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Nursing colleges in higher education: Determinants of organisational readiness for implementing change 高等教育中的护理学院:组织为实施变革做好准备的决定因素
Q2 Nursing Pub Date : 2024-01-01 DOI: 10.1016/j.ijans.2024.100794
Patricia Y. Mudzi, Judith Bruce

Background

Transitioning to higher education is a significant and ongoing change for nursing education, globally. Understanding organisational readiness for implementing change is crucial for the successful transitioning of nursing colleges to higher education.

Objective

To determine the perspectives of nursing education leaders on organisational readiness for change to higher education.

Methods

The Organisational Readiness for Implementing Change scale was used to survey the collective commitment of nursing education leaders to change efficacy and change commitment. Seventy-five participants (n = 75) from a target population of 88 nursing college managers and nursing education directors, completed the survey. The survey was conducted in public nursing colleges across three provinces in South Africa: rural, urban, and mixed urban and rural. Descriptive statistics were used to analyse data. Mann-Whitney and Kruskal-Wallis tests were used to compare differences between variables.

Results

Statistically significant differences in readiness levels were found among nursing colleges (p = 0.04). The nursing college in the rural province had the highest readiness (median: 48, IQR: 44–52). Participants with more than 20 years education experience reported higher readiness for change (median: 48, IQR: 42–49). No significant differences were found in readiness based on gender (p = 0.13), qualification level (p = 0.88), and employee designation (p = 0.32).

Conclusion

Change commitment and efficacy varied across the nursing colleges but were generally positive. Marginally high readiness for change implementation requires strategic support that goes beyond resources, staff qualifications and position. Members’ collective commitment and confidence are important determinants for change readiness.
背景在全球范围内,向高等教育过渡是护理教育的一项重大且持续的变革。目标 确定护理教育领导者对高等教育变革的组织准备情况的看法。方法 使用变革组织准备情况量表调查护理教育领导者对变革效力和变革承诺的集体承诺。来自 88 名护理学院管理人员和护理教育主任的 75 名参与者(n = 75)完成了调查。调查在南非三个省的公立护理学院进行:农村省、城市省和城乡混合省。数据分析采用了描述性统计方法。结果发现,各护理学院的准备程度在统计学上存在显著差异(p = 0.04)。农村省份护理学院的准备程度最高(中位数:48,IQR:44-52)。拥有 20 年以上教育经验的参与者对变革的准备程度较高(中位数:48,IQR:42-49)。在性别(p = 0.13)、资格水平(p = 0.88)和员工职称(p = 0.32)方面,准备程度没有发现明显差异。略高的变革实施准备度需要战略支持,而战略支持不仅仅是资源、员工资质和职位。成员的集体承诺和信心是变革准备度的重要决定因素。
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引用次数: 0
Exploring facilitators and barriers to healthcare professionals’ use of clinical guidelines to prevent surgical site infection in Rwandan hospitals 探讨卢旺达医院医护人员使用临床指南预防手术部位感染的促进因素和障碍
Q2 Nursing Pub Date : 2024-01-01 DOI: 10.1016/j.ijans.2024.100792
Aloys Niyomugabo , Madeleine Mukeshimana , Anita Collins , Geldine Chironda

Background

Surgical site infection (SSI) is a significant clinical problem with detrimental effects on the quality of life coupled with prolonged hospital stays, additional costs for patients. There are clinical guidelines for prevention of surgical site infections. However, little is known about the facilitators; and barriers against healthcare professionals’ use of clinical guidelines in the prevention of SSI in Rwandan hospitals.

Aim

This study aims to explore facilitators and barriers to healthcare professionals’ use of clinical guidelines for Surgical Site Infection Prevention in Rwanda.

Methods

A qualitative, exploratory and descriptive study that involved 28 health professionals was carried out. Participants were selected using purpose sampling approach. The data collection process involved the use of a focused group discussion using interview guide to gather relevant information. Subsequently, the collected data was analyzed using the software Atlas TI, along with content analysis techniques to derive meaningful insights from the data.

Results

The barriers faced by health care professionals included a lack of official guidelines for the prevention of SSIs, shortage of health care professionals, an inappropriate monitoring system due to work overload, limited knowledge on the subject among them, limited resources in terms of facilities and hospital monetary. The identified facilitators were self-motivation, teamwork, peer support, and support from the management committee of the hospital.

