International Journal of Africa Nursing Sciences最新文献

{"title":"Developing a Digital Community of Practice to address professional isolation among emergency nurses in Lesotho","authors":"Mahlomola Kutoane ,&nbsp;Tricia Scott ,&nbsp;Petra Brysiewicz","doi":"10.1016/j.ijans.2025.100876","DOIUrl":"10.1016/j.ijans.2025.100876","url":null,"abstract":"<div><h3>Introduction</h3><div>Professional isolation is a deficiency in one’s network of professional relations and is associated with compromised health service delivery and quality of life among health professionals, working in low-resource environments.</div></div><div><h3>Aim</h3><div>This paper describes the design process undertaken to develop a Digital Community of Practice (DCOP) to address professional isolation among emergency nurses in Lesotho.</div></div><div><h3>Method</h3><div>This study is part of a larger, four-cycle collaborative action research project aimed at developing an intervention to manage professional isolation among emergency nurses in low-resource environments. Guided by the Communities of Practice Model’s five-phased life cycle, a Digital Community of Practice was developed. In Cycle One, a needs assessment was conducted through a scoping review and five focus group discussions. Cycle Two involved 13 individual interviews to explore perceptions of professional isolation. In Cycle Three, the research team concluded that a Digital Community of Practice could effectively manage professional isolation among emergency nurses in Lesotho.</div></div><div><h3>Results</h3><div>The preliminary results from the evaluation of the implementation of a digital community of practice show that it was functional, highlighting mutual engagement, joint enterprise, and a shared repertoire. These results show how a digital community of practice enabled Emergency Nurses to gradually implement a change in practice; as well as to recognize and minimize professional isolation among themselves.</div></div><div><h3>Conclusion</h3><div>Combining results from Cycles One and Two, the research team developed and implemented a Digital Community of Practice. The results show that a Digital Community of Practice using WhatsApp may be a useful intervention strategy for managing professional isolation with emergency nurses in marginalised areas.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"23 ","pages":"Article 100876"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144781203","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}

{"title":"Retraction notice to “Nursing-based intervention to optimize the self-prescribed and the misuse of antibiotics among mothers of children less than 5 years” [Int. J. Afr. Nurs. Sci. 20 (2024) 100644]","authors":"Sameer Hamdy Hafez ,&nbsp;Sabry M. Tamam ,&nbsp;Noha Ahmed Mohamed ,&nbsp;Elwaleed Idris Sagiron ,&nbsp;Yahya Hussein Ahmed Abdalla ,&nbsp;Mohammed Ateeg Abdelrahman Ahmed ,&nbsp;Sharfeldin Mohammed Shuib ,&nbsp;Elsadig Eltaher Hamed ,&nbsp;Mohamed Saied Harfoush ,&nbsp;Mohammed Abdulrahman Alshahrani ,&nbsp;Ahmad A. Alshehri ,&nbsp;Ahmed Salah Ali ,&nbsp;Ahmed Loutfy ,&nbsp;Abdalla Mohamed Ahmed Osman Abdalla ,&nbsp;Sadeq Abdo Mohammed Alwesabi ,&nbsp;Ateya Megahed Ibrahim","doi":"10.1016/j.ijans.2025.100832","DOIUrl":"10.1016/j.ijans.2025.100832","url":null,"abstract":"","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"22 ","pages":"Article 100832"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144222729","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}

