International Journal of Africa Nursing Sciences最新文献

{"title":"The effect of social media use on nursing students’ general fatigue: The mediating roles of academic engagement and academic procrastination","authors":"Rashidatu Monne ,&nbsp;Mudasir Mohammed Ibrahim ,&nbsp;Abubakari Wuni ,&nbsp;Barratu Issah ,&nbsp;Flavia A. Atirekpere ,&nbsp;Munira Abdul-Razak ,&nbsp;Abdul Latif Abdul Rahaman ,&nbsp;Iddrisu Mohammed Sisala","doi":"10.1016/j.ijans.2026.101035","DOIUrl":"10.1016/j.ijans.2026.101035","url":null,"abstract":"<div><h3>Background</h3><div>Social media addiction is increasingly prevalent among students and has been linked to negative academic and psychological outcomes. Understanding the mechanisms through which SMA impacts student well-being, particularly fatigue, remains limited in the nursing education context.</div></div><div><h3>Aim</h3><div>This study investigated the mediating roles of academic engagement and academic procrastination in the relationship between social media addiction and general fatigue among college nursing students in Northern Ghana.</div></div><div><h3>Methods</h3><div>A cross-sectional analytical survey was conducted among 373 nursing students. The hypothesized relationships among the variables were tested using structural equation modeling (SEM) in R, with the <em>lavaan</em> package.</div></div><div><h3>Results</h3><div>The average SMA score was 16.36 ± 4.54. The mean scores for academic engagement, procrastination, and general fatigue were 4.25 ± 1.29, 3.06 ± 0.60, and 2.53 ± 0.64, respectively. SMA significantly predicted lower academic engagement (β = -0.29, <em>p</em> &lt; 0.001) and higher academic procrastination (β = 0.32, <em>p</em> &lt; 0.001). Academic engagement negatively predicted both academic procrastination (β = -0.20, <em>p</em> &lt; 0.001) and general fatigue (β = -0.16, <em>p</em> = 0.003), while academic procrastination positively predicted general fatigue (β = 0.14, <em>p</em> = 0.012). The direct effect of SMA on general fatigue was not statistically significant (β = 0.02, <em>p</em> = 0.801). However, significant indirect effects were found through academic engagement (β = 0.06, <em>p</em> &lt; 0.001), and academic procrastination (β = 0.07, <em>p</em> = 0.004).</div></div><div><h3>Conclusion</h3><div>Social media addiction does not directly increase general fatigue among nursing students; rather, its effect occurs indirectly through reduced academic engagement and increased academic procrastination.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"25 ","pages":"Article 101035"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147419263","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":"Global research trends on case managers in chronic disease management: A bibliometric analysis (2005–2025)","authors":"Muhammad Rizky Asfarada ,&nbsp;Ati Surya Mediawati ,&nbsp;Maria Komariah ,&nbsp;Mohd Khairul Zul Hasymi Firdaus ,&nbsp;Sidik Maulana ,&nbsp;Musmulyono","doi":"10.1016/j.ijans.2026.101038","DOIUrl":"10.1016/j.ijans.2026.101038","url":null,"abstract":"<div><h3>Background</h3><div>Chronic diseases are the leading global cause of mortality, and fragmented care can worsen outcomes, especially in health systems with workforce and coordination constraints. Case management-related roles (case managers, care coordinators, patient navigators) are increasingly used to support continuous, integrated, people-centered care. However, prior reviews mainly assess effectiveness in specific diseases or settings and rarely map global publication trends, geographic disparities, collaboration patterns, or thematic evolution.</div></div><div><h3>Aim</h3><div>To map the global research landscape on case management-related roles in chronic disease management (2005–2025), including publication trends, geographic contributions, influential documents, and thematic structures.</div></div><div><h3>Methods</h3><div>A bibliometric analysis was conducted using Scopus and PubMed. English-language articles, reviews, and conference papers (2005–2025) were included. Records were deduplicated and analyzed in VOSviewer using keyword and title/abstract term co-occurrence mapping; screening followed PRISMA 2020.</div></div><div><h3>Results</h3><div>After screening, 574 publications were included. Output increased markedly after the mid-2010 s and was concentrated in high-income countries, with limited representation from low- and middle-income countries. Co-occurrence mapping showed interconnected themes spanning integrated care models, community/navigation approaches, role development, and evaluation/implementation, with recent emphasis on multimorbidity, self-management, and technology-enabled coordination.</div></div><div><h3>Conclusion</h3><div>Research on case management-related roles in chronic disease care has expanded and diversified toward integrated, people-centered, longitudinal care. Future work should strengthen implementation-focused evidence (including outcomes and costs), reduce geographic inequities, and clarify how digital tools are embedded within redesigned care pathways to support scalable and equitable chronic care.