International Journal of Africa Nursing Sciences最新文献

Purpose

This study investigates the impact of workplace bullying on nurses' psychological distress and the quality of care as well as the impact of resilience in mitigating the negative effect of workplace bullying.

Design

A cross-sectional survey design was employed to study the phenomenon among a purposive sample of 326 nurses in the Ghanaian healthcare sector with self-administered questionnaires for data collection. Data was analyzed using IBM’s Statistical Package for Social Sciences (SPSS) version 27.0 and Process Macro Version.

Results

The study found evidence that bullied nurses in hospitals often suffer from psychological distress. Results also demonstrate a negative link between workplace bullying and the quality of care delivered by nurses. Furthermore, the study found that resilience moderated the workplace bullying and nurses' psychological distress relationship, however, resilience is not a significant moderator in the workplace bullying and quality of care relationship.

Originality

The study advances our understanding of workplace bullying's consequences for nurses in the Ghanaian healthcare sector. It underscores the importance of addressing workplace bullying, offering practical recommendations for healthcare administrators and managers. Fostering personal resources like resilience is crucial to empower nurses in facing the challenges of their workplace environment effectively.

Introduction

Inadequate infant feeding practices pose a significant social and economic development barrier and a serious health threat for children under five worldwide. Although over 90 % of African children aged 0–5 years are breastfed, in many countries, including Tanzania, less than half of infants aged 0–6 months receive exclusive breastfeeding (EBF) as recommended by the World Health Organization.

Objective

The primary objective of this study is to assess the knowledge and practices regarding EBF among women in Mbeya.

Methods

A cross-sectional study was conducted among women with children under six months attending the Reproductive and Child Health (RCH) clinic at Mbeya Zonal Referral Hospital (MZRH) in August 2022. Data was collected by face-to-face interviews using a structured questionnaire. Recorded information included age, level of education, marital status, occupation, number of children and other factors associated with EBF.

Results

Of 371 respondents, 77.4 % had prior knowledge of EBF. However, only 52.8 % reported practicing it, while 47.2 % did not. Knowledge of EBF was significantly associated with its practice (p < 0.001). The number of children was also significantly associated with EBF practice (p = 0.002). Understanding the importance of breastfeeding was significantly associated with EBF practice (p < 0.001), as did demographic factors (p < 0.001). However, respondent age was not significantly associated with EBF practice (p = 0.643).

Conclusion

The study revealed a slightly lower EBF prevalence than the national estimate, indicating a public health concern in Mbeya. Findings highlight the need for continued education and support to promote EBF among women.

The present study examined the effect of workplace bullying on employee wellbeing, and the moderating effects of psychological capital and emotional intelligence in the workplace bullying and employee wellbeing relationship. Data was collected from 224 nurses in a teaching hospital in Ghana. The results of the analysis showed that workplace bullying has a negative effect on the psychological wellbeing of employees. Furthermore, the results showed that psychological capital and emotional intelligence moderated workplace bullying and psychological wellbeing relationship. The present study makes some contributions to theory and practice. Theoretically, the study extends the literature on the JD-R by highlighting the significant effect of personal resources in mitigating the effects of workplace bullying on employee wellbeing.

Background

Achieving the recommended low-density lipoprotein cholesterol goal is vital for managing cardiovascular risk. However, research on low-density lipoprotein cholesterol goal achievement and associated factors in Sub-Saharan Africa, particularly in Ethiopia, is limited. While global rates vary from 18% to 73%, there is a need for further investigation in this region to better understand and address the factors influencing low-density lipoprotein cholesterol goal attainment.

The objective was to assess low-density lipoprotein cholesterol goal achievement and associated factors among type 2 diabetes patients.

Methods

Institution based quantitative cross-sectional study design was conducted among type II diabetes patients at Tikur Anbessa Specialized Hospital in Addis Ababa, Ethiopia.

Systematic random sampling technique was used to select patient records. Data was collected by using a structured and pretested checklist and some variables were also collected from the chart review, structured questionnaire and analyzed using Epi info version 7.2 and SPSS version 25. Bivariate and multivariable logistic regressions were performed to examine the association between variables. Adjusted odds ratios (AOR) with 95 % confidence intervals were calculated, and a p-value of ≤ 0.05 was considered statistically significant for associations between independent and outcome variables.

Result

The LDL goal achievement among type II diabetes patients is 58.9 %.Total triglyceride level (AOR = 0.19, 95 %CI, 0.12, 0.54, P= <0.0001), history of smoking (AOR = 0.198, 95 %CI, 1.06, 1.10, P < 0.0001), 40–65 years of age (AOR = 0.21, 95 %CI, 0.05, 0.87, P = 0.03), BMI (AOR = 0.19, 95 %CI, 0.12, 0.54, P= <0.0001)., were found to be statistically significant independent predictors for LDL Goal Achievement in type II Diabetes patients.

