International Journal of Africa Nursing Sciences最新文献

{"title":"Adherence to intrapartum evidence-based practice and factors associated with it among midwives; a multi-center study","authors":"Eden Bishaw Taye ,&nbsp;Zewdu Wasie Taye ,&nbsp;Tsion Tadesse Haile ,&nbsp;Banchlay Addis ,&nbsp;Mihretie Kibret Awoke ,&nbsp;Melkie Mekonnen Bekele ,&nbsp;Marta Berta Abadi ,&nbsp;Haymanot Alem Muche","doi":"10.1016/j.ijans.2025.100959","DOIUrl":"10.1016/j.ijans.2025.100959","url":null,"abstract":"<div><h3>Background</h3><div>To reduce mortalities and improve outcomes for women and babies, every woman and every newborn must get routine, evidence-based care and management of complications during labour, childbirth, and the early postnatal period. This study aimed to assess midwives adherence to intrapartum evidence-based practice and factors associated with it.</div></div><div><h3>Method</h3><div>Institutional based cross-sectional study design was applied. Data was collected on 190 midwives via observational check list and a self-administered structured questionnaire. The collected data was entered into Epi Data version 3.1, and exported to STATA version 17 for analysis. Descriptive statistics was presented in tables and graphs. Bi-variable and multivariable logistic regression was performed to identify statistically significant variables using a cut-off p &lt; 0.2 in the bi-variable analysis to identify candidate variables for multivariable logistic regression. AOR with 95 % confidence interval was used to declare statistically significant variables on the basis of p &lt; 0.05 in the multivariable logistic regression model.</div></div><div><h3>Result</h3><div>The overall proportion of good adherence towards intrapartum evidence-based practice among Midwives was 58.42 % (95 % CI: 51.22, 65.28 %). Work experience of ≥ 5 years [AOR: 6.43; 95 %CI (3.09, 13.42)], availability of intrapartum care related guidelines in the workplace [AOR: 2.55; 95 %CI (1.16, 5.6)], internet accesses in the hospital [AOR: 2.54; 95 %CI (1.26, 5.94)], attend trainings related to intrapartum EBP [AOR: 2.46; 95 % CI (1.06, 5.7)]. Using scientific journals for health information source [AOR: 2.34; 95 % CI (1.02, 5.38)] were significantly associated with good adherence to intrapartum evidence based practice.</div></div><div><h3>Conclusion</h3><div>The findings have indicated that nearly three fifths of the study participants had good adherence to intrapartum evidence-based practice. Work experience, availability of intrapartum guidelines in the work place, internet access in the hospital, gaining trainings related to intrapartum care, and using scientific journals for health information sources were factors significantly associated with adherence to intrpartum evidence-based practice.</div><div>Abbreviations: AOR, Adjusted Odds Ratio; CI, Confidence Interval; COR, Crude Odds Ratio; EBP, Evidence-Based Practice; FHR, Fetal Heart Rate; SD, Standard Deviation; IV, Intra Venous; WHO, World Heath Organizations.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 100959"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145938569","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":"Occupational risk exposure to HIV among nurses at a mission hospital in Ghana: A descriptive cross-sectional study","authors":"Dorothy Serwaa Boakye ,&nbsp;Emmanuel Konadu ,&nbsp;Emmanuel Kumah ,&nbsp;Richard Osei Agjei ,&nbsp;Azwihangwisi Helena Mavhandu-Mudzusi","doi":"10.1016/j.ijans.2025.100953","DOIUrl":"10.1016/j.ijans.2025.100953","url":null,"abstract":"<div><h3>Introduction</h3><div>Nurses have been clinically involved in HIV/AIDS since the start of the epidemic. Before anti-retroviral therapy was available, nurses mobilised in various cities to care for patients in hospital units and community settings. Due to their multiple contributions to the care and management of patients infected with HIV, they are exposed to multiple risks while performing their duties. However, little is known on the rate of exposure to HIV infections among nurses in Ghana. Thus, this study aimed to ascertain the prevalence of occupational risk exposure to HIV among nurses, determine the medium of the exposures and the immediate measures taken following exposure to a suspected source.</div></div><div><h3>Methods</h3><div>A cross-sectional descriptive study design was conducted among registered nurses at Seventh Day Adventist Hospital, Asamang, Ashanti Region from February to March 2021. An all- inclusive sampling approach was used to invite 235 participants who satisfied the inclusion criteria and were willing to participate. Two hundred and thirty participants completed a self-administered structured questionnaire. Data was analyzed with SPSS version 20.