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"25 ","pages":"Article 101038"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147419265","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":"The perceived impact of a Student-Led domiciliary midwifery care on Patient-Centered Care: A mixed methods Inquiry into postnatal Mothers’ experiences","authors":"Mary Aleni ,&nbsp;Joshua Epuitai ,&nbsp;Mary Grace Akao ,&nbsp;Richard Mangwi Ayiasi ,&nbsp;Mildred Edna Assusi ,&nbsp;Monicah Andru ,&nbsp;Douglas Tonny Otim ,&nbsp;Tracy Alexis Kakyo","doi":"10.1016/j.ijans.2026.101022","DOIUrl":"10.1016/j.ijans.2026.101022","url":null,"abstract":"<div><h3>Background</h3><div>Domiciliary midwifery care focuses on providing pregnancy, labor, and postpartum care in women’s homes rather than in health facilities, yet this model of care remains underexplored in Uganda.</div></div><div><h3>Purpose</h3><div>To examine the experiences of postnatal mothers with a student-led domiciliary midwifery care and its influence on patient-centered care.</div></div><div><h3>Materials and Methods</h3><div>We conducted a sequential explanatory mixed-methods design among postnatal mothers who had received student-led domiciliary midwifery care. Quantitative data were collected using a patient-centered care (PCC) scale, while qualitative data were collected using in-depth interview. Qualitative data were analyzed using content analysis based on the PCC constructs, while quantitative data were summarized using descriptive statistics.</div></div><div><h3>Results</h3><div>Mothers experienced moderate levels of PCC after completing the student-led domiciliary midwifery care (Mean 3.46 ± 0.704) and were satisfied with the care provided (Mean 4.19 ± 0.804). Respect for patients’ preferences, values, and needs scored highest among the PCC constructs (Mean 4.03 ± 0.94), whereas continuity and transition of care scored lowest (Mean 2.92 ± 1.06). Client’s experience of domiciliary care was shaped by skepticism toward new model of care, the familiarity of home setting versus hospital settings, and care provided by male students.</div></div><div><h3>Conclusion</h3><div>Student-led domiciliary midwifery care had a moderate effect on PCC, with most postnatal women satisfied with the care. The Findings highlight the need to raise community awareness about domiciliary midwifery and the importance of integrating mothers’ experiences into curriculum design.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 101022"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147419746","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":"Medical error and three concealed victims: The patient, healthcare caregivers, and the credibility of the healthcare system","authors":"Pardis Roumiani ,&nbsp;Hadis Roumiani ,&nbsp;Ali Safdari","doi":"10.1016/j.ijans.2025.100940","DOIUrl":"10.1016/j.ijans.2025.100940","url":null,"abstract":"<div><div>Medical errors, including execution and planning failures, remain a critical concern in global healthcare. They are the third leading cause of death in some countries and impose severe consequences not only on patients (first victims) but also on healthcare providers (second victims) and institutions (third victims). Affected professionals often experience emotional distress, while organizations face legal, financial, and reputational damage. Despite limited research on the third victim phenomenon, evidence highlights significant economic impacts, including billions in annual costs. Addressing medical errors requires systemic strategies: fostering a culture of safety, continuous staff education, standardized protocols, improved team communication, and meaningful patient engagement. Non-punitive error reporting and integration of evidence-based technologies and decision-support systems are also crucial. Ultimately, medical errors are not intrinsic to healthcare but reflect systemic weaknesses. Continuous quality improvement, guided by international experience and localized solutions, is essential to reduce errors, support staff well-being, and restore public trust.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 100940"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145797089","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":"South African student nurses’ experiences of preparedness in delivering ethically competent care","authors":"Zizipho Nomqonde ,&nbsp;Charlene Downing","doi":"10.1016/j.ijans.2025.100939","DOIUrl":"10.1016/j.ijans.2025.100939","url":null,"abstract":"<div><h3>Background</h3><div>Student nurses must be thoroughly prepared to assume professional responsibilities. By the time they complete their studies, they should possess a solid foundation of knowledge, critical thinking skills, and the personal qualities essential for ethical and professional behaviour. These traits are crucial for delivering competent nursing care in real-world clinical settings. As ethical challenges in clinical practice increase, developing ethical competence in student nurses becomes crucial. This preparation will equip student nurses with the demands of their future roles and help uphold high standards of care in diverse clinical environments.