Conclusion

This study identified lack of official guideline for prevention of SSIs as one of main barriers encountered by health care professionals to the prevention of surgical site infections. Despite the positive efforts made by healthcare professionals toward the prevention and management of SSIs, several challenges impede the process. Recommendations should be tailored to availing official clinical guidelines for prevent SSI, increased training for healthcare professionals, provision of more healthcare staff, and improved surveillance and monitoring of surgical site infection.
背景手术部位感染(SSI)是一个严重的临床问题,不仅会影响患者的生活质量,还会延长患者的住院时间,增加患者的额外费用。目前已有预防手术部位感染的临床指南。本研究旨在探讨卢旺达医护专业人员使用临床指南预防手术部位感染的促进因素和障碍。研究采用目的抽样法选取参与者。数据收集过程包括使用访谈指南进行重点小组讨论,以收集相关信息。结果医护专业人员面临的障碍包括缺乏预防 SSI 的官方指南、医护专业人员短缺、工作负荷过重导致监测系统不完善、医护专业人员对该主题的了解有限、设施和医院资源有限。这项研究发现,缺乏预防 SSI 的官方指南是医护人员在预防手术部位感染方面遇到的主要障碍之一。尽管医护人员在预防和管理 SSI 方面做出了积极努力,但仍有一些挑战阻碍了这一进程。应针对以下方面提出建议:提供预防 SSI 的官方临床指南、加强对医护人员的培训、提供更多的医护人员以及改进对手术部位感染的监测和监控。
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引用次数: 0
Effectiveness of competency-based training on Nurses’ performance regarding oxygen administration safety for children with respiratory disorders 以能力为基础的培训对护士为呼吸系统疾病患儿提供氧气的安全性的影响
Q2 Nursing Pub Date : 2024-01-01 DOI: 10.1016/j.ijans.2024.100754
Doaa Bahig Anwr Akl , Donia Elsaid Fathi Zaghamir , Mohamed Gamal Elsehrawy , Om Hashim Mahmoud Mahmoud Saadoon , Amal Abd Elhaleem Farahat , Maha Mahmoud Mahmoud Saadoon

Background

Supplemental oxygen therapy is one of the main therapies used to manage respiratory distress; it must be given in a way that is both safe and efficient. To provide standardized care, competency-based training should be designed to prioritize the practical skills and talents of the nurses over the provision of theoretical knowledge. The study aimed to evaluate the effectiveness of competency-based training on nurses’ performance regarding oxygen administration safety for infants with respiratory disorders.

The setting

The study was conducted at the pediatric critical care units at Mansoura University Hospital. Design: The quasi-experimental study was used. The sample: A convenient sampling technique was used for recruiting pediatric critical care nurses and the infants who were admitted in the previous setting. Data collection: three tools were utilized in this study: the first was a structured interview questionnaire encompassing the socio-demographic characteristics of the studied nurses and infants. The second tool is nurses’ knowledge and an observation checklist to assess nurse practices regarding oxygen administration safety. The third tool, the nurse competence scale (NCS).

Results

pediatric critical care nurses’ standardization (knowledge, practice, and knowledge application) through pre- and post-intervention. It showed a marked improvement in mean score and standard deviation in the post compared to pre, and the total mean was in the post (15.9 ± 3.8) compared to pre (33.5 ± 7.2) with a p-value < 0.001.

Conclusion

After the implementation of the competency based training program regarding oxygen administration safety.

Recommendations.

To increase standardization in nursing care practices and produce the best patient outcomes, competency-based training should be applied to all aspects of health care delivery.

背景补充氧疗法是用于控制呼吸窘迫的主要疗法之一,必须以既安全又有效的方式进行。为了提供标准化的护理,以能力为基础的培训应优先考虑护士的实践技能和才能,而不是提供理论知识。本研究旨在评估以能力为基础的培训对护士为患有呼吸系统疾病的婴儿安全输氧的效果。 研究地点:曼苏尔大学医院儿科重症监护室。设计:采用准实验研究方法。样本:采用方便抽样技术,招募儿科危重症护理护士和之前住院的婴儿。数据收集:本研究使用了三种工具:第一种是结构化访谈问卷,涵盖了所研究护士和婴儿的社会人口学特征。第二种工具是护士知识和观察核对表,用于评估护士在氧气管理安全方面的做法。第三个工具是护士能力量表(NCS)。结果儿科危重症护理护士在干预前后的标准化(知识、实践和知识应用)情况显示,干预后的平均得分和标准差与干预前相比有明显改善,干预后的总平均得分(15.9 ± 3.8)与干预前(33.5 ± 7.2)相比,P 值为 0.001。建议为了提高护理实践的标准化程度,并为患者带来最佳治疗效果,应在医疗服务的各个方面开展能力培训。
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引用次数: 0
Validation of the Psychometric Properties of the Practice Environment Scale of Nursing Work Index (PES-NWI) Questionnaire in the Context of Kenya’s Nursing Organizational Work Culture 在肯尼亚护理组织工作文化背景下验证护理工作指数实践环境量表(PES-NWI)问卷的心理计量特性
Q2 Nursing Pub Date : 2024-01-01 DOI: 10.1016/j.ijans.2024.100750
Evans Kasmai Kiptulon , Mohammed Elmadani , Godfrey Mbaabu Limungi , Anna Szőllősi , Dahabo Adi Galgalo , Peter Murage , Pauline Okari , Orsolya Maté , Adrienn Ujváriné Siket

