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Examining the enabling and barrier factors to nursing staff involvement of children in care activities 研究护理人员参与儿童护理活动的有利因素和障碍因素
Q2 Nursing
International Journal of Africa Nursing Sciences
Pub Date : 2024-01-01 DOI: 10.1016/j.ijans.2024.100714
Kwaku Richard Bawah , Wahab Osman , Diana Pireh , Millicent Kala , Vivian Afoko , Feruza Abdulai

Background

Children’s rights to participate in decisions and activities of their lives have been well documented. Due to varied challenges, the implementation of children’s rights to healthcare involvement has not been fully achieved. The unsuccessful implementation could be attributed to factors originating from parents/caregivers, health professionals, children, policymakers, and the healthcare system. Therefore, investigating the barriers and enabling factors to the implementation of children’s rights to healthcare involvement is critical.

Objective

This study therefore examined the enabling and barrier factors to nursing staff involvement of children in care activities.

Methods

An institutional-based cross-sectional design was used to conduct the study at the Evangelical Church of Ghana Hospital, Kpandai. With a total census sampling technique, all nursing staff members providing care to paediatric patients were invited to participate in the study due to the relatively small number of nursing staff. A total of 97 nursing staff members finally participated. An adapted Patient Participation Questionnaire was used for the data collection. Descriptive and inferential analyses were done at p < 0.05 and considered statistically significant.

Results

Out of 116 nursing staff, 97 (83.6% response rate) participated. The frequently reported barrier factors to nurses' involvement of children in care activities were staff uncertainty about children’s competence (78.4%), nurses’ limited knowledge about children’s rights (66%), and children’s age and maturity (65%). On the other hand, regular sensitization of nurses about children’s rights recorded more than 90% of responses as an enabling factor. Nurses who perceived children not to be mature were -1.175 (AOR = 0.309; 95% CI: 0.145–0.658) times less likely to involve children in their care. Nurses who frequently communicated with children were 0.660 (AOR = 1.935; 95% CI: 1.098–3.411) times more likely to involve children in their care.

Conclusion

Nurses' involvement of children in care is largely influenced by their limited knowledge about children’s rights and policies. Therefore, training modules involving children’s rights should be included in the curricula of students in the medical field, while in-service training seminars organized regularly for practicing nurses.

背景儿童有权参与其生活中的决策和活动。由于面临各种挑战，儿童参与医疗保健的权利尚未完全落实。实施不成功的原因可能来自父母/照顾者、医疗专业人员、儿童、政策制定者和医疗系统。因此，调查落实儿童参与医疗保健权利的障碍和有利因素至关重要。本研究因此探讨了护理人员让儿童参与护理活动的有利因素和障碍因素。研究方法在加纳福音教会医院（Kpandai）采用基于机构的横断面设计进行研究。由于护理人员人数相对较少，因此采用了全面普查抽样技术，邀请所有为儿科患者提供护理服务的护理人员参与研究。最终共有 97 名护理人员参与了研究。数据收集采用了经改编的《患者参与问卷》。结果 在 116 名护理人员中，97 人（83.6% 的回复率）参与了研究。护士参与儿童护理活动的常见障碍因素包括：工作人员对儿童能力的不确定性（78.4%）、护士对儿童权利的了解有限（66%）以及儿童的年龄和成熟度（65%）。另一方面，超过 90% 的人认为，定期向护士宣传儿童权利是一个有利因素。认为儿童不成熟的护士让儿童参与护理的可能性要低-1.175（AOR = 0.309；95% CI：0.145-0.658）倍。经常与儿童沟通的护士让儿童参与护理的可能性要高出 0.660 (AOR = 1.935; 95% CI: 1.098-3.411) 倍。因此，应将涉及儿童权利的培训模块纳入医学专业学生的课程，同时定期为在职护士举办在职培训研讨会。
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引用次数: 0
Effect of Monkeypox Nano-Teaching Sessions versus Self-Learning on Nurses’ Knowledge, Attitude, and Confidence in Disease Diagnosis and Management 猴痘纳米教学课程与自学对护士疾病诊治知识、态度和信心的影响
Q2 Nursing
International Journal of Africa Nursing Sciences
Pub Date : 2024-01-01 DOI: 10.1016/j.ijans.2024.100713
Ateya Megahed Ibrahim , Rabab Gad Abd El-kader , Amel Ahmed Elsayed Ibrahim , Dalia Mohamed Abdelkhalik Kishk

Background

Infectious diseases pose a constant threat to public health, necessitating a robust and continually evolving response from healthcare professionals. Despite advancements in medical education, there remains a persistent deficiency in disease-related knowledge among nurses. This study addresses this gap by investigating the impact of nano-teaching sessions compared to self-directed learning on enhancing nurses' knowledge, attitude, and confidence in the diagnosis and management of Monkeypox.

Aim

This study aims to assess and compare the effectiveness of nano-teaching sessions and self-learning in improving nurses' knowledge, attitude, and confidence levels regarding mpox diagnosis and management.

Methods

In the Quasi experimental study, 50 nurses from clinics at both the Students' University Hospital and Mansoura University colleges, Egypt, were randomly assigned to nano-teaching or self-learning groups. Nano-teaching involved interactive sessions over three months, while the self-learning group received study materials. Pre- and post-intervention assessments measured changes using various tools. Statistical analyses were performed using SPSS for Windows version 20.0 (SPSS, Chicago, IL). Approval was obtained from the Research Ethics Committee at the Faculty of Nursing, Mansoura University, under reference number P.0287.