{"title":"Best-practice guidelines for nurses for the assessment and management of acute trauma-related pain in adult patients: A scoping review","authors":"Yolande N. Magerman,&nbsp;Portia J. Jordan,&nbsp;Chinwe J. Iwu-Jaja,&nbsp;Mariana M. Van der Heever","doi":"10.1016/j.ijans.2025.100888","DOIUrl":"10.1016/j.ijans.2025.100888","url":null,"abstract":"<div><h3>Background</h3><div>Trauma-related pain represents a large proportion of admissions to emergency centres (ECs) across Europe and globally. Best recommendations in the form of best practice guidelines (BPGs) are recommended for effective pain management in any setting. The preliminary search revealed no guidelines specific to the assessment and management of acute trauma-related pain by nurses in the EC, prompting a scoping review. The review aimed to identify, appraise and summarise BPGs for the assessment and management of acute trauma-related pain in adult patients within the EC settings.</div></div><div><h3>Methods</h3><div>Following the PRISMA-ScR framework and JBI methodology for scoping reviews, the researchers conducted a comprehensive search focusing on acute pain, trauma-related pain, pain assessment and management in ECs worldwide. Electronic databases and search engines included PubMed, EBSCOhost, CINAHL, and Guideline Clearinghouses. Data extraction and synthesis focused on guidelines addressing acute pain assessment and management.</div></div><div><h3>Results</h3><div>Between 14 December 2020 to 14 June 2021, a total of 4<!--> <!-->029 records were identified from electronic databases, 1<!--> <!-->379 from guideline repositories and 15 from search engines. After the screening, 34 records were assessed for eligibility, of which 22 were excluded. Twelve BPGs were screened. After the critical appraisal, six guidelines were included.</div></div><div><h3>Conclusion</h3><div>There is a dearth of guidelines for the assessment and management of acute trauma-related pain in ECs. The included guidelines covered medical and trauma emergencies and acute and chronic pain and were not specific to the EC. The paucity of such guidelines in ECs was highlighted, emphasising the need for BPGs.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"23 ","pages":"Article 100888"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145048738","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}

{"title":"Burden and its associated factors of neonatal necrotizing enter colitis among neonates admitted in neonatal intensive care unit in Ethiopia. A systematic review and meta-analysis","authors":"Demewoz Kefale ,&nbsp;Worku Necho Asferie ,&nbsp;Tigabu Munye Aytenew ,&nbsp;Gedefaw Abeje Masresha ,&nbsp;Mahilet Wondim ,&nbsp;Misganaw Abie Tassew ,&nbsp;Kidist Hunegn Setargew ,&nbsp;Yeshiambaw Eshetie ,&nbsp;Solomon Demis Kebede","doi":"10.1016/j.ijans.2025.100899","DOIUrl":"10.1016/j.ijans.2025.100899","url":null,"abstract":"<div><div>Neonatal Necrotizing enterocolitis is the most critical and recurrent gastrointestinal disorder in neonatal intensive care units. Although the overall mortality extends to 50 % related to necrotizing enterocolitis, it can approach 100 % with perforation, peritonitis and sepsis complications. It is the first step to planning management approaches that can contribute to decreasing long term morbidity and mortality. The aim of this systematic review and meta-analysis was to assess the prevalence and its determinant factors of necrotizing enterocolitis among admitted neonates in Ethiopia. The procedure of this systematic review and meta-analysis was registered at the Prospero with a registration number of CRD42023409175. Universal online databases such as PubMed, Cochrane, Google, Google Scholar, SCOPUS, and Web of science and Global health were used to search for articles. Data extraction was commenced with Microsoft Excel and STATA17 was used to conduct the Meta-Analysis. Random effect model analysis was considered when there was evidence of heterogeneity among the studies. The overall pooled prevalence of neonatal necrotizing enterocolitis was 14.4 % (95 % CI; 7.04, 21.85, I² = 95.80 %, p = 0.000). The pooled odds ratio of Birth weight (AOR = 3.75 (95 % CI; 1.72, 5.79), Apgar score (AOR = 2.37 (95 % CI; 1.83, 2.91), maternal infection (AOR = 5.24 (95 % CI; 4.04, 6.45) and prolonged labor (AOR = 2.70 (95 % CI; 1.65, 3.74) had significant statistical association with neonatal necrotizing enterocolitis. This finding concluded that high prevalence and multiple determinant factors of neonatal necrotizing enterocolitis in Ethiopia. This finding recommend that neonatal care programs prioritize targeting maternal infection prevention, improved labor management, and enhanced care for low birth weight neonates and those with low Apgar scores to decrease the unacceptably high burden of neonatal necrotizing enterocolitis and its devastating consequences.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"23 ","pages":"Article 100899"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145104203","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}