Background

The global shortage of nurses is posing a significant threat to the provision and sustainability of quality health care services worldwide. The importance of nursing organizational culture and validated tools to accurately measure it, is of paramount importance in mitigation of this shortage, especially in Low- and middle-income-countries like Kenya.

Methodology

This was a cross-sectional online validation survey among 212 nursing personnel working in various healthcare facilities across Kenya. The aim of the study was to assess the validity and reliability of the psychometric properties of the Practice Environment Scale of Nursing Work Index within the framework of nursing organizational culture in Kenya and determine how Kenyan nurses rate their organizational culture. Data was analyzed using SPSS version 28. Cronbach’s alpha was used to determine reliability while Exploratory Factor Analysis and Confirmatory Factor Analysis were used to test validity.

Results

The 5-structure of Lake’s PES-NWI was unsupported by confirmatory factor analysis and a new 7-Factor Kenyan PES-NWI version was created. The new tool was reliable and with acceptable fit. Participants showed a mixed rating of their organizational culture with overall organizational culture largely rated neutral (M = 2.51, SD = 1.01).

Conclusion

The Kenyan PES-NWI is a valid and reliable tool that could be used to assess organizational culture. The study highlighted the critical need to further develop context-specific tools to accurately measure nursing organizational culture work environments particularly in Low and-Middle-Income countries like Kenya facing significant nursing shortages. As nursing becomes increasingly dynamic and complex, it is essential for nursing and healthcare researchers to re-validate research tools to continuously improve them.

背景全球护士短缺正在对全世界优质医疗服务的提供和可持续性构成重大威胁。护理组织文化的重要性以及对其进行精确测量的有效工具对于缓解这一短缺问题至关重要,尤其是在肯尼亚这样的中低收入国家。研究的目的是在肯尼亚护理组织文化的框架内评估护理工作指数实践环境量表心理测量特性的有效性和可靠性,并确定肯尼亚护士如何评价其组织文化。数据使用 SPSS 28 版进行分析。结果莱克的 PES-NWI 的 5 个结构没有得到确认性因素分析的支持,因此创建了一个新的 7 因子肯尼亚 PES-NWI 版本。新工具可靠且契合度可接受。受试者对其组织文化的评价不一,总体上对组织文化的评价为中性(M = 2.51,SD = 1.01)。这项研究强调,亟需进一步开发针对具体情况的工具,以准确测量护理组织文化工作环境,尤其是在肯尼亚这样面临严重护理人员短缺的中低收入国家。随着护理工作变得越来越动态和复杂,护理和医疗保健研究人员有必要重新验证研究工具,以不断改进它们。
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引用次数: 0
Experiences of women receiving maternal care regarding cultural practices in selected public hospitals in the North West Province, South Africa 在南非西北省部分公立医院接受产妇护理的妇女在文化习俗方面的经历
Q2 Nursing Pub Date : 2024-01-01 DOI: 10.1016/j.ijans.2024.100680
Khumoetsile Daphney Shopo , Tinda Rabie , Antoinette Du Preez , Petra Bester

Background

Midwives providing care to a culturally diverse society must know and understand the important cultural practices for women receiving maternal care. On the part of the midwives, balancing an act of respecting cultural beliefs and practices while maintaining the professional standard of care is an art.

Objective

To explore and describe the experiences of women receiving maternal care regarding cultural practices and their perception about midwives providing maternal care.