Results

The study involved participants with diverse backgrounds. They primarily relied on the internet for mpox information. Pre-intervention, both study and control groups had low knowledge and confidence levels. Post-intervention, the study group showed significant improvements in knowledge, confidence, attitude, and practice compared to the control. For instance, 88 % of the study group demonstrated high knowledge post-intervention, contrasting with only 22 % in the control (p < 0.001). Correlation analysis revealed strong connections among knowledge, confidence, attitude, and practice, especially post-intervention within the intervention group. Regression analysis highlighted the significant impact of educational level and years of experience on knowledge, confidence, attitude, and practice, underscoring their pivotal role in shaping understanding and behavior concerning mpox.

Conclusion

Nano-teaching sessions emerged as a more effective intervention for enhancing nurses' knowledge, attitude, and confidence in Monkeypox diagnosis and management compared to self-learning. The results underscore the importance of innovative educational strategies tailored to the specific needs of healthcare professionals.

Recommendations:

Based on the study findings, it is recommended that healthcare institutions integrate nano-teaching methodologies into their ongoing education programs. Additionally, further research is warranted to explore the long-term impact of nano-teaching on nurses' clinical practi

背景传染病对公共卫生构成持续威胁，需要医护人员采取强有力且不断发展的应对措施。尽管医学教育在不断进步，但护士在疾病相关知识方面仍然长期存在不足。为了弥补这一不足，本研究将纳米教学课程与自学课程进行了比较，以探讨纳米教学课程对提高护士诊断和处理猴痘的知识、态度和信心的影响。方法在这项准实验研究中，来自埃及学生大学医院和曼苏拉大学学院诊所的 50 名护士被随机分配到纳米教学组或自学组。纳米教学包括三个月的互动课程，而自学组则收到学习材料。干预前和干预后的评估使用各种工具衡量学生的变化。统计分析使用 SPSS for Windows 20.0 版（SPSS，芝加哥，伊利诺伊州）进行。研究获得了曼苏拉大学护理学院研究伦理委员会的批准，批准编号为 P.0287。他们主要通过互联网获取麻风病信息。干预前，研究组和对照组的知识水平和信心水平都很低。干预后，与对照组相比，研究组在知识、信心、态度和实践方面都有显著改善。例如，88%的研究组在干预后表现出较高的知识水平，而对照组只有 22%（p < 0.001）。相关性分析表明，知识、信心、态度和实践之间存在密切联系，特别是在干预组的干预后。回归分析强调了教育水平和工作年限对知识、信心、态度和实践的重要影响，突出了它们在塑造对猴痘的理解和行为方面的关键作用。建议：根据研究结果，建议医疗机构将纳米教学法纳入其持续教育计划中。此外，还需要进一步研究纳米教学对护士临床实践和患者疗效的长期影响。
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引用次数: 0
The state of patient-centered care and associated factors at a large referral hospital in Northwestern Uganda: Perceptions of patients 乌干达西北部一家大型转诊医院以患者为中心的护理现状及相关因素：患者的看法
Q2 Nursing
International Journal of Africa Nursing Sciences
Pub Date : 2024-01-01 DOI: 10.1016/j.ijans.2024.100800
Mary Aleni , Edson Mwebesa , Deus Twesigye , Monicah Andru , Mildred Edna Assusi , Irene Atuhairwe , Allan G. Nsubuga , Helen Ewing , Abbey Roepke

Background

A Patient-Centered Care (PCC) approach to health service delivery is considered one of the essential domains of healthcare quality. This has been shown to improve patient satisfaction with health services and patient outcomes, but it has not been fully embraced in many low and middle income countries.

Purpose

To evaluate patients’ perceptions of PCC and identify the factors influencing perceived PCC at a large referral hospital in Northwestern Uganda.

Materials and Methods

We conducted a descriptive cross-sectional correlational study. Four hundred and eighty (480) patients or their attendants participated in the study. Data was collected using an interviewer administered questionnaire. Statistical analysis was applied at univariate, bivariate and multivariate levels using Stata V.14 to assess the state of PCC, patient perceptions and factors associated with perceived PCC.

Results

Sixty five percent (64.8 %) of the participants perceived they received PCC. Most of the dimensions of PCC were rated high on a 5-point Likert scale, with respect for patient’s values and preferences ranked highest; mean score of 3.9 (SD = 0.9) and coordination of care ranked lowest, mean score of 3.5 (SD = 0.9). Being outpatient, single or never in union had a reduced perception score of PCC. Patients who had heard of PCC had a higher perception of PCC.

