Pub Date : 2026-01-01DOI: 10.1016/j.ijans.2025.100943
Kusum Kumari , Sharal Fernandes
Pressure ulcers are a big problem in healthcare because they affect people who can’t move around or can barely move. The main aim of this study was to assess steps and types of flap cover surgery for stage-IV pressure ulcers. It depends on how bad the damage is that pressure ulcers can be classified into Stage-I to stage-IV. A flap cover might be a good way to treat stage-IV pressure sores, which have full-thickness tissue loss and bone, tendon, or muscle that is showing. The gluteus maximus musculocutaneous flap is a type of flap that is often used to fix a spinal pressure sore during surgery. When a patient doesn’t get enough nutrients, their diabetes isn’t under control, or there aren’t enough blood vessels to the affected area, flaps may not be the best way to treat a pressure ulcer.
{"title":"Flap cover for pressure ulcer","authors":"Kusum Kumari , Sharal Fernandes","doi":"10.1016/j.ijans.2025.100943","DOIUrl":"10.1016/j.ijans.2025.100943","url":null,"abstract":"<div><div>Pressure ulcers are a big problem in healthcare because they affect people who can’t move around or can barely move. The main aim of this study was to assess steps and types of flap cover surgery for stage-IV pressure ulcers. It depends on how bad the damage is that pressure ulcers can be classified into Stage-I to stage-IV. A flap cover might be a good way to treat stage-IV pressure sores, which have full-thickness tissue loss and bone, tendon, or muscle that is showing. The gluteus maximus musculocutaneous flap is a type of flap that is often used to fix a spinal pressure sore during surgery. When a patient doesn’t get enough nutrients, their diabetes isn’t under control, or there aren’t enough blood vessels to the affected area, flaps may not be the best way to treat a pressure ulcer.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 100943"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145938361","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}
Stroke is a serious complication of diabetes and a major global public health issue, affecting 15 million people each year, resulting in 5 million deaths and 5 million cases of permanent disability. Diabetes contributes to about one quarter of all stroke cases. In Tigray, the prevalence and risk factors of stroke among diabetes patients are poorly documented, particularly due to conflict-related disruptions in healthcare and medicine access. This study aimed to assess the prevalence of stroke and its associated factors among diabetes patients in public hospitals in Tigray, Ethiopia.
Method
Hospital based cross-sectional study was conducted in public hospitals in Tigray from March 1 to May 30, 2024, including 848 diabetes patients selected via systematic random sampling. Adults diagnosed with diabetes for at least six months were interviewed using a pretested structured questionnaire. Binary logistic regression analyzed associations between explanatory and outcome variables.
Result
The magnitude of stroke among diabetes mellitus patients in this study was 14.2% with response rate of 819(97%). Being male 2.91 [AOR = 2.91, 95% CI: 1.59–5.30], non-adherence to medication 2.8 [AOR = 2.85 95% CI: 1.64–4.96], Alcohol consumption 2.16 [AOR = 2.16, 95% CI: 1.05–4.42], having hypertension 5.5 [AOR = 5.51 95% CI: 3.12–9.72], and physically inactive 2.5 [AOR = 2.46, 95% CI: 1.12–5.42] and not taking statin drugs 4.6 [AOR, 4.60, 95% CI: 2.32–9.14] were significantly associated with stroke.
Conclusion
The study revealed a high stroke burden among Tigray diabetes patients, associated with male sex, lifestyle factors, hypertension, and lack of statin therapy.
