International Journal of Africa Nursing Sciences最新文献

{"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":"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":"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}

{"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":"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":"Prevalence and risk factors affecting full-term low birth weight among newborns delivered at Debre Markos Comprehensive Specialized Hospital, Northwest Ethiopia, 2025","authors":"Yilkal Dagnaw Melesse ,&nbsp;Getahun Deguale Kebede ,&nbsp;Kumlachew Solomon Wondmu ,&nbsp;Habtamu Ayele ,&nbsp;Haile Amha ,&nbsp;Menberu Gete ,&nbsp;Getachew Tilaye Mihiret ,&nbsp;Kassaw Beyene Getahun","doi":"10.1016/j.ijans.2026.100996","DOIUrl":"10.1016/j.ijans.2026.100996","url":null,"abstract":"<div><h3>Background</h3><div>Low birth weight is defined by the World Health Organization as a weight less than 2500 <!--> <!-->g at birth (5.5 <!--> <!-->lb). It remains a major public health issue worldwide, with a variety of both short- and long-term consequences. Low birth weight is a key indicator of neonatal health and a determinant of infant morbidity and mortality.</div></div><div><h3>Objectives</h3><div>This study estimated the prevalence of low birth weight among full-term newborns and identified associated risk factors at Debre Markos Comprehensive Specialized Hospital, Northwest Ethiopia, in 2025.</div></div><div><h3>Methods</h3><div>An institution-based cross-sectional study was conducted from February to May 2025. Using systematic sampling of deliveries, we enrolled 352 mother–term newborn pairs; after exclusion of preterm births, the analysis of term newborns included 335 pairs. Data were collected by trained bachelor midwives using a structured, pretested interviewer questionnaire (translated to Amharic) and by reviewing delivery records. Data were collected on the Kobo Toolbox (digital data entry), exported to SPSS v25 for cleaning and analysis. Bivariate and multivariable logistic regression models were used to identify independent predictors; adjusted odds ratios and 95% confidence intervals are reported; p &lt; 0.05 was considered significant.</div></div><div><h3>Results</h3><div>Of 352 term newborns, 27 (8.1%) were low birth weight. Independent predictors of term LBW were, maternal age &lt; 20 years (AOR 2.7; 95% CI 1.2–5.7), maternal age &gt; 35 years (AOR 1.2; 95% CI 1.01–3.4), history of abortion (AOR 3.4; 95% CI 2.1–5.7), alcohol use during pregnancy (AOR 4.5; 95% CI 3.5–5.9), presence of comorbidities in pregnancy (AOR 3.1; 95% CI 2.8–4.2), iron supplementation, AOR 4.4 (95% CI 2.4–3.8), P &lt; 0.001, lack of dietary counselling (AOR 3.8; 95% CI 1.8–6.4).</div></div><div><h3>Conclusion</h3><div>The prevalence of full-term low birth weight was relatively low but remains a public health concern. Maternal age, alcohol use, comorbidities, previous abortion, lack of iron supplementation and inadequate nutritional counselling were significant predictors. Strengthening antenatal care services, including maternal education, counselling, early identification, and management of comorbidities, is essential to reduce low birth weight.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 100996"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146090377","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":"Oxygen therapy: Knowledge, attitude, practices, and barriers among nurses and midwives at Tamale Teaching Hospital","authors":"Iddrisu Mohammed Sisala ,&nbsp;Mudasir Mohammed Ibrahim ,&nbsp;Abdul Latif Abdul Rahaman ,&nbsp;Firdaus Ayariga Mustapha ,&nbsp;Ayisha Mohammed ,&nbsp;Abubakari Wuni","doi":"10.1016/j.ijans.2026.100998","DOIUrl":"10.1016/j.ijans.2026.100998","url":null,"abstract":"<div><h3>Background</h3><div>Oxygen therapy is a long-standing, life-saving intervention, but its administration requires careful management to maximize benefits and reduce potential harm.</div></div><div><h3>Aim</h3><div>This study assessed the knowledge, attitudes, practices, and barriers related to oxygen therapy among nurses and midwives at Tamale Teaching Hospital.</div></div><div><h3>Methods</h3><div>A descriptive cross-sectional survey was conducted using a structured, pretested questionnaire administered to 318 nurses and midwives selected through simple random sampling. Data were analyzed using SAS JMP Professional.</div></div><div><h3>Results</h3><div>Overall, 78.3% of participants had good knowledge of oxygen therapy. Knowledge was significantly associated with age, religion, years of experience, rank, educational level, and prior training (p &lt; 0.05). Positive attitudes were observed in 52.8% of respondents and were significantly associated with gender, marital status, cadre, work experience, and education (p &lt; 0.05). Half of the respondents (50.0%) demonstrated good practices. The main barrier to effective oxygen therapy was poor maintenance and functionality of equipment (65.1%).</div></div><div><h3>Conclusion</h3><div>Strengthening nurses’ and midwives’ knowledge, attitudes, and practices, alongside improving oxygen therapy equipment and maintenance, is essential for better patient care.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 100998"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146090536","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":"Correlation between pain self-efficacy and pain management quality among abdominal surgery patients","authors":"Seyedeh Nayereh Falahan ,&nbsp;Zoleykha Rajabi ,&nbsp;Amir Sadeghi ,&nbsp;Naser Kamyari ,&nbsp;Vahid Yousofvand","doi":"10.1016/j.ijans.2026.101003","DOIUrl":"10.1016/j.ijans.2026.101003","url":null,"abstract":"<div><h3>Background</h3><div> <!-->Pain management is a critical concern for patients undergoing abdominal surgery, as insufficient and ineffective pain control can diminish their quality of life and prolong hospital stays. Enhancing patients’ pain self-efficacy may improve their ability to manage pain effectively. Therefore, investigating the relationship between pain self-efficacy and pain management quality is crucial. This study seeks to determine the correlation between pain self-efficacy and pain management quality among abdominal surgery patients.</div></div><div><h3>Methods</h3><div> <!-->This descriptive cross-sectional correlational study investigated 432 patients undergoing abdominal surgery who were admitted to the three general surgery departments of Besat Hospital, affiliated with Hamadan University of Medical Sciences, from March 2022 to May 2023. The data collection instruments included pain self-efficacy and pain management quality questionnaires.</div></div><div><h3>Results</h3><div>A positive correlation was identified between pain self-efficacy and pain management quality among patients undergoing abdominal surgery (r = 0.448, p &lt; 0.001). Additionally, positive correlations were found between self-efficacy and various dimensions of pain management quality, including trust (r = 0.586, p &lt; 0.001), environment (r = 0.265, p &lt; 0.001), and communication (r = 0.409, p &lt; 0.001). However, pain self-efficacy negatively correlated with activity (r = -0.484, p &lt; 0.001).</div></div><div><h3>Limitations</h3><div>The study’s limitations are the convenience sampling method and self-report questionnaires.</div></div><div><h3>Conclusions</h3><div>According to this study’s findings, nurses are recommended to incorporate pain self-efficacy education into their practice to enhance the quality of pain management for these patients within a holistic care framework.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 101003"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146090633","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}