</div></div><div><h3>Results</h3><div>Fifty-six percent (56%) of the nurses have been exposed to HIV at the time of the study. Needle stick injury (60.8%) was the most common mechanism for exposure. The cannular (57.85%) represented the commonest type of needle and setting up an intravenous line (IV cannulation) (33.59%) and dealing with uncooperative patients (23.44%) were the commonest procedure through which an exposure occurred. The measures taken immediately after exposure were washing the affected part under running water (97.39%), identifying the source person and their status, and reporting to the immediate supervisor or the appropriate body (90.8%). Majority adhered to the right practices of universal precaution. Injection safety was the least practiced precaution (54.9%). Of the 56% exposed to HIV sources, 61% took Post Exposure Prophylaxis and 39% did not.</div></div><div><h3>Conclusion</h3><div>The prevalence of occupational risk exposure to HIV was high and was mostly through needle stick injury. The high proportion of the nurses who recapped needles after use indicate the need for interventions that focuses on the provision of resources for sustained training on safe handling and disposable of needles.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 100953"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145977120","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":"Risk factors of cesarean delivery among women in Somalia: evidence from the countrywide demographic and health survey","authors":"Abdisalam Mahdi Hassan ,&nbsp;Muhyadin Yusuf Dahir ,&nbsp;Abdirahman Omer Ali ,&nbsp;Hamda Abdirashid Ali ,&nbsp;Yusuf Abdi Hared ,&nbsp;Md. Moyazzem Hossain","doi":"10.1016/j.ijans.2026.100980","DOIUrl":"10.1016/j.ijans.2026.100980","url":null,"abstract":"<div><h3>Background</h3><div>Cesarean section (CS) rates are rising globally; however, disparities exist, especially in low- and middle-income countries (LMICs) like Somalia, where healthcare access is limited. Therefore, this study aims to identify the risk factors associated with CS delivery in Somalia, with the goal of informing targeted interventions to improve maternal and child health.</div></div><div><h3>Methods</h3><div>This study utilized data extracted from the 2020 Somalia Demographic and Health Survey (SDHS-2020), which is a countrywide, cross-sectional study. The study comprised a total of 1208 women. The association between CS delivery and various socioeconomic and demographic factors was explored by logistic regression.</div></div><div><h3>Results</h3><div>The CS rate in Somalia was found to be 9.35%. Mothers aged 23–28 years (AOR: 1.20, 95% CI: 0.49, 2.92) and 29–34 years (AOR: 1.29, 95% CI: 0.29, 5.77) were approximately 1.2 times more likely to have a cesarean delivery than mothers aged 11–16 years. According to the level of education, a mother with higher education (AOR: 0.48, 95% CI: 0.21, 1.11) had fewer odds of having a cesarean delivery than illiterate mothers. Mothers from the rich families have 0.39 times less odds (AOR: 0.39, 95% CI: 0.12,1.23) of undergoing CS deliveries than mothers from the poor families (0.12,1.23). Higher parity (3 + ) is associated with increased odds of CS delivery, though there is some debate in the literature about the effect of parity on CS delivery. Regional variations existed, with women in certain regions less likely to undergo CS compared to others.</div></div><div><h3>Conclusion</h3><div>Regional disparities in CS utilization in Somalia suggest the need for targeted interventions to improve maternal healthcare access and address regional inequalities, thereby ensuring appropriate and equitable CS utilization and ultimately improving maternal and child health outcomes. Mothers’ education should be increased to increase awareness of the negative health consequences of CS deliveries and to lessen the burden of CS deliveries.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 100980"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145938474","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":"Exploring experiences associated with anticipated nursing Care: A qualitative study","authors":"Ali Safdari ,&nbsp;Amirhossein Sharifi Kelarijani ,&nbsp;Maryam Maddineshat","doi":"10.1016/j.ijans.2025.100971","DOIUrl":"10.1016/j.ijans.2025.100971","url":null,"abstract":"<div><h3>Introduction and Objective</h3><div>Anticipated Nursing Care (ANC) is a fundamental element of contemporary nursing practice, vital for enhancing patient outcomes by proactively recognizing and addressing potential care needs. Despite its acknowledged importance, implementation is often challenged by systemic and contextual barriers. This study examines Iranian nurses’ experiences and perspectives on ANC, highlighting their strategies, obstacles, and adaptive approaches.</div></div><div><h3>Methods</h3><div>Using a conventional content analysis framework, this qualitative study purposively recruited twenty nurses from diverse clinical units across three major hospitals in Hamadan, Iran, to capture rich, varied insights. In-depth, semi-structured interviews were conducted from February to May 2024, allowing participants to share reflections on ANC.