{"title":"Prevalence of stroke among diabetes mellitus patients in public hospitals of the Tigray region, Ethiopia, 2024","authors":"Abrha Hailay , Hailay Gebreyesus , Guesh Welu , Tsega Gebretsadik , Guesh Mebrahtom , Dr. Saymen Tsegaye","doi":"10.1016/j.ijans.2026.101001","DOIUrl":"10.1016/j.ijans.2026.101001","url":null,"abstract":"<div><h3>Background</h3><div>Stroke is a serious complication of diabetes and a major global public health issue, affecting 15 million people each year, resulting in 5 million deaths and 5 million cases of permanent disability. Diabetes contributes to about one quarter of all stroke cases. In Tigray, the prevalence and risk factors of stroke among diabetes patients are poorly documented, particularly due to conflict-related disruptions in healthcare and medicine access. This study aimed to assess the prevalence of stroke and its associated factors among diabetes patients in public hospitals in Tigray, Ethiopia.</div></div><div><h3>Method</h3><div>Hospital based cross-sectional study was conducted in public hospitals in Tigray from March 1 to May 30, 2024, including 848 diabetes patients selected via systematic random sampling. Adults diagnosed with diabetes for at least six months were interviewed using a pretested structured questionnaire. Binary logistic regression analyzed associations between explanatory and outcome variables.</div></div><div><h3>Result</h3><div>The magnitude of stroke among diabetes mellitus patients in this study was 14.2% with response rate of 819(97%). Being male 2.91 [AOR = 2.91, 95% CI: 1.59–5.30], non-adherence to medication 2.8 [AOR = 2.85 95% CI: 1.64–4.96], Alcohol consumption 2.16 [AOR = 2.16, 95% CI: 1.05–4.42], having hypertension 5.5 [AOR = 5.51 95% CI: 3.12–9.72], and physically inactive 2.5 [AOR = 2.46, 95% CI: 1.12–5.42] and not taking statin drugs 4.6 [AOR, 4.60, 95% CI: 2.32–9.14] were significantly associated with stroke.</div></div><div><h3>Conclusion</h3><div>The study revealed a high stroke burden among Tigray diabetes patients, associated with male sex, lifestyle factors, hypertension, and lack of statin therapy.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 101001"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146090544","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}
Pub Date : 2026-01-01DOI: 10.1016/j.ijans.2026.100997
Sylvester Nabwala Ouma , Winfridah Wangui Njung’e
Background: Cataracts, the leading cause of preventable blindness, disproportionately burden low- and middle-income countries, where access inequities exacerbate prevalence. This study examines eye healthcare utilization and contributors to cataract prevalence in rural Kenya and introduces the Access Failure Cascade Model to conceptualize systemic barriers that delay care.
Methods: A cross-sectional study at Narok County Referral Hospital (April–June 2025) systematically sampled 60 patients with confirmed cataract. Validated questionnaires and medical records assessed socioeconomic, lifestyle, clinical, and environmental factors. Analyses included descriptive statistics and chi-square trend tests with odds ratios.
Results: Mean age was 56.8 years (SD ± 15.2); 65% were female. Cataract prevalence was 28.3% among clinic attendees. Premature cataract onset was present among 56.7%. Notably, 43.3% never had prior eye exams, and 68.3% delayed care-seeking. Inadequate UV protection, observed in 96.7%, increased sun-induced eye irritation risk fourfold (OR: 4.0, 95%CI:1.1–14.8, p = 0.046). High-risk patients (≥3 risk factors) had lower recent eye care utilization (16.7%) than low-risk patients (46.7%; χ2trend = 4.12, p = 0.042). Barriers included 15.2 km (±10.3) travel distance and financial constraints (68%).
The novel Access Failure Cascade Model conceptualizes sequential barriers that collectively delay diagnosis and result in advanced disease requiring costly treatment: geographic isolation → infrastructure deficits → financial limitations → absent screening → disease progression → advanced treatment, identifying upstream intervention points.
Conclusion: Substantial access barriers and modifiable cataract risks exist in rural Kenya. The Access Failure Cascade Model provides a practical framework for designing preventive community-level strategies and policy interventions, beyond surgical reliance, to strengthen eye health systems and reduce preventable blindness in similar underserved populations.
{"title":"Eye healthcare utilization, cataract risk, and the access failure cascade model in rural Kenya: A pilot study","authors":"Sylvester Nabwala Ouma , Winfridah Wangui Njung’e","doi":"10.1016/j.ijans.2026.100997","DOIUrl":"10.1016/j.ijans.2026.100997","url":null,"abstract":"<div><div><strong>Background</strong>: Cataracts, the leading cause of preventable blindness, disproportionately burden low- and middle-income countries, where access inequities exacerbate prevalence. This study examines eye healthcare utilization and contributors to cataract prevalence in rural Kenya and introduces the Access Failure Cascade Model to conceptualize systemic barriers that delay care.</div><div><strong>Methods</strong>:<!--> <!-->A cross-sectional study at Narok County Referral Hospital (April–June 2025) systematically sampled 60 patients with confirmed cataract. Validated questionnaires and medical records assessed socioeconomic, lifestyle, clinical, and environmental factors. Analyses included descriptive statistics and chi-square trend tests with odds ratios.</div><div><strong>Results</strong>: Mean age was 56.8 years (SD ± 15.2); 65% were female. Cataract prevalence was 28.3% among clinic attendees. Premature cataract onset was present among 56.7%. Notably, 43.3% never had prior eye exams, and 68.3% delayed care-seeking. Inadequate UV protection, observed in 96.7%, increased sun-induced eye irritation risk fourfold<!--> <!-->(OR: 4.0, 95%CI:1.1–14.8, p = 0.046). High-risk patients (≥3 risk factors) had lower recent eye care utilization (16.7%) than low-risk patients (46.7%; χ<sup>2</sup>trend = 4.12, p = 0.042). Barriers included 15.2 km (±10.3) travel distance and financial constraints (68%).</div><div>The novel <strong>Access Failure Cascade Model</strong> conceptualizes sequential barriers that collectively delay diagnosis and result in advanced disease requiring costly treatment: geographic isolation → infrastructure deficits → financial limitations → absent screening → disease progression → advanced treatment, identifying upstream intervention points.</div><div><strong>Conclusion:</strong> Substantial access barriers and modifiable cataract risks exist in rural Kenya. The Access Failure Cascade Model provides a practical framework for designing preventive community-level strategies and policy interventions, beyond surgical reliance, to strengthen eye health systems and reduce preventable blindness in similar underserved populations.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 100997"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146090635","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}
The clinical learning environment (CLE) shapes nursing and midwifery students’ experiences. Poor supervision, unstable leadership, and a lack of clinical staff help may impact students’ education perceptions.
