International Journal of Africa Nursing Sciences最新文献

Background

Respectful civil behaviour of nurses is key to nursing practice and can directly affect quality of patient care. Reports of international studies on incivility in nursing schools is well documented, however little is known about incivility in nursing schools in South Africa. This study aimed to describe the nursing students’ perception of the level and occurrence of incivility in nursing students and faculty at a nursing school at a university in South Africa.

Methods

A quantitative descriptive cross-sectional survey was conducted. A self-administered questionnaire was used to determine the student nurses’ perceptions of levels and occurrence of incivility among nursing students and faculty. The questionnaire included the Incivility in Nursing Education-Revised (INE-R) scale. A sample of 277 was calculated, and an all-inclusive sampling method was used to target all undergraduate nursing students. Data was analysed using IBM Statistical Package for Social Sciences (SPSS) version 27 and descriptive statistics, 95% confidence intervals were used to describe the data and Independent Samples Mann-Whitney U tests were used to compare gender differences.

Results

The questionnaire was completed by 540 (77 %) undergraduate nursing student respondents, between 12 March 2021 and 20 April 2021. Respondents reported low levels of perceived student incivility behaviours (2.07 ± 0.7 [95 %CI 2.0–2.1]), with using a computer, phone, or other media device during class, meetings, activities for unrelated purposes being the highest rated perceived low-level student incivility behaviour (2.52 [95 %CI 2.43–2.62]. Low levels of perceived levels and occurrence of low faculty incivility were reported with respondents rating arriving late for class or other scheduled activities as the highest rated perceived level of low incivility behaviour (1.91 [95 %CI 1.82–1.99]). The highest perceived occurrence for low faculty incivility was being unavailable outside of class (not returning calls or emails, not maintaining office hours) (1.82 [95 %CI 1.74–1.9]).

Conclusion

Though some perceived incivility amongst students and faculty in the selected nursing school exist, the occurrence is perceived to be low. Further investigations should explore the impact of uncivil behaviours in academic theory environments, and the impact on individuals in practice.

Background

Missed nursing care encompasses any aspect of care that is either partially or entirely omitted, delayed, or inadequately carried out. This acknowledged concealed issue poses a serious risk to patients, potentially leading to adverse consequences. So, identifying magnitude of missed nursing care is important to enhancement of nursing care quality and patient safety. The main focus of the study was to assess the extent of missed nursing care and examine into the factors that contribute to it.

Method

From June 10 to July 10, 2023, a mixed study design was implemented among nurses working in public hospitals of Wolaita Zone. Participants were randomly selected using computer-generated random numbers from each working unit and purposive sampling was used for in-depth interview. The results are presented in frequencies, means, and medians. A binary logistic regression model was utilized to evaluate the effects of independent variables on the outcome variables and content thematic analysis were done using the four-step approach of thematic analysis.

Result

The level of missed nursing care was 54.9%. It was significantly associated with availability of resource, nursing teamwork, and job satisfaction. In qualitative analysis, Nurse related factor, Institution related factor, and patient related factors were emerged from the thematic analysis.

Conclusion

The prevalence of missed nursing care was notably high, Nurses are encouraged to engage in effective communication and collaborate closely with fellow nurses and healthcare professionals to reduce instances of missed care.

Background

Globally, an estimated 15 million premature babies are born yearly with over one million complications-related deaths. In Cameroon, nearly 90,000 premature babies are born yearly, However, with affordable care, about 75 percent of these could survive. The objective of this study was to determine factors associated with the adverse neonatal outcome of premature babies within their first week of life in the Yaoundé Central Hospital (YCH).

Methods

A quantitative cross-sectional analytical study was carried out on a sample of 113 women whose premature babies were admitted into the newborn intensive care unit (NICU).

A structured self-administered questionnaire was used and data was analyzed by SPSS version 21 software.

