed to the observed differences between job security and employee performance.

Background

Patient satisfaction is currently a recognized measure of the effectiveness and quality of the healthcare system. It serves as an essential tool in raising the standard of care. This study aimed to examine patients' satisfaction with the quality of nursing care provided.

Methods

A hospital-based cross-sectional study was conducted, involving 400 patients selected through a random selection method, meeting the selection criteria. Data were collected using the “Patient Satisfaction with Nursing Care Quality Questionnaire,” comprising a total of 19 items. The collected data were then analyzed and interpreted using descriptive and inferential statistics. Data were analyzed using STATA software V17.

Results

The study revealed that the highest level of satisfaction (mean 2.31, SD 1.33) was observed in the coordination of care after discharge, specifically nurses' efforts to cater to patients' needs after they left the hospital. The lowest satisfaction level was related to privacy, with provisions for patients' privacy by nurses scoring 3.9 (SD 1.00). Overall, questionnaire scores ranged from 2.31 to 3.9, with an average score of 3.26 (SD 0.64).

Conclusion

Overall, patients expressed general satisfaction with the inpatient nursing care they received, and their perceived needs and care expectations from nurses significantly influenced their satisfaction levels. Therefore, we recommend that hospital administrators regularly assess patient satisfaction levels and provide specialized on-the-job training to nurses to enhance their ability to meet patients' needs and increase their overall satisfaction.

Background

Receiving a cancer diagnosis constitutes a profoundly distressing and disconcerting experience for patients, often resulting in a loss of existential meaning. Consequently, individuals grappling with such diagnoses frequently manifest symptoms of anxiety and sleep disorders, impeding their adaptation to the challenges posed by the illness. In light of this, this research paper explores the correlation between spiritual health, anxiety, and sleep quality among cancer patients.

Methods

The study was conducted in Hamadan, Iran's Shahid Beheshti Hospital's oncology department, over a one-year period. A total of 222 cancer patients were selected through convenience sampling. Data were collected using questionnaires on demographic information, Islamic spiritual health, Beck anxiety, and Pittsburgh sleep quality.

Results

The results showed a negative correlation between spiritual health and anxiety (r = -0.232, p < 0.05), indicating that patients with lower spiritual health had higher anxiety levels. Similarly, there was a negative correlation between anxiety and sleep quality (r = -0.146, p < 0.05), suggesting that higher anxiety was associated with poorer sleep quality. However, there was no significant correlation between spiritual health and sleep quality (r = 0.032, p > 0.05).

Limitations

The limitations of the study include the use of self-report questionnaires and the potential impact of COVID-induced anxiety.

Conclusion

The study concludes that healthcare providers should assess and address the needs of cancer patients, including providing spiritual care, to reduce anxiety and improve sleep quality. Overall, the findings highlight the importance of incorporating spiritual care into cancer patients' treatment plans to enhance their well-being.

Background

Attention Deficit Hyperactive Disorder (ADHD) in children living in South Africa has led to the development and subsequent implementation and evaluation of a model by mothers aimed at facilitating their self-directedness.

Purpose

The study aimed to describe the experiences of mothers of children living with ADHD on implementing the model for the facilitation of self-directedness of the mothers of children living with ADHD.

Design and methods

A qualitative, exploratory, descriptive, and contextual research design was utilized. The population included all mothers of children living with ADHD residing in Gauteng. Six mothers of children living with ADHD were purposefully sampled and implemented the model. Participants had to meet an inclusion criteria.

Results

The findings revealed that the model had a profound transformational and empowering impact on the mothers and their children’s well-being and mental health. These mothers experienced significant improvements in their relationships with their families and other members of the community. The model led to the mothers’ self-direction and discovering their purpose in life.

Conclusion

The mothers experienced that they had acquired skills and were confident in dealing with challenges met with children living with Attention Deficit Hyperactivity Disorder, as well as developed trust in members of the community and family. Thus, the model led to the mothers’ self-direction and discovering their purpose in life as an integral part of mental health.