{"title":"Sub-optimal birth spacing and associated factors among mothers of children admitted to therapeutic feeding centers with severe acute malnutrition in Oda Bultum Woreda, Eastern Ethiopia: A cross-section study","authors":"Sultan Feyiso ,&nbsp;Tegenu Balcha ,&nbsp;Elias Yadeta ,&nbsp;Yadeta dessie ,&nbsp;Abera kenay Tura","doi":"10.1016/j.ijans.2025.100867","DOIUrl":"10.1016/j.ijans.2025.100867","url":null,"abstract":"<div><h3>Introduction</h3><div>Although several strategies have been implemented, sub-optimal birth space continues to be a serious public health issue in Ethiopia. There is limited information regarding sub-optimal birth spacing among mothers of children with severe acute malnutrition in the study area. Thus, this study aimed to assess the magnitude of sub-optimal birth spacing and it is associated factors among mothers of children admitted to therapeutic feeding centers with severe acute malnutrition in Oda-Bultum Woreda, eastern Ethiopia.</div></div><div><h3>Methods</h3><div>An institutional-based cross-sectional study was carried out among 404 randomly selected mothers of children admitted to therapeutic feeding center with severe acute malnutrition in Oda BultumWoreda, Eastern Ethiopia from October 5 to December 4, 2020. A pretested structured interviewer-administered questionnaire was used. The collected data were entered into EpiData version 3.1 and then exported to SPSS version 25 for analysis. Binary logistic regression was used to examine the association between suboptimal birth spacing and independent variables. A P-value &lt; 0.05 was used to declare a statistical significance.</div></div><div><h3>Results</h3><div>More than half of 213 (52.7%) of the study participants had sub-optimal birth spacing (&lt;33 months). Rural residence (AOR: 1.87; 95% CI: 1.11 – 3.15), younger age at marriage (AOR: 2.92; 95%CI: 1.67––5.10), (AOR: 1.78; 95%CI: 1.07–2.95), not knowing the duration of optimal birth spacing (AOR: 4.12; 95%CI: 1.89–9.00), and shorter breastfeeding duration (AOR: 3.36, 95% CI: 2.09–5.39), and no formal education (AOR: 1.78; 95%CI: 1.07–2.95) were significantly associated with suboptimal birth spacing.</div></div><div><h3>Conclusion</h3><div>In this study, slightly more than half mothers' whose of children with severe acute malnutrition had suboptimal birth spacing. Rural residence, lack of education, younger marital age, lack of knowledge of ideal birth space, and shorter breastfeeding duration were the identified factors that increase the odds of having sub-optimal birth spacing. To optimize birth spacing in the study area, strategies concerning young women and rural communities are recommended.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"23 ","pages":"Article 100867"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144549414","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}