Method

A phenomenological, qualitative and descriptive design approach was chosen for this study. Women receiving maternal care (antenatal and postpartum) within five public hospitals in the North West Province of South Africa, were purposively sampled. A total of fifty (n = 50) in-depth individual interviews, guided by an interview guide, were conducted in English or Setswana. The interviews were digitally audio-recorded and transcribed verbatim followed by thematic analysis. The independent co-coder also conducted data analysis to enhance rigour.

Findings

Participants described specific self-care practices which are essential to them during the antenatal period. These included restricting movement and social activities, wearing loose clothing, not smoking and attending the antenatal clinic. Important cultural practices included consulting traditional healers for protection against evil spirits throughout the pregnancy journey. The cultural practices in the postnatal period involved using traditional medicines to protect the newborn as well.

Conclusion

The objective of this study was achieved as the women receiving maternal care were able to share their important cultural practices during antenatal care until postnatal period, they further revealed that their cultural practices are not allowed.

背景为多元文化社会提供护理的助产士必须了解和理解接受产妇护理的妇女的重要文化习俗。目标 探讨并描述接受产妇护理的妇女在文化习俗方面的经历以及她们对助产士提供产妇护理的看法。方法 本研究选择了现象学、定性和描述性设计方法。在南非西北省的五家公立医院中,有目的地抽取了接受产妇护理(产前和产后)的妇女。在访谈指南的指导下,共进行了 50 (n = 50) 次深入的个人访谈,访谈语言为英语或塞茨瓦纳语。对访谈进行了数字录音和逐字记录,然后进行了专题分析。为了提高数据分析的严谨性,独立的共同编码者也对数据进行了分析。这些做法包括限制行动和社交活动、穿宽松的衣服、不吸烟和去产前诊所。重要的文化习俗包括在整个怀孕过程中咨询传统医士,以求避邪。产后的文化习俗还包括使用传统药物保护新生儿。 结论:本研究的目的已经达到,因为接受产妇护理的妇女能够分享她们在产前护理到产后期间的 重要文化习俗,她们还进一步揭示了她们的文化习俗是不允许的。
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引用次数: 0
A concept analysis of immediate newborn care within 48 h of birth: A facility based 出生后 48 小时内新生儿即时护理的概念分析:基于设施的
Q2 Nursing Pub Date : 2024-01-01 DOI: 10.1016/j.ijans.2024.100708
Eteaner Ntupanyama-Phiri , Charity Kabondo , Joseph Msambathukuta Chasweka , Felix Chisoni , Rodwell Gundo , Ellen Chirwa

Background

Immediate newborn care interventions provided by midwives within 48 h of birth are invaluable in the reduction of neonatal morbidity and mortality. The purpose of this concept analysis is to clarify the meaning of immediate newborn care within 48 h of birth in relation to its attributes, antecedents, consequences and empirical referents.

Methods

Walker and Avant’s (2019) framework was used to analyze the concept. The framework consist of the following steps: selecting a concept; determining the aims of the analysis; identifying all the uses of the concept; identifying the defining attributes; identifying and constructing model, borderline, related and contrary cases; identifying antecedents and consequences; and finally defining empirical referents.

Results

The attributes of immediate newborn care are up to date knowledge, proficiency in skills, effective communication, willingness, responsibility, compassionate, honesty, commitment, resilience, touch and patience. The identified antecedents are availability of adequate midwives, pre-service and in-service training, availability of functioning equipment and supplies, regular supervision, follow up and mentorship. The consequences include: improved provider's performance, client/caretaker's satisfaction, provider's growth and satisfaction, and reduction in neonatal morbidity and mortality.

Conclusion

Immediate newborn care within 48 h helped in highlighting interventions that can be implemented immediately after child birth in order to reduce neonatal deaths.

背景助产士在新生儿出生后 48 小时内提供的新生儿即时护理干预对降低新生儿发病率和死亡率非常重要。本概念分析的目的是根据新生儿出生 48 小时内即时护理的属性、前因、后果和经验参照物,阐明新生儿出生 48 小时内即时护理的含义。该框架包括以下步骤:选择一个概念;确定分析目的;确定该概念的所有用途;确定定义属性;确定并构建模型、边界、相关和相反案例;确定前因后果;最后确定经验参照物。结果新生儿即时护理的属性包括最新知识、熟练技能、有效沟通、意愿、责任感、同情心、诚实、承诺、应变能力、触摸和耐心。已确定的先决条件包括:有足够的助产士、岗前和在岗培训、可用的设备和用品、定期监督、跟踪和指导。结果包括:提高助产士的绩效、客户/监护人的满意度、助产士的成长和满意度,以及降低新生儿发病率和死亡率。
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引用次数: 0
Fostering health advocacy: Unveiling educational impact on testicular cancer awareness in male university students – Health belief model and social support strategy in a groundbreaking Pre-Post Quasi-Experimental study 促进健康宣传:揭示教育对提高男大学生睾丸癌意识的影响--在一项开创性的事前-事后准实验研究中采用健康信念模式和社会支持策略
Q2 Nursing Pub Date : 2024-01-01 DOI: 10.1016/j.ijans.2024.100709
Ateya Megahed Ibrahim , Amirat A. Al-Sabeely , Ishraga A. Mohamed , Marwa A. Shahin , Ali D Abousoliman , Laila Zeidan Ghazy Mohammed