Findings

Three research questions guided the study and were tested at a 0.05 significance level using simple percentages and multiple regression analysis (95 % confidence interval, p-value < 0.05). Premature membrane rupture 81.1 %, amniotic fluid color (green/bloody amniotic fluid) 95.7 % was 7.36 [(95 %, 2.08–10.54; P = 0.030)] and 4.24 [95 %, 3.09–5.69; P = 0.018)] times more likely lead to adverse neonatal outcome. The percentage of prematurity factors such as breech presentation, no colostrum, and no use of kangaroo mother care were (86.4 %), (100.0 %) and (86.4 %) respectively. No intake of colostrum [(RR = 2.52; 95 %, 1.08–5.54; P = 0.004)] no kangaroo mother care [(RR = 0.71; 95 %, 0.28–1.18; P = 0.015)] increase the risk of adverse neonatal outcome in premature babies. For institutional factors, the percentages were placing baby in an incubator 70.0 %, reanimating baby 87.5 %, and baby placed on oxygen 87.7 % with the risk of the event occurring being 10.35 [95 %, 3.99–26.82; P = 0.018)] and 11.04 [95 %, 4.24–15.70; P = 0.047)], respectively.

Background

The Coronavirus 2019 (COVID-19) outbreak rose rapidly and had a strenuous impact on the healthcare systems. As the health system responded to the pandemic, there was a change in the care rendered. Additionally, as more people became infected with the virus, the number of nurses reduced resulting in prolonged working hours and increased burden of care for the remaining few nurses. This study aimed to gain an in-depth understanding of the lived experiences of nurses working in the clinical setting during the COVID-19 pandemic in Ekurhuleni, Gauteng Province.

Methods

The study followed a descriptive phenomenological approach. In-depth interviews were conducted face-to-face and telephonically with thirteen professional nurses who were purposively sampled as they had nursed COVID-19 positive patients in a hospital in Ekurhuleni District, Gauteng Province, South Africa. The audio-recorded interviews were transcribed and inductively analysed using descriptive phenomenological analysis with the aid of the ATLASti Version 9 program.

Findings

Four themes emerged: (1) Nurse’s social life during COVID-19 pandemic. (2) Challenges in the clinical setting during COVID-19 pandemic. (3) COVID-19 pandemic impact on patient care. (4) Nurse’s future recommendations for pandemic management.

Conclusion

The results of this study indicated that professional nurses who nursed COVID-19 patients suffered psychological distress and physical burnout. Having insufficient resources, which included Personal Protective Equipment (PPE) and other equipment exposed the nurses to the possibility of contracting COVID-19. Lack of managerial support worsened poor patient care. Therefore, further studies are needed to improve the procurement of resources and disaster preparedness. Therefore, it is recommended that managerial support which includes offering of professional counselling be done routinely, regular in-service training, and nurses should be involved in decisions affecting patient care.

Implications for nursing management

Managerial support to offer professional routine counselling for improvement of mental wellbeing of the nurses and acknowledge nurses’ input.

Background

Contribution of nursing is crucial for Universal Health Coverage and achieving Sustainable Development Goal 3. Tracer studies help evaluate accountability and demonstrate the impact of nursing educational institutions in a highly competitive job market. The study aimed at assessing the employability of nursing graduates, and perceived quality of the nursing program they pursued in a public tertiary institution in Ghana.

Method

The study employed a descriptive cross-sectional survey. One hundred and ten (1 1 0) nursing graduates responded to a web-based survey. The data were gathered using a customized questionnaire based on the Tarlac State University Graduates Tracer Questionnaire. Data were collected via google forms, and analyzed using descriptive and inferential statistics.

Results

Majority of the participants were females (n = 64, 58.2 %). Most of the participants had completed a Bachelor’s degree at the tertiary institution (n = 101, 91.8 %). A significant proportion of the participants were gainfully employed during the study period (n = 102, 92.7 %) with majority of them working in the public sector (n = 81, 79.4 %). The quality of the diploma or degree program obtained was rated good in most of the areas by over 50 % of the participants. There was no statistically significant association between the highest educational qualification of participants and their perceptions on the quality of the nursing program.