Conclusion

Patient-Centered Care was rated optimally at ARRH. All the PCC dimensions were rated highly except coordination of care and information, education and communication which could be improved by building the capacity of health workers in effective communication and coordination of health care services.
背景以患者为中心的医疗服务（PCC）方法被认为是医疗质量的重要领域之一。目的 在乌干达西北部的一家大型转诊医院评估患者对以患者为中心的医疗服务的看法，并确定影响患者对以患者为中心的医疗服务看法的因素。材料与方法 我们进行了一项描述性横断面相关研究。共有 480 名患者或其护理人员参与了研究。数据通过访谈者发放的问卷收集。使用 Stata V.14 进行了单变量、双变量和多变量统计分析，以评估 PCC 的状况、患者感知以及与感知到的 PCC 相关的因素。在 5 分李克特量表中，PCC 的大多数维度都得到了较高的评分，其中尊重患者的价值观和偏好得分最高，平均得分为 3.9 分（标准差 = 0.9），护理协调得分最低，平均得分为 3.5 分（标准差 = 0.9）。门诊患者、单身或从未同居的患者对 PCC 的感知得分较低。曾听说过 PCC 的患者对 PCC 的认知度较高。除了护理协调和信息、教育和沟通外，所有 PCC 方面的评分都很高，这可以通过提高卫生工作者在有效沟通和协调医疗服务方面的能力来改善。
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引用次数: 0
A holistic intervention for alleviating anxiety, depression, and fatigue in cervical cancer 缓解宫颈癌患者焦虑、抑郁和疲劳的综合干预措施
Q2 Nursing
International Journal of Africa Nursing Sciences
Pub Date : 2024-01-01 DOI: 10.1016/j.ijans.2024.100801
Ahmad Mahmoud Saleh , Tahani Mohammed , Hassanat R. Abdel-Aziz

Objective

Evaluate how well an intervention program reduces anxiety, depression, and fatigue.

Methods

The study was carried out at the Postgraduate Institute of Medical Education in a hospital in Lebanon. A randomized controlled trial (RCT) was conducted with 30 patients undergoing radiotherapy or chemotherapy. Participants were randomized into two groups of 15 each using an approach for comprehensive enumeration sampling. The Zung Anxiety Scale, Beck Depression Inventory, and Fatigue Scale were among the research instruments. The study approach involved counseling, home care, and the Progressive Muscle Relaxation technique.

Results

Both groups had comparable sociodemographic and clinical profiles. The study comprised 30 participants, averaging 32 years in the experimental group and 28 years in the control group. Most of the participants were married (74 % experimental, 60 % control), with a significant proportion identified as housewives (87 % control, 60 % experimental). In addition, many had limited education, with 74 % of the experimental group and 67 % of the control group below the primary level. The intervention group, which received counseling, home care and Progressive Muscle Relaxation, experienced significantly greater reductions in anxiety, depression, and fatigue, with p-values below 0.001 for all variables. Statistical analyzes, including paired and independent t-tests, confirmed these findings.

Conclusions

The therapeutic program significantly reduced anxiety, depression, and fatigue in patients undergoing cancer treatment, with p-values less than 0.001. These findings highlight the importance of tailored support, suggesting that integrating such interventions into standard care can improve patients’ mental and emotional well-being.
目的 评估一项干预计划在减轻焦虑、抑郁和疲劳方面的效果。 方法 该研究在黎巴嫩一家医院的医学教育研究生院进行。对 30 名接受放疗或化疗的患者进行了随机对照试验（RCT）。采用全面计数抽样法将参与者随机分为两组，每组 15 人。研究工具包括 Zung 焦虑量表、贝克抑郁量表和疲劳量表。研究方法包括咨询、家庭护理和渐进式肌肉放松技术。研究共有 30 名参与者，实验组平均年龄为 32 岁，对照组平均年龄为 28 岁。大多数参与者已婚（实验组占 74%，对照组占 60%），其中很大一部分人是家庭主妇（对照组占 87%，实验组占 60%）。此外，许多人受教育程度有限，74%的实验组和 67%的对照组受教育程度低于小学水平。干预组接受了心理辅导、家庭护理和渐进式肌肉放松法，其焦虑、抑郁和疲劳程度明显减轻，所有变量的 p 值均低于 0.001。包括配对和独立 t 检验在内的统计分析证实了这些研究结果。结论治疗方案显著减轻了癌症治疗患者的焦虑、抑郁和疲劳，P 值小于 0.001。这些发现凸显了量身定制支持的重要性，表明将此类干预措施纳入标准护理可改善患者的心理和情绪健康。
{"title":"A holistic intervention for alleviating anxiety, depression, and fatigue in cervical cancer","authors":"Ahmad Mahmoud Saleh ,&nbsp;Tahani Mohammed ,&nbsp;Hassanat R. Abdel-Aziz","doi":"10.1016/j.ijans.2024.100801","DOIUrl":"10.1016/j.ijans.2024.100801","url":null,"abstract":"<div><h3>Objective</h3><div>Evaluate how well an intervention program reduces anxiety, depression, and fatigue.</div></div><div><h3>Methods</h3><div>The study was carried out at the Postgraduate Institute of Medical Education in a hospital in Lebanon. A randomized controlled trial (RCT) was conducted with 30 patients undergoing radiotherapy or chemotherapy. Participants were randomized into two groups of 15 each using an approach for comprehensive enumeration sampling. The Zung Anxiety Scale, Beck Depression Inventory, and Fatigue Scale were among the research instruments. The study approach involved counseling, home care, and the Progressive Muscle Relaxation technique.</div></div><div><h3>Results</h3><div>Both groups had comparable sociodemographic and clinical profiles. The study comprised 30 participants, averaging 32 years in the experimental group and 28 years in the control group. Most of the participants were married (74 % experimental, 60 % control), with a significant proportion identified as housewives (87 % control, 60 % experimental). In addition, many had limited education, with 74 % of the experimental group and 67 % of the control group below the primary level. The intervention group, which received counseling, home care and Progressive Muscle Relaxation, experienced significantly greater reductions in anxiety, depression, and fatigue, with p-values below 0.001 for all variables. Statistical analyzes, including paired and independent t-tests, confirmed these findings.</div></div><div><h3>Conclusions</h3><div>The therapeutic program significantly reduced anxiety, depression, and fatigue in patients undergoing cancer treatment, with p-values less than 0.001. These findings highlight the importance of tailored support, suggesting that integrating such interventions into standard care can improve patients’ mental and emotional well-being.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"21 ","pages":"Article 100801"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142660043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Women’s expectations of infertility care in Ghana: A qualitative study 加纳妇女对不孕症治疗的期望：定性研究
Q2 Nursing
International Journal of Africa Nursing Sciences
Pub Date : 2024-01-01 DOI: 10.1016/j.ijans.2024.100802
Deborah Armah , Anna van der Wath , Mariatha Yazbek , Florence Naab