{"title":"Factors associated with utilization of cervical cancer screening services among women at a tertiary hospital in eastern Uganda: A cross sectional study","authors":"Priscillah Kwehayo ,&nbsp;Milton W. Musaba ,&nbsp;Faith Oguttu ,&nbsp;Samuel Olowo ,&nbsp;Lydia Ssenyonga ,&nbsp;Brendah Nambozo ,&nbsp;Solomon Wani ,&nbsp;Ritah Nantale ,&nbsp;David Mukunya ,&nbsp;Julius N Wandabwa","doi":"10.1016/j.ijans.2025.100897","DOIUrl":"10.1016/j.ijans.2025.100897","url":null,"abstract":"<div><h3>Background</h3><div>Globally, cervical cancer can be cured if diagnosed at an early stage and treated promptly. However, this is rarely done in low- and middle-income countries, where the highest rates of cervical cancer incidence and mortality are reported. In Uganda, less than 20% of the targeted population utilize cervical cancer screening services despite these being readily available in health facilities across the country at no cost. We aimed to determine the factors associated with utilization of cervical cancer screening services among women of reproductive age at Mbale regional referral hospital in eastern Uganda.</div></div><div><h3>Methods</h3><div>This was a cross-sectional study involving 355 participants, we recruited clients attending the family planning clinic at Mbale regional referral hospital. We conducted multivariable logistic regression to determine the factors associated with utilization of cervical cancer screening services. Data were analyzed in Stata version 14.1.</div></div><div><h3>Results</h3><div>Only 33/355 (9.3 %) women had ever utilized cervical cancer screening services. Majority of the women 23/33(69.7 %) who had ever screened for cervical cancer, did so after recommendation by a health worker. Utilization of cervical cancer screening services was associated with: maternal age of 30 years and above [Adjusted Odds Ratio (AOR) 11.25 Confidence Interval (CI) (3.67–34.55)] and being more knowledgeable about cervical cancer [AOR 5.13 95 % CI (1.75–15.08)].</div></div><div><h3>Conclusion</h3><div>Adequate knowledge about cervical cancer and level of utilization of cervical cancer screening services was low among women at a regional referral hospital in Eastern Uganda. We recommend the following interventions targeted at increasing access to services and health literacy levels in the community. 1. Integrating cervical cancer screening into existing community outreach programs such as immunization. 2. Use of mass media and text messages in local dialects to communicate information about cervical cancer. 3. Community led campaigns and outreaches aimed at educating the public about risk factors and available methods of prevention of cervical cancer. 4. Health workers are also encouraged to routinely recommend and encourage cervical cancer screening services to all women of reproductive age that are under their care.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"23 ","pages":"Article 100897"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145010316","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}

{"title":"Perception, intention and barriers to breast self-examination practice among reproductive age women attending maternal and child health services at Dilla public health facilities; Dilla, Ethiopia 2024:- a qualitative study","authors":"Hana Bekele Hailu ,&nbsp;Semarya Berhe Lemlem ,&nbsp;Bazie Mekonnen ,&nbsp;Tigistu Gebreyohannis Gebretensaye","doi":"10.1016/j.ijans.2025.100901","DOIUrl":"10.1016/j.ijans.2025.100901","url":null,"abstract":"<div><h3>Background</h3><div>The primary goal of breast self-examination (BSE) is to detect breast cancer at an early stage, which is crucial in reducing its morbidity. However, in low-income countries, many women do not perform BSE due to factors such as lack of knowledge and misconceptions about the practice.</div></div><div><h3>Objective</h3><div>This study aimed to explore the perceptions, intentions, and barriers to BSE among women of reproductive age at Dilla public health facilities.</div></div><div><h3>Methods</h3><div>A qualitative, exploratory study was conducted from February 26 to March 22, 2024, involving women attending maternal and child health services at Dilla public health facilities. Participants were purposively selected, and data were collected through semi-structured in-depth interviews until saturation was reached, with 24 participants interviewed. Each interview lasted 20–30 min. Atlas ti 9 software was used for data analysis.</div></div><div><h3>Results</h3><div>Three main themes emerged: perception, intention, and barriers to BSE. Many women had no intention to practice BSE, believing it was unnecessary. Women who recognized the benefits of BSE for early breast cancer detection were more likely to practice it. Barriers included lack of knowledge about BSE and breast cancer, as well as religious and traditional beliefs that hindered practice.</div></div><div><h3>Conclusion</h3><div>Women who underestimated the importance of BSE were less likely to intend to practice SBE. Personal beliefs, lack of knowledge, and religious and cultural factors mentioned as barriers to Breast self-examination practice among reproductive age women.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"23 ","pages":"Article 100901"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145158052","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}