Objective
To evaluate the viewpoints of nursing and midwifery students on their clinical learning environment.
Methods
This study used a cross-sectional design and the CLES + T evaluation instrument. 160 nursing and midwifery students participated in the study. Data was collected using IBM SPSS version 27.0 and a self-administered questionnaire. Descriptive statistics and inferential analysis were used; specifically multiple linear regression was used.
Results
With an overall mean CLES + T score of 3.30 (SD = 0.87), the results revealed a moderate perception of the clinical learning environment. The nurse teacher’s role was the most highly evaluated dimension (M = 3.31, SD = 1.27), followed by the ward’s nursing premises (M = 3.28, SD = 1.21) and the educational environment (M = 3.25, SD = 1.22). However, issues with student-
{"title":"Nursing and Midwifery Students’ perceptions of clinical placements in Hospitals: A Cross-Sectional study in Mogadishu, Somalia","authors":"Abdishakur Mohamud Hassan Hidigow , Najib Isse Dirie , Abdullahi Hassan Elmi , Hodo Aideed Asowe , Abdinasir Muhidin Abdulle Madaale","doi":"10.1016/j.ijans.2025.100973","DOIUrl":"10.1016/j.ijans.2025.100973","url":null,"abstract":"<div><h3>Background</h3><div> <!-->The clinical learning environment (CLE) shapes nursing and midwifery students’ experiences.<!--> <!-->Poor supervision, unstable leadership, and a lack of clinical staff help may impact students’ education perceptions.</div></div><div><h3>Objective</h3><div> <!-->To evaluate the viewpoints of nursing and midwifery students<!--> <!-->on their clinical learning environment.</div></div><div><h3>Methods</h3><div> <!-->This study used a cross-sectional design and the CLES + T evaluation instrument. 160 nursing and midwifery students participated in the study.<!--> <!-->Data was collected using IBM SPSS version 27.0 and a self-administered questionnaire.<!--> <!-->Descriptive statistics and inferential analysis were used; specifically multiple linear regression was used.</div></div><div><h3>Results</h3><div> <!-->With an overall mean CLES + T score of 3.30 (SD = 0.87), the results revealed a moderate perception of the clinical learning environment. The nurse teacher’s role<!--> <!-->was the most highly evaluated dimension (M = 3.31, SD = 1.27), followed by the ward’s nursing premises (M = 3.28, SD = 1.21) and the educational environment (M = 3.25, SD = 1.22). However, issues with student-</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 100973"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145976523","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}
Pub Date : 2026-01-01DOI: 10.1016/j.ijans.2025.100967
Mirrium Banda , Anne Nancy Msosa , Patrick Mapulanga , Tiwonge Ethel Mbeya-Munkhondya
Background
Parent-to-child communication in sexual and reproductive health (SRH) is an important tool for reducing risky sexual behaviors among adolescents. Parent‒child communication (PCC) regarding sexual issues is a challenging phenomenon worldwide. The evidence suggests that inadequate parent-to-child communication results in unintended teenage pregnancies, unsafe abortions, sexually transmitted infections, HIV and AIDS, school problems, and other sexual risk behaviors among adolescents. Understanding the effects of transparent and direct communication between parents and adolescents on SRH can help reduce SRH-related problems among adolescents. This study explored adolescents’ perspectives on parent‒child communication with respect to SRH issues to identify enablers and barriers aimed at developing a transparent, direct, and comprehensive approach to enhance such communication.
Methods
This study utilized a descriptive qualitative design. Fifteen (15) adolescents aged 12–19 years were purposively sampled to participate in the in-depth interviews that were guided by an interview guide. Data were organized using excel and analyzed manually using thematic analysis.
Findings
Three themes emerged from the study, including adolescents’ perceived importance of parent–child SRH communication; perceived enablers of parent-to-child communication on SRH and perceived barriers to parent–child communication on SRH. Generally, the findings revealed that clear and open communications between parents and adolescents positively influence adolescents’ SRH decision-making. Enabling parent‒to-child communication is essential for improved adolescents’ understanding of SRH issues, while addressing existing barriers is indispensable for more effective parent–child SRH communication.