Background

Despite the evidence in favour of holistic fertility treatment, barriers to ensuring access to dedicated, comprehensive care, based on women’s needs, still exist, specifically observed in Ghana, the context of this study.

Objectives

This study explored and described the healthcare expectations of women diagnosed with infertility in Ghana.

Method

An exploratory qualitative design with a purposive sampling technique was used. Participants were recruited from a hospital in Ghana within the Weija-Gbawe constituency and 20 women diagnosed with infertility within their reproductive age participated in the study. Focus group discussions were used to collect data. Data was analyzed through thematic analysis.

Results

Women diagnosed with infertility expect to receive holistic healthcare that will foster their well-being and treatment satisfaction. They expect health assessments to be done regularly and outline various healthcare expectations which include psychological, educational, spiritual, social, and financial expectations. Participants expected treatment at dedicated infertility clinics where providers involve their partners in the treatment program.

Conclusion

The care of women diagnosed with infertility did not fulfil their expectations as most of their needs were overlooked. Holistic care, based on a bio-psychosocial model is recommended to enhance positive fertility treatment experiences and optimal healthcare for women with infertility.
背景尽管有证据表明整体生育治疗是可行的，但在确保获得基于妇女需求的专门、全面的护理方面仍然存在障碍，本研究在加纳的背景下尤其注意到了这一点。从加纳 Weija-Gbawe 选区的一家医院招募了 20 名被诊断为育龄期不孕症的妇女参与研究。研究采用焦点小组讨论的方式收集数据。结果被诊断出患有不孕症的妇女希望得到全面的医疗保健服务，以提高她们的幸福感和治疗满意度。她们希望定期进行健康评估，并概述了对医疗保健的各种期望，其中包括心理、教育、精神、社会和经济期望。参与者希望在专门的不孕不育诊所接受治疗，在那里，医疗服务提供者会让她们的伴侣参与到治疗计划中来。建议采用基于生物-心理-社会模式的整体护理，为不孕症妇女提供积极的生育治疗体验和最佳的医疗保健服务。
{"title":"Women’s expectations of infertility care in Ghana: A qualitative study","authors":"Deborah Armah ,&nbsp;Anna van der Wath ,&nbsp;Mariatha Yazbek ,&nbsp;Florence Naab","doi":"10.1016/j.ijans.2024.100802","DOIUrl":"10.1016/j.ijans.2024.100802","url":null,"abstract":"<div><h3>Background</h3><div>Despite the evidence in favour of holistic fertility treatment, barriers to ensuring access to dedicated, comprehensive care, based on women’s needs, still exist, specifically observed in Ghana, the context of this study.</div></div><div><h3>Objectives</h3><div>This study explored and described the healthcare expectations of women diagnosed with infertility in Ghana.</div></div><div><h3>Method</h3><div>An exploratory qualitative design with a purposive sampling technique was used. Participants were recruited from a hospital in Ghana within the Weija-Gbawe constituency and 20 women diagnosed with infertility within their reproductive age participated in the study. Focus group discussions were used to collect data. Data was analyzed through thematic analysis.</div></div><div><h3>Results</h3><div>Women diagnosed with infertility expect to receive holistic healthcare that will foster their well-being and treatment satisfaction. They expect health assessments to be done regularly and outline various healthcare expectations which include psychological, educational, spiritual, social, and financial expectations. Participants expected treatment at dedicated infertility clinics where providers involve their partners in the treatment program.</div></div><div><h3>Conclusion</h3><div>The care of women diagnosed with infertility did not fulfil their expectations as most of their needs were overlooked. Holistic care, based on a bio-psychosocial model is recommended to enhance positive fertility treatment experiences and optimal healthcare for women with infertility.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"21 ","pages":"Article 100802"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142697784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An examination of the prevalence of khat chewing and its contributing factors among high school students in Addis Ababa, Ethiopia, using a cross-sectional survey design 采用横断面调查设计，研究埃塞俄比亚亚的斯亚贝巴高中生咀嚼阿拉伯茶的普遍程度及其诱因
Q2 Nursing
International Journal of Africa Nursing Sciences
Pub Date : 2024-01-01 DOI: 10.1016/j.ijans.2024.100793
Alembante Fikadu Lemma , Urban Robert , Lajtai Laszlo

Background

Khat (Catha edulis) is not just a substance but a cultural phenomenon in Ethiopia. This tiny tree induces euphoria by chewing its sensitive leaves and buds. It is grown in several locations in Ethiopia due to its high local and international demand. Khat is widely used for social and religious purposes, with users reporting a rise in spirit, sharper thinking, and vitality. Understanding the prevalence and factors associated with khat chewing among high school students in Addis Ababa is crucial for appreciating the cultural context and addressing the associated health issues.