</div></div><div><h3>Research purpose</h3><div>This study aimed to explore South African student nurses’ experiences of being prepared to deliver ethically competent care.</div></div><div><h3>Methods</h3><div>This study employed a descriptive, qualitative design. Purposive sampling was used to recruit second, third and fourth-year student nurses. Data was collected through focus groups, case studies, and field notes. The data was analysed using thematic analysis. Ethical principles were adhered to throughout the study.</div></div><div><h3>Results</h3><div>The findings revealed several challenges in the delivery of ethically competent care among student nurses. Participants reported that ethically competent care was often neglected in the clinical environment, highlighting a need to return to fundamental nursing principles. They also described the difficulty of navigating ethical dilemmas, particularly when balancing patient rights with practical constraints. Furthermore, discrepancies were noted between the theoretical knowledge gained during training and its practical application in clinical settings, suggesting a gap between learning and practice.</div></div><div><h3>Conclusions</h3><div>This study explored student nurses’ preparedness to deliver ethically competent care. The findings highlight significant challenges in clinical settings and emphasise the need for strategies to address ethical issues. Recommendations include creating a supportive learning environment, assisting students in speaking up during dilemmas, promoting ethical awareness before clinical exposure, boosting morale, using diverse teaching methods, role-modelling ethical care, fostering collaboration between practice and academia, and encouraging student participation.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 100939"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146037238","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":"Practice of evidence-based intrapartum care and its determinants in Gedeo Zone, Ethiopia","authors":"Nigatu Tilahun ,&nbsp;Berhan Tsegaye ,&nbsp;Yitateku Alelign ,&nbsp;Muluken Demeke ,&nbsp;Mesay Milkias ,&nbsp;Ashenafi Assefa ,&nbsp;Worku Getachew ,&nbsp;Zerihun Figa ,&nbsp;Medhanit Woldesenbet ,&nbsp;Anteneh Gashaw","doi":"10.1016/j.ijans.2026.101000","DOIUrl":"10.1016/j.ijans.2026.101000","url":null,"abstract":"<div><h3>Background</h3><div>Evidence-based intrapartum practice involves using the best available research to guide clinical decisions during labor and delivery, from the onset of true labor until one to two hours after the placenta is delivered. This approach aims to enhance the quality of obstetric care by ensuring that the interventions and care strategies used are backed by solid scientific evidence.</div></div><div><h3>Objective</h3><div>This study aims to assess the extent to which evidence-based care is practiced and its associated factors among obstetric care providers in the public health facilities of the Gedeo zone in 2023.</div></div><div><h3>Method</h3><div>Analytical cross-sectional study design was conducted from June 23 to August 23, 2023 among 361 obstetric care providers by using census method in Gedeo Zone, Southern Ethiopia. Data were collected using a self-administered questionnaire and an observational checklist adapted from the World Health Organization. The study included all obstetric care providers in public health facilities. The collected data and coding were entered into Epi Data version 4.6 and analyzed using SPSS version 25. Both bivariate and multivariable logistic regressions were employed to identify associated factors, with statistical significance set at p ≤ 0.05. The results were presented using text, tables, and graphs.</div></div><div><h3>Result</h3><div>The study included 349 participants with a response rate of 97%. The prevalence of evidence-based intrapartum care practices was 45% (95% CI: 40.9, 50.6). Several factors were positively associated with these practices: in-service training related to intrapartum practice (AOR = 2.4, 95% CI: 1.095–5.155), having good knowledge of intrapartum care (AOR = 1.8, 95% CI: 1.086–2.910), access to intrapartum guidelines (AOR = 2.7, 95% CI: 1.557–4.525), and public hospitals (AOR = 3.4, 95% CI: 1.887–6.015) were factors positively associated with evidence-based intrapartum care practices.</div></div><div><h3>Conclusion</h3><div>The magnitude of evidence-based intrapartum practice was lower than WHO recommendations. The findings highlight a need for continuous professional training and the optimization of staffing to ensure providers are dedicated to intrapartum care without competing duties. Furthermore, the results suggest that improving workplace access to updated clinical guidelines is critical for aligning practice with evidence-based standards and enhancing the quality of obstetric care.