Conclusion

There is the need to conduct this kind of tracer study on a regular basis to keep track of graduate’s progress and obtain feedback on the quality of programs being offered so as to meet the ever-changing needs of society.

Background

The current coronavirus pandemic has profoundly impacted healthcare services across all dimensions. Patient safety culture stands as a pivotal element in enhancing safety and the quality of patient care. This study aimed to compare the patient safety culture in the COVID-19 ward with that in other inpatient wards.

Methods

In this cross-sectional study, 418 nurses were selected through a quota sampling method from an educational hospital in Western Iran. For data collection, the Hospital Survey on Patient Safety Culture (HSOPSC), developed by AHRQ, was utilized. Data were analyzed using descriptive statistics, including mean and standard deviation (SD), as well as analytical statistics such as independent-samples t-test, Mann-Whitney test, Spearman's correlation test, and Kruskal-Wallis test. SPSS 25 was used for analysis, and the significance level was set at p ≤ 0.05.

Results

There was no statistically significant difference between the two groups (p > 0.05), but there were variations in the mean scores within different dimensions. The overall mean score of patient safety culture in the coronavirus ward was 117 ± 20.91, indicating a moderate to low level of patient safety culture in this group. In contrast, in other inpatient wards, the mean score was 122.66 ± 23.47.

Conclusion

In the coronavirus department, due to the heightened patient severity and increased nursing workload, the patient safety culture was rated as weak. Therefore, it demands specific attention from management to provide additional training for healthcare staff, aiming to enhance their performance in coping with stressful and unpredictable conditions.

Objective

The aim of this study is to identify the associated factors of low fifth minute Apgar scores among newborns in Dilla town public health facilities, southern Ethiopia.

Methods

An institution-based case-control study was conducted in Dilla town public health facilities, Southern Ethiopia. The case and control groups were newborns with fifth minute Apgar score of < 7 and ≥ 7, respectively. The study included 534 participants (178 cases and 356 controls). Data were collected through face-to-face interviews and record reviews. Consecutive and systematic random sampling was used to recruit cases and controls, respectively. Bivariate and multivariate analyses were performed. The degree of association between independent and dependent variables was assessed using adjusted odds ratios (ORs) with 95 % confidence intervals (CIs). Finally, variables with a p-value of < 0.05, were consider that had statistically significant.

Results

In this study, No antenatal care follow-up [AOR = 1.74, 95 % CI: (1.12, 2.69)], instrumental mode of delivery [AOR = 2.11, 95 % CI: (1.25, 3.56)], non-vertex presentation [AOR = 6.54, 95 % CI: (2.92, 14.65)], prolonged second stage of labor [AOR = 5.63, 95 % CI: (2.45, 12.95)], and gestational hypertension [AOR = 0.45, 95 % CI: (0.22, 0.86)] were significantly associated with a low fifth minute Apgar score.

Conclusions

This study found that no antenatal care follow-up, instrumental mode of delivery, pregnancy-induced hypertension, prolonged second stage of labor, and non-vertex presentation were all independently associated with low fifth-minute Apgar scores. These findings suggest the need for improved maternal and neonatal care during pregnancy, delivery, and the postpartum period to reduce the risk of low Apgar scores and to improve newborn outcomes.

Background

The clinical learning environment is a multidimensional entity that affects the clinical learning outcomes of nursing students. Most studies in Ethiopia showed that nursing students' clinical competency was below half and their satisfaction with clinical practice is crucial to enhance their competency. However, in Ethiopia satisfaction of nursing students with their clinical learning environment is unknown.

Objective

This study aimed to assess satisfaction with the clinical learning environment and associated factors among undergraduate nursing students.

Methods

Institution-based cross-sectional study was conducted in public universities, in northwest Ethiopia. A total of 416 undergraduate nursing students were selected by a simple random sampling technique. Data were collected by a structured, pre-tested, self-administered questionnaire, entered into Epi-Info and exported to SPSS for analysis. Bivariable and multivariable binary logistic regression analyses were done to test the association. The odds ratio at 95 % CI and P-value < 0.05 was used to ascertain statistical significance.