Methods

A rigorous cross-sectional design was employed, ensuring a comprehensive understanding of the current khat chewing situation among high school students in Addis Ababa. The study was conducted in Addis Ababa’s high schools, with 349 out of 529 students participating, a significant sample size. A simple random sampling technique was applied, enhancing the representativeness of the findings. A structured self-administered questionnaire was used, and descriptive and inferential statistics were applied to analyze the collected data, ensuring the reliability and validity of the results.

Results

The prevalence of current khat chewing was 56.9 %. The fundamental reasons for current khat chewing were enjoyment, feeling better, overcoming bad moods or feelings, and feeling good while depressed or nervous. After conducting a multivariate logistic regression, the factors associated with current khat chewing behavior were Orthodox Christianity (AOR 0.62, 95 % CI: 0.17, 0.75), and Muslims (AOR 0.61, 95 % CI: 0.01, 0.96), students living with family members (AOR 1.96, 95 % CI: 0.22, 2.12), from urban areas (AOR 3.84, 95 % CI: 1.74, 8.50), with a monthly income of 2000 Ethiopian Birr (AOR 0.32, 95 % CI: 0.20, 0.51), students who study in Temenja Yazh High School (AOR 10.29, 95 % CI: 1.13, 93.29), who are in their 11th grade (AOR 2.62, 95 % CI: 1.25, 5.50), consumes 250 g or less of khat (AOR 7.54, 95 % CI: 2.17, 26.2), daily khat use (AOR 10.09, 95 % CI: 2.16, 47.10), spent 3 to 5 h (AOR 0.21, 95 % CI: 0.79, 0.60), and prefers 12:00–3:00 PM for chewing (AOR 0.09, 95 % CI: 0.02, 0.43).

Conclusion

High school students in Addis Ababa, Ethiopia, reported using khat. Further research is needed to better understand how khat use affects academic achievement and health-related issues.
背景阿拉伯茶（Catha edulis）在埃塞俄比亚不仅是一种物质，还是一种文化现象。这种小树通过咀嚼其敏感的叶片和花蕾来引起兴奋。由于当地和国际市场对阿拉伯茶的需求量很大，埃塞俄比亚的许多地方都种植阿拉伯茶。哈特被广泛用于社交和宗教目的，使用者称其精神亢奋、思维敏锐、充满活力。了解亚的斯亚贝巴中学生咀嚼阿拉伯茶的流行程度和相关因素，对于了解文化背景和解决相关健康问题至关重要。研究采用了严格的横断面设计，确保全面了解亚的斯亚贝巴中学生咀嚼阿拉伯茶的现状。研究在亚的斯亚贝巴的高中进行，529 名学生中有 349 人参与，样本量相当大。研究采用了简单随机抽样技术，提高了研究结果的代表性。采用了结构化自填问卷，并运用描述性和推论性统计方法对收集到的数据进行分析，以确保结果的可靠性和有效性。目前咀嚼阿拉伯茶的基本原因是享受、感觉更好、克服不良情绪或感觉，以及在抑郁或紧张时感觉良好。在进行多元逻辑回归后，与目前咀嚼阿拉伯茶行为相关的因素有东正教（AOR 0.62，95 % CI：0.17，0.75）和穆斯林（AOR 0.61，95 % CI：0.01, 0.96）、与家人住在一起的学生（AOR 1.96, 95 % CI: 0.22, 2.12）、来自城市地区的学生（AOR 3.84, 95 % CI: 1.74, 8.50）、月收入为 2000 埃塞俄比亚比尔的学生（AOR 0.32, 95 % CI: 0.20, 0.51）、就读于 Temenja Yazh 高中的学生（AOR 10.29，95 % CI：1.13，93.29）、11 年级学生（AOR 2.62，95 % CI：1.25，5.50）、消费卡塔叶 250 克或以下（AOR 7.54，95 % CI：2.17，26.2）、每天使用卡塔叶（AOR 10.结论埃塞俄比亚亚的斯亚贝巴的高中生报告使用阿拉伯茶。要更好地了解阿茶的使用对学习成绩和健康相关问题的影响，还需要进一步的研究。
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引用次数: 0
The broken bond: Exploring child-to-parent violence and its spiritual and sociodemographic potential predictors among university students in Tabriz, Iran 破碎的纽带：探索伊朗大不里士大学生中儿童对父母的暴力行为及其精神和社会人口潜在预测因素
Q2 Nursing
International Journal of Africa Nursing Sciences
Pub Date : 2024-01-01 DOI: 10.1016/j.ijans.2024.100774
Mohammad Khalili , Mina Hosseinzadeh , Mohammad Hasan Sahebihagh , Mojgan Mirghafourvand , Amirmohammad Dahouri

Objectives

This study investigates the prevalence and risk factors of child-to-parent violence (CPV) among university students in Tabriz.