Background

Although the association between acute kidney injury and heart failure has recently become understood, the patient’s recognition of this relationship is still deficient. The least impact of heart failure on kidney functioning may attributed to promoted patient perception and self-care.

Aims

To identify the impact of heart failure nurse-led education on the perception and self-care behaviours of heart failure patients suffering from acute kidney injury.

Methods

A pre-test-post-test intervention design was implemented. Perception of cardio-renal disease and self-care behaviours were assessed before and after conducting a brief nurse-led educational program focusing on self-care management for heart failure and its association with renal disease using the “Visual Learners” learning model.

Results

A total of fifty patients completed the study. The mean age of the patients was 51.16 years, and 58.0 % were males. The pre-test assessment revealed a moderate deficit in perception and self-care behaviours. However, education improved patients’ perception (t: 3.65, df: 49, SE: 0.34, p < 0.001, CI: 0.61 − 2.19), and self-care behaviours (t: 8.66, df: 49, SE: 1.05, p < 0.001, CI: 7.02 − 11.18). Analysis of covariance suggested that the educational program explained more than 68 % of these improvements.

Conclusion

Providing nurse-led education on self-care behaviours for heart failure patients promoted patients’ recognition of the association of disease with the development of kidney injury.

Background

Post-surgical pain can have a major impact on patients’ postoperative recovery. An in-depth exploration of patients’ post-surgical pain experiences can contribute to improving the quality of postoperative care. This study aimed to explore the post-surgical pain experiences and determinants (related factors) among patients who had undergone abdominal surgeries within Dormaa, Ghana.

Methods

An exploratory, descriptive qualitative study was conducted among 13 adult postoperative patients who were purposively sampled at a health facility in Dormaa, Ghana. Data were collected through individual face-to-face semi-structured interviews. Data were analysed using thematic analysis.

Results

Postoperative patients experienced severe pain after their surgical interventions, which they attributed to previous experience, fear, sadness and excessive thinking. Patients felt mild to severe pain, mainly at the incision site, yet utilised verbal and non-verbal means to express their post-surgical pains. Although nurses responded to patients’ pains through pharmacological and non-pharmacological interventions, some patients resolved not to express pain due to social, cultural, and religious factors related to their age, sex, financial status and faith in God or Allah.

Conclusion

Healthcare professionals should consider postoperative patients’ pain experiences and manage them effectively according to their sociocultural contexts and religious preferences.

Childbearing is associated with memories from experiences encountered during the childbearing journey. Besides the physiological and biological nature of pregnancy and birth, culture influences experiences and the meanings of surroundings. Care providers should be prepared to provide culturally safe care for a positive childbearing experience. Therefore, this study aimed to explore women's experiences with cultural practices during pregnancy and birth for insights to advise responsive healthcare to optimise positive childbearing outcomes.

Methods

A qualitative phenomenological study was conducted between October 2020 and January 2021. A semi-structured interview guide was piloted with two women (one during pregnancy and the other postpartum). Individual interviews and data analysis were conducted inductively and iteratively. Saturation of themes was achieved after interviewing sixteen participants. Two additional interviews did not elicit any new information. Audio-recorded interviews were transcribed and analysed using ATLAS. ti Software version 8.4.4 (1135), following Van Manen's five steps of thematic analysis.

Findings

Three themes emerged: Sexual and Reproductive Health (SRH) encounters, exposure to Cultural Practice during birth, and what women want during pregnancy and childbirth.

Conclusion

Women's voices echoed diverse cultural encounters and exposures that modified their experiences during pregnancy and birth. The study offered a safe platform for the women to provide their narratives while expressing their cultural needs and the care providers' expectations. There is a need to design or reinforce strategies that foster collaborative care and synergy between the triad stakeholders' (skilled birth attendant-woman-traditional birth attendant) care partnership.