</div></div><div><h3>Results</h3><div>Two main categories emerged: “Future-Focused Clinical Intelligence” and “Dynamics in Clinical Transformation”. The first category illustrated proactive strategies through the subcategory of “Pre-Emptive Nursing Responses”, “Forecasting Missed Nursing Care”, and “Defensive Strategies in Nursing Practice”. The second category highlighted nurses’ adaptability in resource-limited settings, through subcategories of “Custom Anticipatory Responses” and “Resource-Based Care Coordination”. Participants’ narratives emphasized how clinical experience, foresight, and strategic planning shape anticipatory nursing actions in everyday practice.</div></div><div><h3>Conclusion</h3><div>Nurses’ anticipatory and conservative practices contribute to patient safety and continuity of care, yet may occasionally impose limitations on care delivery. These findings highlight the need for supportive policies, targeted training, and further research to optimize nursing practice in complex clinical environments.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 100971"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145938409","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":"Workload and work stress association with midwives’ job performance in Ghana: The moderating effect of organisational support","authors":"Roger A. Atinga ,&nbsp;Shahadu Shembla Sayibu ,&nbsp;Alice Ayawine ,&nbsp;John K. Yambah","doi":"10.1016/j.ijans.2025.100954","DOIUrl":"10.1016/j.ijans.2025.100954","url":null,"abstract":"<div><h3>Background</h3><div>Although organisational social support systems have been shown to provide buffering effect on workload and stress association with productivity, this phenomenon remains under-explored in the midwifery profession. Drawing on literature, we hypothesised and tested the moderating effect of organisational social support on the workload, work stress and job performance linkages among Ghanaian midwives.</div></div><div><h3>Methods</h3><div>A cross-sectional survey design using a structured questionnaire to collect data from 219 midwives across referral hospitals in a regional health system. Data were analysed using descriptive statistics, correlations and hierarchical multiple regression models performed from SPSS and backed by simple slope tests.</div></div><div><h3>Results</h3><div>We found that workload is associated with increased stress levels in midwives (<em>β =</em> 0.186; <em>P</em> &lt; 0.01), while job performance is negatively significanlty influenced by both workload (<em>β =</em> -0.436; <em>P</em> &lt; 0.01) and work stress (<em>β =</em> -0.132; <em>P</em> &lt; 0.05). We further found that coworker support might be less helpful to midwives as it strengthens the positive interaction between workload and work stress (<em>β = 0</em>.06; <em>P</em> &lt; 0.05). Both supervisor support and coworker support, however, produced statistically significant moderating effects on work stress interaction with performance (<em>P</em> &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>The findings have practical managerial and policy implications for strengthening midwifery workforce job performance by minimising risk factors of stress and using supervisor support as buffer.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 100954"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145938647","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":"Nurse perspectives on patient safety: knowledge, attitude, and events in West Shoa Hospitals, 2023","authors":"Nimona Amena ,&nbsp;Habonuf Delesa ,&nbsp;Abebe Dechasa ,&nbsp;Befkad Derese","doi":"10.1016/j.ijans.2025.100966","DOIUrl":"10.1016/j.ijans.2025.100966","url":null,"abstract":"<div><h3>Background</h3><div>Patient safety remains a critical component of healthcare quality, directly influencing patient outcomes and the overall effectiveness of health systems. Nurses, as frontline caregivers, play a pivotal role in ensuring the delivery of safe care. Despite the global emphasis on patient safety, there is limited evidence on how these factors manifest. This study therefore addresses a crucial need to inform policy, education, and clinical practice aimed at enhancing patient safety within the regional healthcare system.</div></div><div><h3>Methods</h3><div>An institution based cross-sectional study design was conducted among 423 nurses randomly selected from public hospitals in the west Shoa zone from June 24–July 24, 2023. Data were collected by using self-administered adapted questionnaires, entered into Epi-data version 3.1, and exported to Software Package of Social Science version 27 for analysis. Both bi-variable and multivariable binary logistic regressions were used to assess the association between the outcome variables and the explanatory variables. Variables with a value of less than 0.25 in the Bivariable logistic regression were interred into the multivariable logistic regression model. Variables with a p value &lt; 0.05 at a 95 % confidence level were declared statically significant and finally, result was summarized by tables, graph, and texts.</div></div><div><h3>Results</h3><div>A total of 408 participants completed the study with a response rate of 96.45%..The nurse’s level of knowledge towards patient safety was 54.41%, (95 % CI; 49.4–59.3), Factors like age, working position, and maintaining hand hygiene were significantly associated with knowledge of the nurse toward patient safety and the highest percentage of positive attitude were: team working climate (48,86%), stress recognition (47.