Methods

Using a cross-sectional design, 500 first-year students from Tabriz University of Medical Sciences were surveyed with questionnaires. Data analysis was conducted using SPSS version 16.

Results

The findings revealed a concerning prevalence of controlling and psychological violence towards both mothers (48 %) and fathers (44 %). Boys demonstrated a lower likelihood of violence against their father (aOR=0.44; 95 % CI: 0.30 to 0.64) and mother (aOR=0.41; 95 % CI: 0.28 to 0.60) compared to girls. Students in the paramedical group exhibited a 54 % and 77 % lower probability of violence against their father (aOR=0.46; 95 % CI: 0.17 to 0.65) and mother (aOR=0.33; 95 % CI: 0.25 to 0.84) respectively, compared to those in the medical group. Spiritual well-being did not show a significant association with CPV towards fathers (p = 0.379) and mothers (p = 0.186).

Discussion

These findings underscore the need for multi-pronged interventions. Equipping students with healthy communication skills, expanding mental health services, and implementing preventive programs targeting adolescents could be crucial in addressing CPV. For nursing practice, this research provides a basis for developing care strategies that incorporate mental health support and communication skill enhancement.

本研究调查了大不里士大学生中子女对父母暴力（CPV）的发生率和风险因素。方法采用横断面设计，对大不里士医科大学的 500 名一年级学生进行了问卷调查。结果调查结果显示，对母亲（48%）和父亲（44%）的控制暴力和心理暴力的发生率很高。与女生相比，男生对父亲（aOR=0.44；95 % CI：0.30 至 0.64）和母亲（aOR=0.41；95 % CI：0.28 至 0.60）施暴的可能性较低。与医疗组学生相比，辅助医疗组学生对父亲（aOR=0.46；95 % CI：0.17 至 0.65）和母亲（aOR=0.33；95 % CI：0.25 至 0.84）施暴的概率分别降低了 54 % 和 77 %。精神健康与父亲（p = 0.379）和母亲（p = 0.186）的 CPV 没有明显关系。让学生掌握健康的沟通技巧、扩大心理健康服务以及实施针对青少年的预防计划，对于解决 CPV 问题至关重要。对于护理实践而言，本研究为制定包含心理健康支持和提高沟通技巧的护理策略提供了依据。
{"title":"The broken bond: Exploring child-to-parent violence and its spiritual and sociodemographic potential predictors among university students in Tabriz, Iran","authors":"Mohammad Khalili ,&nbsp;Mina Hosseinzadeh ,&nbsp;Mohammad Hasan Sahebihagh ,&nbsp;Mojgan Mirghafourvand ,&nbsp;Amirmohammad Dahouri","doi":"10.1016/j.ijans.2024.100774","DOIUrl":"10.1016/j.ijans.2024.100774","url":null,"abstract":"<div><h3>Objectives</h3><p>This study investigates the prevalence and risk factors of child-to-parent violence (CPV) among university students in Tabriz.</p></div><div><h3>Methods</h3><p>Using a cross-sectional design, 500 first-year students from Tabriz University of Medical Sciences were surveyed with questionnaires. Data analysis was conducted using SPSS version 16.</p></div><div><h3>Results</h3><p>The findings revealed a concerning prevalence of controlling and psychological violence towards both mothers (48 %) and fathers (44 %). Boys demonstrated a lower likelihood of violence against their father (aOR=0.44; 95 % CI: 0.30 to 0.64) and mother (aOR=0.41; 95 % CI: 0.28 to 0.60) compared to girls. Students in the paramedical group exhibited a 54 % and 77 % lower probability of violence against their father (aOR=0.46; 95 % CI: 0.17 to 0.65) and mother (aOR=0.33; 95 % CI: 0.25 to 0.84) respectively, compared to those in the medical group. Spiritual well-being did not show a significant association with CPV towards fathers (p = 0.379) and mothers (p = 0.186).</p></div><div><h3>Discussion</h3><p>These findings underscore the need for multi-pronged interventions. Equipping students with healthy communication skills, expanding mental health services, and implementing preventive programs targeting adolescents could be crucial in addressing CPV. For nursing practice, this research provides a basis for developing care strategies that incorporate mental health support and communication skill enhancement.</p></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"21 ","pages":"Article 100774"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214139124001203/pdfft?md5=4b1dca7db017efd9ccf1845612aca362&pid=1-s2.0-S2214139124001203-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142129154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
HIV/AIDS-related knowledge, attitudes and perceptions of urban Ghanaian pregnant women: Results of a qualitative study 加纳城市孕妇与艾滋病毒/艾滋病有关的知识、态度和看法：定性研究的结果
Q2 Nursing
International Journal of Africa Nursing Sciences
Pub Date : 2024-01-01 DOI: 10.1016/j.ijans.2024.100785
Awinaba Amoah Adongo, Jonathan Mensah Dapaah, Bright Addo

Introduction

Knowledge, attitudes, and perceptions (KAPs) regarding HIV/AIDS is one of the cornerstones in the fight against the disease. Mortality and morbidity among HIV-infected pregnant or postpartum women are reported to be eight times higher than their HIV-uninfected counterparts. Preventing mother-to-child transmission (PMTCT) strategies can be more effective if women, particularly pregnant women, have comprehensive knowledge about HIV/AIDS.