Conclusion
A thorough understanding of how communication between parents and adolescents impacts SRH can help reduce SRH issues and improve decision-making and culturally acceptable behaviors. This study provides initial insights into SRH communication between parents and adolescents. Therefore, further research is necessary to expand knowledge of SRH communication in this context.
{"title":"“Who cares?” – Enabling and barriers to parent-to-child communication concerning sexual reproductive health issues in Salima, Malawi","authors":"Mirrium Banda , Anne Nancy Msosa , Patrick Mapulanga , Tiwonge Ethel Mbeya-Munkhondya","doi":"10.1016/j.ijans.2025.100967","DOIUrl":"10.1016/j.ijans.2025.100967","url":null,"abstract":"<div><h3>Background</h3><div>Parent-to-child communication in sexual and reproductive health (SRH) is an important tool for reducing risky sexual behaviors among adolescents. Parent‒child communication (PCC) regarding sexual issues is a challenging phenomenon worldwide. The evidence suggests that inadequate parent-to-child communication results in unintended teenage pregnancies, unsafe abortions, sexually transmitted infections, HIV and AIDS, school problems, and other sexual risk behaviors among adolescents. Understanding the effects of transparent and direct communication between parents and adolescents on SRH can help reduce SRH-related problems among adolescents. This study explored adolescents’ perspectives on parent‒child communication with respect to SRH issues to identify enablers and barriers aimed at developing a transparent, direct, and comprehensive approach to enhance such communication.</div></div><div><h3>Methods</h3><div>This study utilized a descriptive qualitative design. Fifteen (15) adolescents aged 12–19 years were purposively sampled to participate in the in-depth interviews that were guided by an interview guide<strong>.</strong> Data were organized using excel and analyzed manually using thematic analysis.</div></div><div><h3>Findings</h3><div>Three themes emerged from the study, including adolescents’ perceived importance of parent–child SRH communication; perceived enablers of parent-to-child communication on SRH and perceived barriers to parent–child communication on SRH. Generally, the findings revealed that clear and open communications between parents and adolescents positively influence adolescents’ SRH decision-making. Enabling parent‒to-child communication is essential for improved adolescents’ understanding of SRH issues, while addressing existing barriers is indispensable for more effective parent–child SRH communication.</div></div><div><h3>Conclusion</h3><div>A thorough understanding of how communication between parents and adolescents impacts SRH can help reduce SRH issues and improve decision-making and culturally acceptable behaviors. This study provides initial insights into SRH communication between parents and adolescents. Therefore, further research is necessary to expand knowledge of SRH communication in this context.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 100967"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145976526","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}
Pub Date : 2026-01-01DOI: 10.1016/j.ijans.2025.100969
Anteneh Gashaw
Background
Tetanus toxoid (TT) vaccination is essential for preventing neonatal tetanus and ensuring maternal health, particularly in resource-limited settings. Despite its importance, TT vaccine completion rates remain low in some regions, including Ethiopia. This study aims to identify the factors influencing TT vaccine completion among mothers who gave birth within the last six months in Gozamn district.
Materials and Methods
A community-based cross-sectional study was conducted between April 1 and April 25, 2022, in Gozamn district. A total of 831 mothers who gave birth in the past six months were selected using a two-stage stratified sampling method. Data were collected through a structured, interviewer-administered questionnaire. Descriptive statistics and bivariable and multivariable logistic regression analyses were performed using Stata version 17 to identify factors associated with TT vaccine completion.
Results
Factors such as higher parity, receiving information from healthcare professionals, and having more than four antenatal care (ANC) visits were found to be significantly associated with higher TT vaccine completion. Women with higher parity, those informed by health professionals, and those attending more than four ANC visits were more likely to complete the TT vaccine.
Conclusion
This study highlights the critical role of parity, healthcare provider communication, and ANC visits in increasing TT vaccine completion. Efforts to improve vaccine uptake should focus on increasing access to healthcare information and services, especially among women with fewer ANC visits and lower exposure to healthcare professionals.