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 101000"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146090546","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":"Comparing the evolution of the advanced practice nurse role: Insights from Switzerland and Kenya","authors":"Carole Mackavey ,&nbsp;Sara Kohler ,&nbsp;Eunice Ndirangu-Mugo ,&nbsp;Rachel W. Kimani ,&nbsp;Constance S. Shumba ,&nbsp;Benard Daniel Mutwiri ,&nbsp;Colette Henderson ,&nbsp;Anna Jones","doi":"10.1016/j.ijans.2026.100999","DOIUrl":"10.1016/j.ijans.2026.100999","url":null,"abstract":"<div><div>The article explores the evolution of Advanced Practice Nurse (APN) roles in Switzerland and Kenya, highlighting their development, challenges, and influence on healthcare delivery. Despite notable differences in income levels and healthcare infrastructure, both countries are committed to strengthening primary care through the deployment of APNs. Switzerland uses APNs to address provider shortages and improve chronic disease management, whereas Kenya uses them to increase access in underserved areas.</div><div>A comparative analysis explores how regulatory frameworks, educational models, scope of practice, and health system priorities influence the adoption of advanced practice nursing (APN). Switzerland’s established healthcare system supports the integration of APNs, whereas Kenya faces distinct challenges, including workforce shortages and limited public awareness. Despite economic differences, both countries face similar challenges, including regulatory hurdles and cultural barriers.</div><div>The study uses policy documents, regulatory guidelines, and academic literature to analyze key factors, including educational pathways, licensure, prescriptive authority, and healthcare integration. Findings emphasize the importance of strong regulatory frameworks, standardized education, and cultural competence in maximizing the effectiveness of APNs. Embedding Advanced Practice Nurses (APNs) in primary care can help reduce healthcare disparities, improve access, and improve patient outcomes.</div><div>International collaboration is vital for advancing APN development globally. By exchanging insights and best practices, countries can enhance APN education and deployment strategies to address global healthcare challenges, ultimately improving primary care systems and healthcare delivery.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 100999"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146090545","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":"Preoperative anxiety and coping strategies among adult surgical patients at St. Martins De Porres Hospital, Eikwe","authors":"Stephen Aboagye ,&nbsp;Betty Araba Pearce ,&nbsp;Desmond Kofi Ntem ,&nbsp;Esther Amoah ,&nbsp;Riddick Michael Adjei ,&nbsp;Andrew Adjei Druye","doi":"10.1016/j.ijans.2026.101023","DOIUrl":"10.1016/j.ijans.2026.101023","url":null,"abstract":"<div><div>Preoperative anxiety is common among surgical patients and has significant implications for recovery, including increased postoperative complications, longer hospital stays, and reduced patient satisfaction. In Ghana and similar low- and middle-income countries, little is known about patients’ preoperative experiences and coping mechanisms. This study explored the lived experiences of preoperative anxiety and coping strategies employed by adult surgical patients at St. Martin’s De Porres Hospital, Eikwe, Ghana.</div><div>A descriptive phenomenological qualitative design was adopted for this study, with 15 adult surgical patients comprising of 12 females and 3 males within the ages of 19–54 years<strong>.</strong> These participants were sampled purposiv<strong>e</strong>ly and recruited within four weeks after their surgery. Semi-structured interviews were carried out and analyzed thematically using Colaizzi’s seven-step framework with NVivo 12.</div><div>Three overarching themes were identified: manifestations of preoperative anxiety, characterized by fear, sadness, sleep disturbances, and restlessness; triggers of anxiety, including concerns about postoperative pain, fear of complications or death, and lack of prior surgical experience; forms of preparation, comprising physical, physiological, and psychological preparation; and coping strategies, which encompassed problem-focused approaches (hope and faith), emotion-focused strategies (music therapy), and person–environment interactions through family support.</div><div>The study highlights the need for healthcare providers to recognize preoperative anxiety as a critical component of surgical care. Strengthening psychosocial and spiritual support, alongside clinical interventions, may improve patient outcomes and overall surgical experiences.