Methods

This qualitative study was designed to explore the knowledge, attitudes, and perceptions of HIV/AIDS among 18 pregnant women attending antenatal care in a health facility in Accra, Ghana. Data was collected through individual in-depth interviews, transcribed and thematically analysed using the six steps identified by Braun and Clarke.

Results

Three themes emerged from the analysis: (a) Pregnant women’s knowledge of the causes and transmission of HIV/AIDS, (b) Attitude towards HIV/AIDS and HIV testing, and (c) Perceptions about pregnant women living with HIV. We found the knowledge of the causes and mode of HIV transmission among the pregnant women to be relatively high. However, testing to determine their HIV status was low, owing to factors such as fear of testing positive, the stigma, discrimination, and prejudice associated with HIV/AIDS, and misconceptions some had about how the virus could be contracted (spiritually), which necessitated spiritual assistance before, during, and after testing.

Conclusion

The findings underscore the need for health professionals to address myths and superstitions about HIV/AIDS during antenatal care visits to encourage and improve testing uptake among pregnant women.
导言有关艾滋病毒/艾滋病的知识、态度和观念（KAPs）是抗击该疾病的基石之一。据报道，感染艾滋病毒的孕妇或产后妇女的死亡率和发病率是未感染艾滋病毒的妇女的八倍。如果妇女（尤其是孕妇）对艾滋病毒/艾滋病有全面的了解，预防母婴传播（PMTCT）策略就会更加有效。这项定性研究旨在探讨加纳阿克拉一家医疗机构中 18 名接受产前护理的孕妇对艾滋病毒/艾滋病的了解、态度和看法。结果分析得出三个主题：(a) 孕妇对艾滋病毒/艾滋病病因和传播途径的了解，(b) 对艾滋病毒/艾滋病和艾滋病毒检测的态度，以及 (c) 对感染艾滋病毒孕妇的看法。我们发现，孕妇对艾滋病毒传播的原因和方式的了解程度相对较高。然而，由于害怕检测结果呈阳性、与艾滋病毒/艾滋病相关的污名、歧视和偏见，以及一些人对如何感染病毒（精神上）的误解，在检测前、检测期间和检测后都需要精神上的帮助，因此为确定其艾滋病毒感染状况而进行检测的比例很低。
{"title":"HIV/AIDS-related knowledge, attitudes and perceptions of urban Ghanaian pregnant women: Results of a qualitative study","authors":"Awinaba Amoah Adongo,&nbsp;Jonathan Mensah Dapaah,&nbsp;Bright Addo","doi":"10.1016/j.ijans.2024.100785","DOIUrl":"10.1016/j.ijans.2024.100785","url":null,"abstract":"<div><h3>Introduction</h3><div>Knowledge, attitudes, and perceptions (KAPs) regarding HIV/AIDS is one of the cornerstones in the fight against the disease. Mortality and morbidity among HIV-infected pregnant or postpartum women are reported to be eight times higher than their HIV-uninfected counterparts. Preventing mother-to-child transmission (PMTCT) strategies can be more effective if women, particularly pregnant women, have comprehensive knowledge about HIV/AIDS.</div></div><div><h3>Methods</h3><div>This qualitative study was designed to explore the knowledge, attitudes, and perceptions of HIV/AIDS among 18 pregnant women attending antenatal care in a health facility in Accra, Ghana. Data was collected through individual in-depth interviews, transcribed and thematically analysed using the six steps identified by Braun and Clarke.</div></div><div><h3>Results</h3><div>Three themes emerged from the analysis: (a) Pregnant women’s knowledge of the causes and transmission of HIV/AIDS, (b) Attitude towards HIV/AIDS and HIV testing, and (c) Perceptions about pregnant women living with HIV. We found the knowledge of the causes and mode of HIV transmission among the pregnant women to be relatively high. However, testing to determine their HIV status was low, owing to factors such as fear of testing positive, the stigma, discrimination, and prejudice associated with HIV/AIDS, and misconceptions some had about how the virus could be contracted (spiritually), which necessitated spiritual assistance before, during, and after testing.</div></div><div><h3>Conclusion</h3><div>The findings underscore the need for health professionals to address myths and superstitions about HIV/AIDS during antenatal care visits to encourage and improve testing uptake among pregnant women.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"21 ","pages":"Article 100785"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142359633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Factors influencing unplanned ICU readmissions: A retrospective cohort study 影响非计划重症监护病房再入院的因素：回顾性队列研究
Q2 Nursing
International Journal of Africa Nursing Sciences
Pub Date : 2024-01-01 DOI: 10.1016/j.ijans.2024.100758
Aladeen Alloubani, Esraa Saadeh, Ismail Alsalhi, Hadeel Alkhateeb

Aim

The goal of this study is to explore the factors that predict ICU readmissions and their correlations with readmissions that occur early and those that occur later. It evaluates various elements, including demographic information, clinical attributes, and variables related to treatment, to gain a more comprehensive understanding of the risk factors influencing the timing of ICU readmissions.

Methods

We conducted a retrospective cohort study, utilizing electronic medical records, to pinpoint adult patients who were repeatedly admitted to the ICU between January 1, 2022, and December 31, 2022. Predictors of early and late ICU readmissions were evaluated, employing statistical analyses that involved logistic regression models.