破伤风类毒素（TT）疫苗接种对于预防新生儿破伤风和确保孕产妇健康至关重要，特别是在资源有限的环境中。尽管破伤风疫苗很重要，但在包括埃塞俄比亚在内的一些地区，破伤风疫苗完成率仍然很低。这项研究的目的是确定影响戈扎曼地区在过去六个月内分娩的母亲完成TT疫苗接种的因素。材料与方法于2022年4月1日至4月25日在gozaman地区进行了一项以社区为基础的横断面研究。采用两阶段分层抽样的方法，共选取了831名在过去6个月内分娩的母亲。数据是通过一份结构化的、由访谈者填写的问卷收集的。使用Stata version 17进行描述性统计、双变量和多变量logistic回归分析，以确定与TT疫苗接种完成相关的因素。结果发现，较高的胎次、从卫生保健专业人员处获得信息以及超过四次产前保健（ANC）访问等因素与较高的TT疫苗完成率显着相关。胎次较高的妇女、由卫生专业人员告知的妇女以及参加四次以上产前检查的妇女更有可能完成TT疫苗的接种。结论本研究强调了均等、卫生保健提供者沟通和ANC访问在提高TT疫苗完成率中的关键作用。提高疫苗接种率的努力应侧重于增加获得保健信息和服务的机会，特别是在ANC就诊次数较少和接触保健专业人员较少的妇女中。
{"title":"Determinants of TT vaccine completion among mothers who gave birth with in the past six months in Gozamn District, Ethiopia","authors":"Anteneh Gashaw","doi":"10.1016/j.ijans.2025.100969","DOIUrl":"10.1016/j.ijans.2025.100969","url":null,"abstract":"<div><h3>Background</h3><div>Tetanus toxoid (TT) vaccination is essential for preventing neonatal tetanus and ensuring maternal health, particularly in resource-limited settings. Despite its importance, TT vaccine completion rates remain low in some regions, including Ethiopia. This study aims to identify the factors influencing TT vaccine completion among mothers who gave birth within the last six months in Gozamn district.</div></div><div><h3>Materials and Methods</h3><div>A community-based cross-sectional study was conducted between April 1 and April 25, 2022, in Gozamn district. A total of 831 mothers who gave birth in the past six months were selected using a two-stage stratified sampling method. Data were collected through a structured, interviewer-administered questionnaire. Descriptive statistics and bivariable and multivariable logistic regression analyses were performed using Stata version 17 to identify factors associated with TT vaccine completion.</div></div><div><h3>Results</h3><div>Factors such as higher parity, receiving information from healthcare professionals, and having more than four antenatal care (ANC) visits were found to be significantly associated with higher TT vaccine completion. Women with higher parity, those informed by health professionals, and those attending more than four ANC visits were more likely to complete the TT vaccine.</div></div><div><h3>Conclusion</h3><div>This study highlights the critical role of parity, healthcare provider communication, and ANC visits in increasing TT vaccine completion. Efforts to improve vaccine uptake should focus on increasing access to healthcare information and services, especially among women with fewer ANC visits and lower exposure to healthcare professionals.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 100969"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145938406","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}
Pub Date : 2026-01-01DOI: 10.1016/j.ijans.2025.100964
David Abdulai Salifu , Mohammed Awal Salifu , Beatrice Asakiya , Janet Gross
Background
Nurses are an integral part of the global health workforce, providing essential services to diverse populations in diverse settings. As the backbone of the global health workforce, it is imperative for nursing education to produce nurses equipped with the requisite skill sets to fulfill their expected practice roles. However, studies indicate that the level of competence demonstrated by nurses upon completion of baccalaureate programs are not always adequate to meet practice demands. This underscores that transitioning from baccalaureate programs to full-time practice can be very daunting. While several studies have explored the transitioning experience of baccalaureate nursing students to full time practice in the developed world, the phenomenon in low-resource settings remain unexplored.
Aim
Drawing on Coffey’s Transitioning Theory, this study explored the transitioning experiences from baccalaureate nursing student to full-time practice in a low-resource setting.
Methods
Using a qualitative descriptive study design, 54 participants were purposively recruited via solicitation. Data were collected through focus group discussions using a semi-structured interview guide and analyzed thematically with Atlas.ti software.
Results
The transitioning experiences of baccalaureate nursing students to full-time practice were reflected in two main themes: “quality of educational experience” and “contextual adaptation.”
Conclusions
The results underscore the need to retool and build the capacity of nurse faculty aimed at improving the quality of nursing education within the study setting to provide a strong foundation for effective transition into professional practice.