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 101023"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147419747","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":"The correlation between leadership style and adversity quotient among women managers in the health sector in Morocco","authors":"Sahar Bouadel ,&nbsp;Sakhr Ahizoune ,&nbsp;Kenza Hassouni","doi":"10.1016/j.ijans.2026.101015","DOIUrl":"10.1016/j.ijans.2026.101015","url":null,"abstract":"<div><h3>Objective</h3><div>To describe the correlation of leadership styles and adversity quotient among women managers in the Moroccan healthcare sector.</div></div><div><h3>Method</h3><div>Correlational descriptive study. The descriptive method was used to determine the leadership styles of women healthcare managers (n = 40), their adversity quotient along the four CORE dimensions: Control, Ownership, Reach and Endurance. The correlational method was used to determine the significance of the relationship between adversity quotient and leadership styles.</div></div><div><h3>Results</h3><div>This study showed that women managers adopt a transformational leadership style rather than a transactional one. Women managers focus on motivating their staff to achieve organizational goals.</div><div>The study of the adversity quotient in women managers enabled us to specify the level of each dimension of the CORE and consequently the level of the overall adversity quotient. A low level is determined for women managers in relation to the 3 dimensions of control, ownership and endurance, with consecutive scores of 15, 16 and 19.4. A high level of the scope dimension is illustrated by a score of 40. Finally, an average level of the overall adversity quotient score is determined by a score of 90.4.</div><div>The correlation analysis identified two strong significant correlations between the transactional leadership of women managers and the two CORE dimensions of control and ownership, and a correlation between the reach dimension and the idealized influence-behavior scale of the transformational leadership of women managers.</div></div><div><h3>Conclusion</h3><div>Women managers need to be made aware of their leadership style in order to improve their adversity quotient.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 101015"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147420447","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 nurses’ resilience and caregiving experiences in juvenile correctional facilities: A qualitative study","authors":"Hardiyati ,&nbsp;Iyus Yosep ,&nbsp;Meita Dhamayanti ,&nbsp;Veranita Pandia","doi":"10.1016/j.ijans.2026.101033","DOIUrl":"10.1016/j.ijans.2026.101033","url":null,"abstract":"<div><h3>Background &amp; aim</h3><div>Nurses working in juvenile correctional facilities face complex emotional, behavioural, and institutional challenges as they support adolescents in conflict with the law. Resilience is essential for sustaining therapeutic engagement and professional functioning in these high-stress environments, yet little is known about how correctional nurses in Southeast Asia develop and maintain resilience. This study explored the lived experiences of nurses working in juvenile correctional facilities in Indonesia to identify the core dimensions of resilience that shape caregiving practice.</div></div><div><h3>Methods</h3><div>A descriptive qualitative design with a phenomenological approach was used. Ten nurses from two juvenile correctional facilities (LPKA Maros and Mamuju) participated in semi-structured interviews conducted between January and April 2025. Data were analysed using reflexive thematic analysis, supported by member checking, peer debriefing, and NVivo 12. Ethical approval was obtained prior to data collection.</div></div><div><h3>Results</h3><div>Five interrelated themes emerged: (1) emotional regulation, (2) impulse control, (3) causal analysis and problem-solving, (4) empathy, and (5) self-efficacy. These themes illustrate resilience as a dynamic emotional, cognitive, and relational process that enables nurses to manage stress, maintain professional boundaries, and provide stabilising therapeutic guidance to adolescents. The findings extend existing resilience theory by demonstrating how resilience is shaped not only by individual capacity but also by the demands and constraints of correctional settings.</div></div><div><h3>Conclusion</h3><div>This study offers a resilience-based framework with practical relevance for correctional nursing in low-resource settings, including Southeast Asia and Africa. Integrating resilience training, reflective supervision, and organisational support may strengthen nurse well-being and enhance the quality of adolescent rehabilitation services. Further research is recommended to validate these dimensions across diverse correctional contexts.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 101033"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147420859","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}