{"title":"Motivating and inhibitory factors in mask-wearing: Chronic patients’ experiences during the COVID-19 pandemic","authors":"Parvaneh Aghajari ,&nbsp;Mina Hosseinzadeh","doi":"10.1016/j.ijans.2025.100858","DOIUrl":"10.1016/j.ijans.2025.100858","url":null,"abstract":"<div><div>In COVID-19 pandemic mask-wearing has emerged as a critical preventive measure to minimize the risk of virus transmission, particularly for those with underlying health conditions. Chronic patients may face unique challenges related to mask-wearing that can impact their willingness to adhere to recommended practices. This study explores the experiences of chronic patients regarding mask usability and adherence during the COVID-19 pandemic. This qualitative study utilized a conventional content analysis approach to explore the experiences of chronic patients regarding mask usage during the COVID-19 pandemic. Participants were purposively selected from chronic patients visiting healthcare centers in Maragheh, Iran. A total of 25 individuals with various chronic conditions were interviewed. Data were collected through semi-structured interviews. Conventional content analysis as described by Graneheim and Lundman was used to analysis the data. Findings led to the emergence of two categories: 1. Incentives for Mask Wearing with these subcategories: new habit formation and sense of security 2.Barriers to mask usage with these subcategories: uncertainty About the Effectiveness of Masks, Perceived invulnerability after vaccination, Ineffective training of caregivers and Challenges of mask usage. This study highlights that while participants acknowledged the importance of masks, barriers such as skepticism about their effectiveness and discomfort hindered adherence. The findings underscore the need for targeted educational initiatives to address these challenges and promote understanding of mask benefits. A comprehensive approach that combines education, community support, and open communication is essential for empowering chronic patients to protect their health in future public health crises.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"22 ","pages":"Article 100858"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144139671","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}

{"title":"Self-care in nursing: A bibliometric analysis (1976–2023)","authors":"Mahsa Hosseini ,&nbsp;Soheila Shamsikhani ,&nbsp;Masoomeh Noruzi Zamengani ,&nbsp;Sediqullah Ahmadi ,&nbsp;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}

{"title":"A Three-Way Challenge Faced by Patients Living with Diabetic Foot Ulcers at Komfo Anokye Teaching Hospital, Ghana: A Qualitative Study","authors":"Ajaratu Lampinley ,&nbsp;Isaac Hayford Budu ,&nbsp;Abigail Kusi-Amponsah Diji ,&nbsp;Alberta Yemotsoo Lomotey ,&nbsp;Olivia Nyarko Mensah ,&nbsp;Saviour Yao Davor ,&nbsp;Felix Apiribu","doi":"10.1016/j.ijans.2025.100856","DOIUrl":"10.1016/j.ijans.2025.100856","url":null,"abstract":"<div><h3>Background</h3><div>Diabetes Foot Ulcer, DFU, remains a significant public health challenge worldwide, especially in low and middle-income countries LMICs, like Ghana. However, not much has been done to address the challenges facing patients living with DFU in Ghana. This qualitative study investigated the challenges facing patients living with DFU at the Komfo Anokye Teaching Hospital in Ghana, KATH.</div></div><div><h3>Methods</h3><div>In-depth interviews were conducted among 11 purposively sampled individuals living with DFU at KATH to the point of data saturation and analysed using content analysis.</div></div><div><h3>Results</h3><div>The study found three main challenges facing patients living with DFU at KATH. These challenges were economic (cost of treatment of DFU), psychological (fear of amputation, hopelessness and sadness) and social (stigmatization, mobility and inability to attend social functions) in nature.</div></div><div><h3>Conclusion</h3><div>The study advocates for policy interventions to address the economic, psychological, and social challenges faced by patients with DFU. Key among them include regular counselling programs by healthcare providers and religious bodies, strengthening social support networks, integrating psychological support, and incorporating DFU treatment.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"22 ","pages":"Article 100856"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144134269","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}