{"title":"The experience of transitioning from a nursing student to a practicing nurse in a low-resource setting: a qualitative descriptive study","authors":"David Abdulai Salifu , Mohammed Awal Salifu , Beatrice Asakiya , Janet Gross","doi":"10.1016/j.ijans.2025.100964","DOIUrl":"10.1016/j.ijans.2025.100964","url":null,"abstract":"<div><h3>Background</h3><div>Nurses are an integral part of the global health workforce, providing essential services to diverse populations in diverse settings. As the backbone of the global health workforce, it is imperative for nursing education to produce nurses equipped with the requisite skill sets to fulfill their expected practice roles. However, studies indicate that the level of competence demonstrated by nurses upon completion of baccalaureate programs are not always adequate to meet practice demands. This underscores that transitioning from baccalaureate programs to full-time practice can be very daunting. While several studies have explored the transitioning experience of baccalaureate nursing students to full time practice in the developed world, the phenomenon in low-resource settings remain unexplored.</div></div><div><h3>Aim</h3><div>Drawing on Coffey’s Transitioning Theory, this study explored the transitioning experiences from baccalaureate nursing student to full-time practice in a low-resource setting.</div></div><div><h3>Methods</h3><div>Using a qualitative descriptive study design, 54 participants were purposively recruited via solicitation. Data were collected through focus group discussions using a semi-structured interview guide and analyzed thematically with Atlas.ti software.</div></div><div><h3>Results</h3><div>The transitioning experiences of baccalaureate nursing students to full-time practice were reflected in two main themes: “quality of educational experience” and “contextual adaptation.”</div></div><div><h3>Conclusions</h3><div>The results underscore the need to retool and build the capacity of nurse faculty aimed at improving the quality of nursing education within the study setting to provide a strong foundation for effective transition into professional practice.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 100964"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145938571","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}
Pub Date : 2026-01-01DOI: 10.1016/j.ijans.2025.100960
T. Tsele-Tebakang
Background
Herbal products are used worldwide to treat various ailments and to maintain a healthy lifestyle. This can be attributed to the communities’ experiences and the wealth of inherited knowledge, which gives rise to a unique perception of herbal medicines (HM). There has been an increase in research topics in health education; however, behaviour change interventions relating to the use of HM and herb-drug interaction (HDIs) are lacking.
Objectives
To explore the effect of behaviour change intervention based on the health belief model (HBM) on communities’ knowledge on the use of HM.
Method
A community-based study was conducted in the local municipalities of Gauteng, Free State, and Mpumalanga provinces in South Africa. Eighty community members (n = 80) participated in the pretest–posttest intervention study. A behaviour change intervention was developed and assessed to increase knowledge of HM and herb-drug intervention (HDIs). Data was collected using pre- and post-questionnaires and analysed statistically using descriptive analysis, cross-tabulation, pre-and post-item tests, and paired sample T-tests.
Results
The findings of this pilot study showed that the HBM-driven intervention was best suited, as it successfully educated communities about HDIs and changed their perception of the use of HM. Perceptions built on perceived benefits, perceived risks, and self-efficacy showed a notable change after the behavioural change intervention.
Conclusion
The current study echoes the need for community-based education to prevent possible HDIs, especially in communities that are culturally rooted in HM. This pilot study showed that a model-driven behavioural change intervention can effectively motivate healthy behaviour.
{"title":"A community-based behavioural change intervention on the knowledge of herbal medicine use: pretest–posttest study","authors":"T. Tsele-Tebakang","doi":"10.1016/j.ijans.2025.100960","DOIUrl":"10.1016/j.ijans.2025.100960","url":null,"abstract":"<div><h3>Background</h3><div>Herbal products are used worldwide to treat various ailments and to maintain a healthy lifestyle. This can be attributed to the communities’ experiences and the wealth of inherited knowledge, which gives rise to a unique perception of herbal medicines (HM). There has been an increase in research topics in health education<strong>;</strong> however, behaviour change interventions relating to the use of HM and herb-drug interaction (HDIs) are lacking.</div></div><div><h3>Objectives</h3><div>To explore the effect of behaviour change intervention based on the health belief model (HBM) on communities’ knowledge on the use of HM.</div></div><div><h3>Method</h3><div>A community-based study was conducted in the local municipalities of Gauteng, Free State, and Mpumalanga provinces in South Africa. Eighty community members (<em>n = 80</em>) participated in the pretest–posttest intervention study. A behaviour change intervention was developed and assessed to increase knowledge of HM and herb-drug intervention (HDIs). Data was collected using pre- and post-questionnaires and analysed statistically using descriptive analysis, cross-tabulation, pre-and post-item tests, and paired sample T-tests.</div></div><div><h3>Results</h3><div>The findings of this pilot study showed that the HBM-driven intervention was best suited, as it successfully educated communities about HDIs and changed their perception of the use of HM. Perceptions built on perceived benefits, perceived risks, and self-efficacy showed a notable change after the behavioural change intervention.</div></div><div><h3>Conclusion</h3><div>The current study echoes the need for community-based education to prevent possible HDIs, especially in communities that are culturally rooted in HM. This pilot study showed that a model-driven behavioural change intervention can effectively motivate healthy behaviour.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 100960"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145938567","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}
Adenotonsillar disease significantly affects the quality of life (QoL) of children, manifesting through sleep disturbances, physical suffering, and psychological and social concerns. This study assessed the QoL of children with adenotonsillar disease prior to adenotonsillectomy and explored associated factors.
Methodology
A descriptive cross-sectional study was conducted at the Ear, Nose, and Throat (ENT) unit of the Upper East Regional Hospital. A total of 150 children diagnosed with adenotonsillar disease and their mothers participated. Data were collected using a structured questionnaire, including the 18-item Obstructive Sleep Apnea (OSA-18) QoL scale. Descriptive statistics, independent t-tests, and inferential analyses were performed using SPSS Version 26.0.