Background

Testicular cancer represents a considerable health issue for young adults, including university students, yet there is a lack of specialized interventions targeting this demographic. Drawing from the Health Belief Model (HBM) and Social Support Strategy, an educational campaign seeks to empower male university students by providing them with information and encouraging proactive self-examination practices concerning testicular cancer.

Aim

To evaluate the effectiveness of this educational intervention, utilizing the HBM and Social Support, in enhancing testicular cancer awareness and encouraging self-examination among male university students through a pioneering pre-post quasi-experimental study.

Methods

A pre-post quasi-experimental study engaged 350 university students from Prince Sattam Bin Abdulaziz University, KSA, over a period of five months, from June to October 2023. The intervention comprised seven training sessions, encompassing sociodemographic information, knowledge assessment, evaluation of the Health Belief Model (HBM), and an assessment of the social support strategy.

Results

Following the intervention, participants, with a mean age of 20.8 ± 13.5 years, exhibited significant improvements across various domains. These enhancements encompassed increased knowledge, perceived susceptibility, severity, recognized benefits, self-efficacy, cues to action, social support, and performance in Testicular Self-Examination.

Conclusion

The research underscores the effectiveness of an intervention grounded in Health Belief Model (HBM) constructs and social support in cultivating preventive behaviours against testicular cancer among university students. This establishes a foundation for future educational interventions aimed at promoting awareness and proactive measures against testicular cancer within this demographic.

Recommendations

The study recommends implementing targeted campaigns that collaborate closely with healthcare professionals, utilize interactive platforms, and exhibit cultural sensitivity. It emphasizes the importance of regular follow-ups, public awareness initiatives, school-based programs, and ongoing adaptation based on emerging research as essential components of a comprehensive strategy aimed at reducing the incidence of testicular cancer through behaviour modification.

背景睾丸癌对包括大学生在内的年轻成年人来说是一个相当大的健康问题,但却缺乏针对这一人群的专门干预措施。利用健康信念模型(HBM)和社会支持策略,一项教育活动旨在通过向男大学生提供有关睾丸癌的信息并鼓励他们积极进行自我检查,从而增强他们的能力。目的通过一项开创性的事前-事后准实验研究,评估利用健康信念模式和社会支持策略开展的教育干预活动在提高男大学生对睾丸癌的认识和鼓励他们进行自我检查方面的效果。干预措施包括七堂培训课,内容包括社会人口信息、知识评估、健康信念模型(HBM)评估和社会支持策略评估。结果干预后,平均年龄为 20.8±13.5 岁的参与者在各个领域都取得了显著进步。这些提高包括知识、感知易感性、严重性、认识到的益处、自我效能、行动提示、社会支持和睾丸自检表现的提高。 结论这项研究强调了基于健康信念模式(HBM)和社会支持的干预措施在培养大学生睾丸癌预防行为方面的有效性。该研究建议开展有针对性的活动,与医疗保健专业人员密切合作,利用互动平台,并表现出文化敏感性。研究强调了定期随访、提高公众意识的举措、以学校为基础的计划以及根据新兴研究不断调整的重要性,这些都是旨在通过改变行为来降低睾丸癌发病率的综合战略的重要组成部分。
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引用次数: 0
Clinical breast exam training using tactually accurate computer simulation among healthcare providers in ghana 在加纳医护人员中使用触觉准确的计算机模拟进行临床乳房检查培训
Q2 Nursing Pub Date : 2024-01-01 DOI: 10.1016/j.ijans.2024.100716
Dannica Callies , Danielle Schievelbein , Cynthia Elverson , Judith Osae-Larbi

Background

The incidence and prevalence of breast cancer continue to grow each year in sub-Saharan Africa. With limited access to diagnostic testing in this resource-limited area, clinical breast exams are a priority. Diversity in clinical breast exam skills contributes to misdiagnosis and delayed diagnosis of breast cancer. Computer-based simulation improves clinical breast exam skills and has the potential to improve patient outcomes.