%), burnout (45.45%), job satisfaction (44%), safety climate (41.17%), working conditions (38.5%) and management perception (37.15%)..</div></div><div><h3>Conclusion and recommendation</h3><div>The findings suggest nurses’ knowledge and attitudes toward patient safety may be suboptimal in this setting. This points to a possible need for focused interventions to improve awareness and foster a safety culture. Further research is advised to clarify underlying factors and guide effective measures.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 100966"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145938408","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":"Prevalence and associated factors of anemia among pregnant women attending antenatal care at Wolaita Sodo University comprehensive Specialized Hospital, Southern Ethiopia","authors":"Bargude Balta ,&nbsp;Selamawit Degefu ,&nbsp;Esayas Tamirat ,&nbsp;Hizkel Yaya ,&nbsp;Mulualeme Nigusie ,&nbsp;Alemu Bogale","doi":"10.1016/j.ijans.2026.100978","DOIUrl":"10.1016/j.ijans.2026.100978","url":null,"abstract":"<div><h3>Introduction</h3><div>Pregnancy-related anemia remains a major public health problem in low-income countries. However, its prevalence and associated factors have not been adequately studied in Wolaita Sodo, Southern Ethiopia. This study aimed to assess the prevalence and predictors of anemia among pregnant women in South Ethiopia in 2024.</div></div><div><h3>Method</h3><div>A facility-based cross-sectional study was conducted among pregnant women attending antenatal care (ANC) at WSUCSH. We included all 309 pregnant women consecutively during the study period until this number was achieved. Two trained laboratory technologists collected 3 mL of venous blood and stool specimens, while three trained nurses collected socio-demographic, reproductive, clinical, and dietary data. Hemoglobin concentration was measured using an automated Zybio hematology analyzer. Data were entered into Epi Info 7 and exported to SPSS version 26 for analysis. Bivariable and multivariable logistic regression analyses were performed to identify factors independently associated with anemia.</div></div><div><h3>Result</h3><div>The prevalence of anemia in pregnancy was 31 % (95 % CI: 26.2–36.8), with 72 % of cases classified as mild, 25.8 % moderate, and 2.2 % severe. Education level (AOR = 2.3; 95 % CI: 1.1–5; p = 0.04) and dietary diversity (AOR = 12.5; 95 % CI: 4–34.2; p = 0.001) were significant predictors, with women lacking formal education and those with inadequate dietary diversity at higher risk.</div></div><div><h3>Conclusion</h3><div>Anemia among pregnant women in the study area represents a moderate public health concern. Education level and dietary diversity were key predictors, underscoring the need for targeted educational and nutritional interventions to reduce anemia during pregnancy.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 100978"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145938652","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":"Effect of foot reflexology on anxiety and physiological indices in patients undergoing extracorporeal shock wave lithotripsy: A randomized clinical trial study","authors":"Zahra Borzabadi Farahani ,&nbsp;Ali Safdari ,&nbsp;Mohamad Golitaleb ,&nbsp;Sahar Dolatshahi","doi":"10.1016/j.ijans.2025.100944","DOIUrl":"10.1016/j.ijans.2025.100944","url":null,"abstract":"<div><h3>Background</h3><div>Anxiety is a common concern in patients undergoing extracorporeal shock wave lithotripsy (ESWL). Reflexology, as a simple and safe complementary approach, may help reduce anxiety, though evidence in this setting remains limited.</div></div><div><h3>Methods</h3><div>This randomized clinical trial was conducted at Sina Hospital, Arak, Iran, between December 2022 and July 2023. 74 eligible patients undergoing ESWL for the first time were randomized equally to reflexology (n = 37) or control (n = 37). Reflexology consisted of a 20-minute standardized foot massage (10 minutes per foot) administered 30 minutes before lithotripsy. Controls received routine care. The primary outcome was state anxiety measured by the Spielberger State Anxiety Inventory. Secondary outcomes were systolic and diastolic blood pressure, heart rate, and oxygen saturation. Assessments were conducted immediately before and after the intervention. Data were analyzed with paired and independent t-tests.</div></div><div><h3>Results</h3><div>The two groups were homogeneous with respect to baseline demographic and clinical variables. Reflexology significantly reduced anxiety (52.22 ± 5.18 to 46.62 ± 8.30; p &lt; 0.001), whereas controls showed no meaningful change (53.03 ± 5.01 to 51.76 ± 6.54; p = 0.165). Post-intervention between-group difference was significant (p = 0.004; Cohen’s d =  − 0.68). Systolic and diastolic blood pressures declined more in the intervention group (p = 0.032 and p = 0.045, respectively). Heart rate decreased significantly within the reflexology group (p = 0.001) but not between groups.