Results
The average age of the children was 6.3 years of age. Adenotonsillar disease had a moderate to severe impact on the QoL of 69.4 % of children. Physical suffering was primarily due to nasal obstruction, mouth breathing, and recurrent infections. Sleep disturbances, including loud snoring and frequent awakenings, were prevalent. Psychological distress was minimal, but hyperactivity and mood swings were reported. Socially, caregivers expressed significant concerns regarding their child’s health and breathing difficulties. Obstructive sleep apnea syndrome (OSAS), adenoiditis, and chronic middle ear infections were significantly associated with lower QoL scores (p < 0.05). Children with younger mothers (18–35 years) had significantly poorer QoL compared to those with older mothers (p = 0.007). Gender, maternal education, and marital status did not show significant associations.
Conclusion
Adenotonsillar disease negatively affects children’s QoL, particularly through sleep disturbances and physical suffering. OSAS and adenoiditis were key predictors of poorer QoL. Early diagnosis and comprehensive management strategies are essential to improving outcomes for affected children.
背景：扁桃腺疾病显著影响儿童的生活质量（QoL），表现为睡眠障碍、身体痛苦以及心理和社会问题。本研究评估了腺扁桃体疾病患儿在腺扁桃体切除术前的生活质量，并探讨了相关因素。方法在上东区医院耳鼻喉科（ENT）进行描述性横断面研究。共有150名被诊断患有腺扁桃体病的儿童及其母亲参与了这项研究。采用结构化问卷收集数据，包括18项阻塞性睡眠呼吸暂停（OSA-18）生活质量量表。采用SPSS Version 26.0进行描述性统计、独立t检验和推理分析。结果患儿平均年龄6.3岁。腺扁桃体病对69.4%儿童的生活质量有中度至重度影响。身体上的痛苦主要是由于鼻塞、口呼吸和反复感染。睡眠障碍，包括大声打鼾和频繁醒来，都很普遍。心理困扰最小，但据报道有多动和情绪波动。在社交方面，照料者对其子女的健康和呼吸困难表示严重关切。阻塞性睡眠呼吸暂停综合征（OSAS）、腺样体炎和慢性中耳感染与较低的生活质量评分显著相关（p < 0.05）。母亲年龄较小（18-35岁）的儿童生活质量明显低于母亲年龄较大的儿童（p = 0.007）。性别、母亲教育程度和婚姻状况无显著相关性。结论腺扁桃体疾病对儿童生活质量有负面影响，尤其是通过睡眠障碍和身体痛苦。osaas和腺样体炎是较差生活质量的主要预测因子。早期诊断和综合管理战略对于改善受影响儿童的预后至关重要。
{"title":"Quality of life of young children pre-adenotonsillectomy: a study at a regional hospital in Ghana","authors":"Mercy Atignii Tengen , Ajaratu Lampinley , Abubakari Sadik Salifu , Francis Kwaku Wuni","doi":"10.1016/j.ijans.2026.100987","DOIUrl":"10.1016/j.ijans.2026.100987","url":null,"abstract":"<div><h3>Background</h3><div>Adenotonsillar disease significantly affects the quality of life (QoL) of children, manifesting through sleep disturbances, physical suffering, and psychological and social concerns. This study assessed the QoL of children with adenotonsillar disease prior to adenotonsillectomy and explored associated factors.</div></div><div><h3>Methodology</h3><div>A descriptive cross-sectional study was conducted at the Ear, Nose, and Throat (ENT) unit of the Upper East Regional Hospital. A total of 150 children diagnosed with adenotonsillar disease and their mothers participated. Data were collected using a structured questionnaire, including the 18-item Obstructive Sleep Apnea (OSA-18) QoL scale. Descriptive statistics, independent t-tests, and inferential analyses were performed using SPSS Version 26.0.</div></div><div><h3>Results</h3><div>The average age of the children was 6.3 years of age. Adenotonsillar disease had a moderate to severe impact on the QoL of 69.4 % of children. Physical suffering was primarily due to nasal obstruction, mouth breathing, and recurrent infections. Sleep disturbances, including loud snoring and frequent awakenings, were prevalent. Psychological distress was minimal, but hyperactivity and mood swings were reported. Socially, caregivers expressed significant concerns regarding their child’s health and breathing difficulties. Obstructive sleep apnea syndrome (OSAS), adenoiditis, and chronic middle ear infections were significantly associated with lower QoL scores (p < 0.05). Children with younger mothers (18–35 years) had significantly poorer QoL compared to those with older mothers (p = 0.007). Gender, maternal education, and marital status did not show significant associations.</div></div><div><h3>Conclusion</h3><div>Adenotonsillar disease negatively affects children’s QoL, particularly through sleep disturbances and physical suffering. OSAS and adenoiditis were key predictors of poorer QoL. Early diagnosis and comprehensive management strategies are essential to improving outcomes for affected children.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 100987"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146037240","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}
Pub Date : 2026-01-01DOI: 10.1016/j.ijans.2026.100989
Ahmed Mohammed Ibrahim , Mohamed Omar Osman , Mohamud Hussein Ali , Abdilahi Ibrahim Muse , Abdulahi Hussen Abdinur , Ramadan Budul Yusuf , AbdiHamid Osman Ibrahim , Ahmed Mohamud Omar , Sualiha Abdulkader Muktar , Seid Muhumed Abdilaahi
Background
Postpartum hemorrhage (PPH) is a major public health problem and remains one of the leading causes of maternal morbidity and mortality, with sub-Saharan Africa carrying the highest burden. This study aimed to determine the prevalence and risk factors of postpartum hemorrhage in Africa.