Objectives

This study aimed to evaluate the effectiveness of tactually accurate computer simulation on participants’ clinical breast exam competence, confidence, and intent to perform clinical breast exams in their practice.

Methods

This was a retrospective study design analyzing MammaCare® training data and web-based survey data from 34 healthcare providers, including midwives, nurses, physician assistants, and medical officers, employed at five clinics in Ghana.

Results

Participants demonstrated clinical breast exam skill competence. With each successive training module, the participants increased palpation coverage of breast tissue and decreased the number of false positive lumps identified as well as accurately identified true positive lumps. Participants reported increased confidence and intent to perform clinical breast exams and inquire about risk factors and symptoms patients may be experiencing.

Conclusions

Clinical breast exam skills training using tactually accurate computer simulation was effective and appropriate for practicing healthcare providers. The training may promote enhanced screening practices and early detection of breast cancer.

背景撒哈拉以南非洲地区的乳腺癌发病率和流行率每年都在持续增长。在这个资源有限的地区,获得诊断检测的机会有限,因此临床乳房检查成为当务之急。临床乳房检查技能的多样性导致了乳腺癌的误诊和延迟诊断。本研究旨在评估触觉准确的计算机模拟对参与者的临床乳房检查能力、信心以及在实践中进行临床乳房检查的意愿的影响。方法这是一项回顾性研究设计,分析了 MammaCare® 培训数据和基于网络的调查数据,这些数据来自 34 名医疗服务提供者,包括助产士、护士、医生助理和医务人员,他们受雇于加纳的 5 家诊所。在每一个连续的培训模块中,参与者都增加了对乳腺组织的触诊范围,减少了假阳性肿块的数量,并准确识别了真阳性肿块。结论:使用触觉准确的计算机模拟进行临床乳房检查技能培训是有效的,适合执业医护人员。该培训可促进筛查实践和乳腺癌的早期发现。
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引用次数: 0
Knowledge and attitudes of male nursing students concerning male breast cancer and ways of prevention 护理专业男生对男性乳腺癌的认识和态度以及预防方法
Q2 Nursing Pub Date : 2024-01-01 DOI: 10.1016/j.ijans.2024.100662
Ateya Megahed Ibrahim , Donia Elsaid Fathi Zaghamir , Mohamed Gamal Elsehrawey , Mohamed A. El-Sakhawy

Background

Male breast cancer remains largely unfamiliar to students, the general public, and healthcare professionals. In stark contrast, female breast cancer, being more prevalent, has garnered significant awareness across various demographics.

Objective

This study aimed to assess knowledge and attitudes of male nursing students about male breast cancer and prevention measures.

Methods

A descriptive research design was employed for this study. The participant pool comprised 165 male nursing students enrolled in the nursing program at the College of Nursing, Prince Sattam Bin Abdulaziz University. Data collection involved utilizing a participant identification form and a questionnaire, encompassing three primary sections addressing sociodemographic data, knowledge, and attitudes of the participants regarding male breast cancer and ways of prevention.

Results

The study revealed that the total mean score for knowledge among the participants regarding male breast cancer was 19.03±4.414. Additionally, the total mean score for their attitudes toward male breast cancer was 29.8±6.041. The analysis indicated a highly statistically significant association between the total knowledge scores and total attitude scores of the participants (P < 0.05). Furthermore, there was a notable and statistically significant relationship between the educational level of the participants and their total attitude scores.

Conclusion

Male nursing students lacked understanding about male breast cancer and had a poor attitude toward it.

Recommendation

These results provide a starting point for the creation of evidence-based, gender-specific health promotion and disease prevention strategies for men, while more research with bigger samples is required. Also, this study makes a significant contribution to the creation of an effective program meant to increase high nursing students' awareness of breast cancer and strategies to support their loved ones in the prevention and treatment of the disease.