Results

Of the study participants, one hundred seventy-three (41.6 %) were satisfied with their Clinical learning environment. Third-year students (AOR = 0.41, 95 % CI: 0.22, 0.74), having pre-clinical orientation (AOR = 7.17, 95 % C.I: 3.33, 15.4) comfort on ward rotation (AOR = 2.01, 95 % CI: 1.06, 3.77), less frequent supervision (AOR 0.44, 95 % C.I: 0.24, 0.81), practice at primary hospital (AOR = 3.40, 95 % C.I: 1.20, 9.62), and clinical staff support (AOR = 2.59, 95 % C.I: 1.29, 5.17) were factors significantly associated with their satisfaction.

Conclusion

The nursing students’ satisfaction with their clinical learning environment was low. Thus, it would be better if nursing students have clinical practice in primary hospitals with pre-clinical orientation, and frequent supervision. In addition, it would be better if hospital staff provided support for nursing students while doing procedures.

Background

Nowadays, transferring care plans to the home, shifts the burden of care from medical staff to informal care providers that include family members, spouses, friends, or relatives.

Aims

This study aimed to assess the burden of care and its relationship with the sleep quality of cancer patients' caregivers.

Design

A descriptive-correlational study.

Methods

This study was conducted in a referral center for cancer in Zanjan province, northwest of Iran. 135 caregivers of cancer patients participated. The data were collected using a demographic characteristics questionnaire, Novak and Guest's caregiver burden inventory, and Pittsburgh sleep quality index (PSQI).

Results

The mean (±SD) burden of care and sleep quality of the participants was 45.22 (±17.75) and 8.88 (±4.21), respectively. A significant positive relationship between the burden of care and quality of sleep scores was detected.

Conclusions

Cancer patients' caregivers endure a remarkable burden of care and their quality of sleep is undesirable. Results indicated that an increase in the burden of care reduces the caregivers' quality of sleep. Reducing the burden of care is an effective strategy for improving the caregivers' quality of sleep.

Introduction

Discontinuation of implants is the removal or switch to other methods before duration completion. Despite the improvement in the utilization of implants, discontinuation is high. There are limited studies conducted on implant discontinuation and factors in Bahir Dar City. This research aimed to evaluate the proportion and explanatory variables of discontinuation of implants among users in health facilities in Bahir Dar City, Ethiopia.

Methods

A health facility-based cross-sectional design was conducted on 415 respondents from April 1 to May 30, 2021. Data were collected through face-to-face interview questionnaires using a systematic random sampling method. Epi Data version 3.1 and Statistical Package for Social Sciences were used for data entry and formal analysis, respectively. Logistic regression analyses were used, and a P value less than 0.05 was considered a statistically significant factor for discontinuation.

Results

The overall proportion of discontinuation of implants was 55.3 % (95 % CI: 61.42–69.13). In bivariate logistic regression analysis, sociocultural factors like maternal religion and occupation, were factors for discontinuation of implants. After adjusting other variables in multivariate regression analysis, no formal education (AOR = 0.49; 95 % CI: 0.30–0.82), primary education (AOR = 0.39; 95 % CI: 0.18–0.81), wish to become pregnant (AOR = 2.57; 95 % CI: 1.64 to 4.02), no history of contraceptive use (AOR = 2.01; 95 % CI: 1.19 to 3.38), no counselling on benefits (AOR = 1.68; 95 % CI: 1.08–2.62), and side effects (AOR = 1.95; 95 % CI: 1.21–3.16) were the factors associated with discontinuation.

Conclusion

The overall discontinuation of implants was low compared to the 2016 Ethiopian Demographic Health Survey. Education, desire for pregnancy, no history of contraceptives, lack of counselling on benefits, and side effects were factors for discontinuation.