Methods
A systematic review and meta-analysis of observational studies estimating PPH was undertaken through literature searches in biomedical databases. The protocol has been registered at PROSPERO and is available at https://www.crd.york.ac.uk/, under the registration number (CRD42020206087). All statistical analyses were conducted using STATA-Version 13 software. To assess heterogeneity, the I2 test was used across the studies. A random-effect model was used to estimate the pooled prevalence of PPH. Odds ratios (OR) with 95% confidence intervals (CI) were also used to determine the association of variables with PPH.
Result
Twenty-nine articles were included in this meta-analysis with a total sample size of 179,730 from countries in Africa. The pooled prevalence of PPH in Africa from 2003 to 2023 was 4.2% (95% CI; 3–4). The regional distribution was 1% (95% CI: 1–1) in Eastern Africa, 3% (95% CI: 3–4) in Southern Africa, 4% (95% CI: 3–5) in Northern Africa, 5% (95% CI: 4–5) in Western Africa, and 5% (95% CI: 4–5) in Central Africa. Macrosomia and cesarean section were shown to be risk factors for PPH.
Conclusion
This analysis demonstrated that the prevalence of PPH was low. This result will inform risk factor-based prevention, cause-based treatment, and the planning and implementation of applicable public health strategies.
{"title":"Postpartum hemorrhage and associated risk factors in Africa: a systematic review and meta-analysis","authors":"Ahmed Mohammed Ibrahim , Mohamed Omar Osman , Mohamud Hussein Ali , Abdilahi Ibrahim Muse , Abdulahi Hussen Abdinur , Ramadan Budul Yusuf , AbdiHamid Osman Ibrahim , Ahmed Mohamud Omar , Sualiha Abdulkader Muktar , Seid Muhumed Abdilaahi","doi":"10.1016/j.ijans.2026.100989","DOIUrl":"10.1016/j.ijans.2026.100989","url":null,"abstract":"<div><h3>Background</h3><div>Postpartum hemorrhage (PPH) is a major public health problem and remains one of the leading causes of maternal morbidity and mortality, with sub-Saharan Africa carrying the highest burden. This study aimed to determine the prevalence and risk factors of postpartum hemorrhage in Africa.</div></div><div><h3>Methods</h3><div>A systematic review and <em>meta</em>-analysis of observational studies estimating PPH was undertaken through literature searches in biomedical databases. The protocol has been registered at PROSPERO and is available at<!--> <span><span>https://www.crd.york.ac.uk/</span><svg><path></path></svg></span>, under the registration number (CRD42020206087). All statistical analyses were conducted using STATA-Version 13 software. To assess heterogeneity, the I<sup>2</sup> <!-->test was used across the studies. A random-effect model was used to estimate the pooled prevalence of PPH. Odds ratios (OR) with 95% confidence intervals (CI) were also used to determine the association of variables with PPH.</div></div><div><h3>Result</h3><div>Twenty-nine articles were included in this <em>meta</em>-analysis with a total sample size of 179,730 from countries in Africa. The pooled prevalence of PPH in Africa from 2003 to 2023 was 4.2% (95% CI; 3–4). The regional distribution was 1% (95% CI: 1–1) in Eastern Africa, 3% (95% CI: 3–4) in Southern Africa, 4% (95% CI: 3–5) in Northern Africa, 5% (95% CI: 4–5) in Western Africa, and 5% (95% CI: 4–5) in Central Africa. Macrosomia and cesarean section were shown to be risk factors for PPH.</div></div><div><h3>Conclusion</h3><div>This analysis demonstrated that the prevalence of PPH was low. This result will inform risk factor-based prevention, cause-based treatment, and the planning and implementation of applicable public health strategies.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 100989"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146037242","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}
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