Results

The study analyzed data from 136 ICU patients. Patients admitted from the emergency department exhibited 2.22 times higher odds of early readmission in comparison to those admitted from the ward (p-value = 0.044). However, no significant correlations were observed between gender and readmission, and univariate analyses demonstrated no noteworthy variances in age, APACHE II score at discharge, Braden score, and length of ICU stay with regard to the nature of readmission.

Conclusion

The findings from our study hold considerable implications for healthcare procedures and policies. These outcomes suggest that the source of ICU admission plays a pivotal role in foretelling early readmission, which could potentially influence patient care and administration. The correlation between the source of ICU admission and early readmissions accentuates the necessity for patient-centric care, especially for those admitted from the emergency department, who face heightened risks.

目的本研究旨在探讨预测 ICU 再入院的因素及其与再入院时间早晚的相关性。方法 我们利用电子病历开展了一项回顾性队列研究，以确定在 2022 年 1 月 1 日至 2022 年 12 月 31 日期间多次入住 ICU 的成年患者。研究采用逻辑回归模型进行统计分析，评估了ICU早期和晚期再入院的预测因素。从急诊科入院的患者与从病房入院的患者相比，早期再入院的几率高出 2.22 倍（p 值 = 0.044）。然而，在性别和再入院之间没有观察到明显的相关性，单变量分析表明年龄、出院时的 APACHE II 评分、Braden 评分和重症监护室住院时间与再入院的性质没有明显的差异。这些结果表明，ICU 入院来源在预测早期再入院方面起着关键作用，这可能会影响患者护理和管理。重症监护室入院来源与早期再入院之间的相关性强调了以患者为中心的护理的必要性，尤其是那些从急诊科入院的患者，他们面临着更高的风险。
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引用次数: 0
Assessment of uptake of intermittent preventive treatment of malaria among pregnant women attending antenatal clinic in public health facilities in Osogbo metropolis, Osun state, Nigeria 评估尼日利亚奥苏恩州奥索格博市公共卫生机构产前门诊孕妇接受疟疾间歇预防性治疗的情况
Q2 Nursing
International Journal of Africa Nursing Sciences
Pub Date : 2024-01-01 DOI: 10.1016/j.ijans.2024.100742
Moridiyat Omolara Adeyinka Adeyemo , Ganiyat Odunola Adeniran , Victoria Adenike Adeniyi , Elisha Oluwatobi Olabisi , Rahmat Aderayo Oyekale , Oladayo Akinwale , Sakirat Folasade Adejare , Omodolapo Justinah Olaleye , Rosemary Omolara Fafowora , Busayo Temilola Akinbowale

Background

WHO recommends three or more doses of intermittent preventive treatment of Malaria with Sulfadoxine Pyrimethamine (IPTp-SP) for pregnant women living in areas of moderate-to-high malaria transmission in Africa to protect them and their babies from severe risks by malaria. Despite this, the coverage of utilization of a minimum of three doses of the drug is still very low in Nigeria. This study assessed the knowledge and utilisation of IPTp-SP among pregnant women attending antenatal clinics in public health facilities in Osogbo, Nigeria.

Methods

Descriptive cross-sectional was used, data were randomly collected from 549 respondents through a semi-structured self-administered questionnaire. Descriptive statistics, Pearson chi-square, and logistic regression were used for analysis.

Results

About half (49.4%) of the respondents had good overall knowledge of IPTp-SP, 72.2% took a minimum of one dose, and only 10.1 % took a minimum of three doses. Factors influencing the utilisation included drug affordability, SP shortage at the facility, and monitoring of pregnant women’s intake of SP. Logistic regression analysis indicated that pregnant women in primary and secondary healthcare settings were 2.4 times and 1.3 times respectively more likely to utilise IPTp than those in tertiary healthcare settings.

Conclusion and recommendation.

Almost half of the participants had good knowledge of IPTp-SP, only a few took four doses. Healthcare providers should organize IEC programmes to create more awareness among the public on the use and safety of SP in pregnancy. The government is to establish a mechanism to ensure a consistent supply of SP in all healthcare settings,

背景世界卫生组织建议生活在非洲中度至高度疟疾传播地区的孕妇接受三次或三次以上的磺胺乙胺嘧啶间歇预防性治疗（IPTp-SP），以保护她们及其婴儿免受疟疾的严重危害。尽管如此，在尼日利亚，至少使用三剂药物的覆盖率仍然很低。本研究评估了在尼日利亚奥索博公共卫生机构产前门诊就诊的孕妇对IPTp-SP的了解和使用情况。方法采用描述性横断面，通过半结构化自填问卷随机收集了549名受访者的数据。结果约一半（49.4%）的受访者对 IPTp-SP 有较好的总体了解，72.2%的受访者至少服用了一剂，只有 10.1%的受访者至少服用了三剂。影响使用率的因素包括药物的可负担性、医疗机构 SP 的短缺以及对孕妇 SP 摄入量的监测。逻辑回归分析表明，初级和二级医疗机构的孕妇使用 IPTp 的可能性分别是三级医疗机构的 2.4 倍和 1.3 倍。医疗保健提供者应组织信息、教育和宣传活动，提高公众对妊娠期使用 SP 及其安全性的认识。政府应建立一个机制，确保所有医疗机构都能持续供应 SP、
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引用次数: 0
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