背景对于学生、公众和医疗保健专业人员来说,男性乳腺癌在很大程度上仍然是陌生的。与此形成鲜明对比的是,女性乳腺癌的发病率更高,已在不同人群中引起了广泛关注。本研究旨在评估护理专业男生对男性乳腺癌及预防措施的认识和态度。参与者包括 165 名就读于萨塔姆-本-阿卜杜勒-阿齐兹王子大学护理学院护理专业的男生。数据收集工作包括使用一份参与者身份识别表和一份调查问卷,问卷包括三个主要部分,分别涉及参与者的社会人口学数据、知识以及对男性乳腺癌和预防方法的态度。此外,他们对男性乳腺癌态度的总平均分为 29.8±6.041。分析表明,参与者的知识总分与态度总分之间存在高度统计学意义(P < 0.05)。这些结果为制定以证据为基础的、针对不同性别的男性健康促进和疾病预防策略提供了一个起点,但还需要更多的研究和更大的样本。此外,本研究还为制定一项有效的计划做出了重要贡献,该计划旨在提高护理专业高年级学生对乳腺癌的认识,并制定相关策略,帮助他们的亲人预防和治疗乳腺癌。
{"title":"Knowledge and attitudes of male nursing students concerning male breast cancer and ways of prevention","authors":"Ateya Megahed Ibrahim ,&nbsp;Donia Elsaid Fathi Zaghamir ,&nbsp;Mohamed Gamal Elsehrawey ,&nbsp;Mohamed A. El-Sakhawy","doi":"10.1016/j.ijans.2024.100662","DOIUrl":"https://doi.org/10.1016/j.ijans.2024.100662","url":null,"abstract":"<div><h3>Background</h3><p>Male breast cancer remains largely unfamiliar to students, the general public, and healthcare professionals. In stark contrast, female breast cancer, being more prevalent, has garnered significant awareness across various demographics.</p></div><div><h3>Objective</h3><p>This study aimed to assess knowledge and attitudes of male nursing students about male breast cancer and prevention measures.</p></div><div><h3>Methods</h3><p>A descriptive research design was employed for this study. The participant pool comprised 165 male nursing students enrolled in the nursing program at the College of Nursing, Prince Sattam Bin Abdulaziz University. Data collection involved utilizing a participant identification form and a questionnaire, encompassing three primary sections addressing sociodemographic data, knowledge, and attitudes of the participants regarding male breast cancer and ways of prevention.</p></div><div><h3>Results</h3><p>The study revealed that the total mean score for knowledge among the participants regarding male breast cancer was 19.03±4.414. Additionally, the total mean score for their attitudes toward male breast cancer was 29.8±6.041. The analysis indicated a highly statistically significant association between the total knowledge scores and total attitude scores of the participants (P &lt; 0.05). Furthermore, there was a notable and statistically significant relationship between the educational level of the participants and their total attitude scores.</p></div><div><h3>Conclusion</h3><p>Male nursing students lacked understanding about male breast cancer and had a poor attitude toward it.</p></div><div><h3>Recommendation</h3><p>These results provide a starting point for the creation of evidence-based, gender-specific health promotion and disease prevention strategies for men, while more research with bigger samples is required. Also, this study makes a significant contribution to the creation of an effective program meant to increase high nursing students' awareness of breast cancer and strategies to support their loved ones in the prevention and treatment of the disease.</p></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"20 ","pages":"Article 100662"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214139124000076/pdfft?md5=d09ca74329f11f53480258f18c0b131f&pid=1-s2.0-S2214139124000076-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139653568","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
Nursing impact at Kosovo prisons health services 护理对科索沃监狱保健服务的影响
Q2 Nursing Pub Date : 2024-01-01 DOI: 10.1016/j.ijans.2024.100664
Milazim Gjocaj , Shqipe Ukelli , Labinot Shahini , Klodeta Kabashi , Sefedin Muçaj , Juna Musa , Arian Idrizaj , Serbeze Kabashi , Hedije Maloku , Granit Shatri , Adelina Rexhepi , Vala Prekazi , Nora Salihaj , Astrit Rexhaj , Blerim Krasniqi

Introduction

Nurses play a crucial role in providing healthcare services in prisons and psychiatric hospitals in Kosovo. In Kosovo, there are ten prison facilities with a capacity of 2500 inmates. At those facilities there are ten Prison Health Units with six Medical Clinics and three medical stationeries. At every PHU, basic healthcare services are offered round-the-clock.

Purpose

The purpose of this study is to evaluate the role of nurses in providing healthcare services in prisons and psychiatric hospitals in Kosovo. The study aims to assess the workload and responsibilities of nurses and the quality of healthcare services they provide. Additionally, the study analyzes the management of health services in these institutions.