</div></div><div><h3>Conclusion</h3><div>Reflexology reduced pre-procedural anxiety and improved some hemodynamic indices in ESWL patients. As a low-cost, non-invasive adjunct, it can be included in routine care.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 100944"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145938666","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":"Burn fluid resuscitation in a resource-limited setting: knowledge, adherence, and challenges among healthcare workers at a tertiary hospital in Malawi","authors":"Gloria Ng’ambi,&nbsp;Stella Kumwenda,&nbsp;Dickson Mwenitete","doi":"10.1016/j.ijans.2025.100952","DOIUrl":"10.1016/j.ijans.2025.100952","url":null,"abstract":"<div><h3>Introduction</h3><div>Burn injuries remain a significant health concern, both globally and in Malawi. Timely and appropriate fluid resuscitation is critical for preventing shock, organ failure, and mortality in patients with burns. This study assessed healthcare workers’ knowledge, adherence, and challenges in implementing burn fluid resuscitation protocols at a tertiary hospital in Malawi.</div></div><div><h3>Methods</h3><div>A facility-based cross-sectional study was conducted among 79 healthcare workers using a structured questionnaire. Data were analysed using the Statistical Package for Social Sciences (SPSS), version 22, employing descriptive statistics and chi-square tests, with the significance level set at p ≤ 0.05.</div></div><div><h3>Results</h3><div>Most participants were nurses (82.3 %) with a mean age of 34 ± 7.7 years old. Good knowledge of burn fluid resuscitation was observed in (73.4 %) of participants, with (93.7 %) correctly identifying the Parkland formula. However, only (26.6 %) knew the correct urine output (1–2 ml/kg/hour) for paediatric patients. Adherence to fluid resuscitation protocols was generally good, with (84.8 %) using the Parkland formula and (75.9 %) administering the recommended crystalloids (Ringer’s Lactate). Demographic variables were not significantly associated with the participants’ knowledge levels. Key challenges included lack of formal training (82.3 %) and absence of a dedicated burns unit (67.1 %).</div></div><div><h3>Conclusion</h3><div>Although healthcare workers demonstrated good knowledge and adherence, gaps remain in paediatric urine output knowledge, documentation, and fluid adjustment practices. Strengthening continuous professional development, establishing dedicated burn units, and protocol standardisation are recommended to improve outcomes.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 100952"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145938591","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":"Experiences of professional nurses in paediatric wards during COVID-19 pandemic, North West province","authors":"Tshepiso Y. Kgongwane ,&nbsp;Jeanette M. Sebaeng ,&nbsp;Seepaneng S. Moloko-Phiri","doi":"10.1016/j.ijans.2026.100976","DOIUrl":"10.1016/j.ijans.2026.100976","url":null,"abstract":"<div><h3>Background</h3><div>COVID-19 itself is a mild disease in children, although its indirect effects lead to disruptions in the provision of paediatric health care services. Measures to curb the spread of COVID-19 infection resulted in restrictions to routine healthcare access. The lockdown restrictions that were implemented led to a decline in childhood immunisations and admissions that later increased professional nurses’ workload in paediatric wards.</div></div><div><h3>Aim</h3><div>The study aimed to develop a deeper understanding of the experiences of professional nurses in paediatric wards of North West province during the COVID-19 pandemic.</div></div><div><h3>Design</h3><div>Descriptive, exploratory and contextual design was used in the study.</div></div><div><h3>Methods</h3><div>A qualitative method was used. A total of 11 professional nurses working in the paediatric wards of the North West province were purposively selected to participate in the study. In-depth individual interviews were conducted. Ethical considerations were considered.</div></div><div><h3>Data analysis</h3><div>Data was analysed using the Colaizzi method.</div></div><div><h3>Results</h3><div>Three themes emerged from the findings of the study namely, COVID-19 pandemic challenges in paediatric wards, professional nurses developed resilience during COVID-19 pandemic and professional nurses encountered a lack of human and material resources.</div></div><div><h3>Conclusion</h3><div>The findings show that professional nurses worked in difficult situations during the COVID-19 pandemic. Despite these challenges, they developed resilience and other coping strategies.</div></div><div><h3>Recommendations</h3><div>This article recommends contingency plans for future pandemics and support for professional nurses working in paediatric wards to prevent burnout.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 100976"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145977122","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}