Methods

This study is based on statistical data from the Prison Health Service in Kosovo from 2013 to 2022. The study calculated statistical coefficients related to the number of nurses and healthcare staff per 1,000 prisoners.

Results

The study found that there were 10.09 nurses per 1,000 inmates in the 10 prison facilities in Kosovo, and the total number of medical staff per 1,000 inmates was 15.49. The ratio of physicians per 1,000 inmates was 3.05, indicating a relatively low number of physicians compared to nurses. The study also found a higher ratio of nursing staff to inmates, indicating more individualized attention and care.

Conclusions

The study concludes that nurses play a vital role in providing healthcare services in prisons and psychiatric hospitals in Kosovo. The study recommends hiring more physicians to improve the quality of healthcare services in prisons.

导言:护士在科索沃监狱和精神病院提供医疗服务方面发挥着重要作用。科索沃有 10 所监狱设施,可容纳 2500 名囚犯。在这些设施中有 10 个监狱保健单位,下设 6 个诊所和 3 个医疗站。本研究的目的是评估护士在科索沃监狱和精神病院提供医疗服务中的作用。研究旨在评估护士的工作量和责任以及他们所提供的医疗服务的质量。此外,本研究还分析了这些机构的医疗服务管理情况。方法本研究以科索沃监狱医疗服务局 2013 年至 2022 年的统计数据为基础。研究计算了与每千名囚犯拥有的护士和医护人员数量相关的统计系数。研究发现,在科索沃的 10 所监狱设施中,每千名囚犯拥有 10.09 名护士,每千名囚犯拥有的医护人员总数为 15.49 人。每 1,000 名囚犯中医生的比例为 3.05,这表明医生人数相对于护士人数较少。研究还发现,护理人员与囚犯的比例较高,这表明护理人员能够提供更多个性化的关注和护理。研究建议聘用更多的医生来提高监狱医疗服务的质量。
{"title":"Nursing impact at Kosovo prisons health services","authors":"Milazim Gjocaj ,&nbsp;Shqipe Ukelli ,&nbsp;Labinot Shahini ,&nbsp;Klodeta Kabashi ,&nbsp;Sefedin Muçaj ,&nbsp;Juna Musa ,&nbsp;Arian Idrizaj ,&nbsp;Serbeze Kabashi ,&nbsp;Hedije Maloku ,&nbsp;Granit Shatri ,&nbsp;Adelina Rexhepi ,&nbsp;Vala Prekazi ,&nbsp;Nora Salihaj ,&nbsp;Astrit Rexhaj ,&nbsp;Blerim Krasniqi","doi":"10.1016/j.ijans.2024.100664","DOIUrl":"https://doi.org/10.1016/j.ijans.2024.100664","url":null,"abstract":"<div><h3>Introduction</h3><p>Nurses play a crucial role in providing healthcare services in prisons and psychiatric hospitals in Kosovo. In Kosovo, there are ten prison facilities with a capacity of 2500 inmates. At those facilities there are ten Prison Health Units with six Medical Clinics and three medical stationeries. At every PHU, basic healthcare services are offered round-the-clock.</p></div><div><h3>Purpose</h3><p>The purpose of this study is to evaluate the role of nurses in providing healthcare services in prisons and psychiatric hospitals in Kosovo. The study aims to assess the workload and responsibilities of nurses and the quality of healthcare services they provide. Additionally, the study analyzes the management of health services in these institutions.</p></div><div><h3>Methods</h3><p>This study is based on statistical data from the Prison Health Service in Kosovo from 2013 to 2022. The study calculated statistical coefficients related to the number of nurses and healthcare staff per 1,000 prisoners.</p></div><div><h3>Results</h3><p>The study found that there were 10.09 nurses per 1,000 inmates in the 10 prison facilities in Kosovo, and the total number of medical staff per 1,000 inmates was 15.49. The ratio of physicians per 1,000 inmates was 3.05, indicating a relatively low number of physicians compared to nurses. The study also found a higher ratio of nursing staff to inmates, indicating more individualized attention and care.</p></div><div><h3>Conclusions</h3><p>The study concludes that nurses play a vital role in providing healthcare services in prisons and psychiatric hospitals in Kosovo. The study recommends hiring more physicians to improve the quality of healthcare services in prisons.</p></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"20 ","pages":"Article 100664"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S221413912400009X/pdfft?md5=93ebabab95f3af804a2910aea64564b1&pid=1-s2.0-S221413912400009X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139694413","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
期刊
International Journal of Africa Nursing Sciences
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