Conclusion

In the current study, significant proportions of type II DM patients fail to attain acceptable levels of LDL cholesterol. Factors like total triglyceride levels, smoking history, older age, and increased BMI influenced low-density lipoprotein cholesterol goal achievement. Advanced in age, increase in BMI, smoking, and higher levels of triglyceride were determinants of LDL cholesterol goal achievement. Patient education on life style modification mainly cessation of smoking diet and exercise may be recommended to achieve the LDL cholesterol goal.

Background

Urinary tract infections (UTIs) are common health problems, especially among women, which can have significant impacts on the quality of life and health care costs. Knowledge, attitudes, and practices regarding UTIs can influence prevention and treatment outcomes.

Objectives

This study aimed to assess Syrian refugee women’s level of knowledge, attitudes, and practices toward UTIs in Al-Mafraq Governorate. The relationships between the selected demographics and the level of knowledge, attitudes, and practices of these women toward UTIs were also examined.

Design

A descriptive-correlational study design. Settings: Data was collected from two clinics in Al-Mafraq Governorate. The actual names of the centers are withheld, but they represent primary healthcare providers in the region. Participants: 400 Syrian refugee women were systematically sampled for this study. Selection was based on visiting the clinics during the study period, with inclusion and exclusion criteria focused on age, nationality, and willingness to participate.

Methods

Structured interview questions were used to gather data related to the participants’ demographics, knowledge, attitudes, and practices regarding UTIs.

Results

The majority of participants had secondary education or less (87.3 %). The mean knowledge score about UTIs was 41.26 %. Detailed knowledge scores were reported for UTI causes, transmission modes, symptoms, complications, and preventive measures.

Conclusions

Syrian refugee women in Al-Mafraq Governorate displayed a limited understanding of UTIs. Many women self-reported signs and symptoms related to UTIs, indicating a potential health concern. The results emphasize the importance of initiating UTI-focused educational campaigns for this population.

Introduction

Turnover intention measures the likelihood that a nurse may soon depart from their current job or that the organization might be considering terminating nurses from their positions. It serves as a reliable predictor of actual turnover. Turnover intention results in deterioration in the standard of nursing care, compromise in patient safety, drop in customer service standards, and inadequate healthcare management.

Methods

A cross-sectional study was conducted among 385 nurses employed in three selected government hospitals located in Bahir Dar city, Amhara region. Data collection employed a self-administered questionnaire, with entries managed through EpiData version 4.6 and subsequently transferred to STATA version 14 for coding, cleaning, and analysis. Binary logistic regression was employed to assess the association between dependent and independent variables. Variables with a p-value < 0.05 at a 95 % confidence interval were considered to exhibit statistically significant associations.

Result

The findings of this study revealed that 77.7 % of nurses had turnover intention. Multivariable binary logistic regression showed that age (20–27 years) [AOR = 0.36; 95 % CI (0.13, 0.95)], family-to-work conflict [AOR = 2.43; 95 % CI (1.34, 4.41)], salary expectation [AOR = 5.99 (95 % CI: 1.24–27.70)], and job satisfaction [AOR = 5.39 (95 % CI: 1.34–21.64)] were significantly associated with nurses' turnover intention.

Conclusion

In this study, the prevalence of turnover intention among nurses working in Bahir Dar governmental hospitals was found to be high. Numerous factors emerged as statistically significant predictors of nurses' turnover intention, encompassing age, salary, and job satisfaction.

Aim

This study aimed to determine if participation in a preceptorship programme affected newly hired experienced professional nurses’ self-efficacy in clinical practice and whether their perceived competence was related to respondents’ demographic profiles at a university hospital in Saudi Arabia.

Background

Formal preceptorship programmes are initiated with the aim of improving the characteristics related to new workplace adaptations, such as reducing stress and anxiety, improving effective communication, enhancing clinical performance and competencies, and learning new clinical skills. These programmes’ effectiveness in improving nurses’ self-efficacy in clinical practice is seldom measured, especially among newly hired experienced professional nurses.

Methods

A quasi-experimental, quantitative pre- and post-test one-group study design with convenient sampling was used.

Results

Self-efficacy post-test scores were significantly higher than pre-test scores (p<0.001). The programme positively influenced the respondents’ self-efficacy scores. As perceived by the respondents, the preceptorship programme had a positive effect and improved their clinical performance in the nursing process. There was no relationship between perceived competence and respondents’ demographic profiles.

Conclusions

Reporting on self-efficacy in clinical practice may not be the most effective, reliable or accurate measure or evaluation of clinical performance since self-scoring may be affected by existing cultural implications and a strong sense of self-efficacy. The self-scoring results may be followed by qualitative information, like interviews, to determine respondents’ knowledge of the nursing process, direct observation of performance in the clinical area and care outcomes, and confirm if the respondents’ clinical performance matches the obtained results.

Background

Benign prostatic hyperplasia (BPH) is the most common cause of bladder outlet obstruction and voiding symptoms in elderly men, and it affects more than 50 % of men over 60 years of age globally.

Methods

Between October 15 and November 15, 2021, 143 male patients admitted to the surgical wards of the Hawassa University Comprehensive Specialized Hospital (HUCSH), the Adare General Hospital (AGH), and the Yirgalem General Hospital in Hawassa City were involved. Data were gathered utilizing a pretested, structured, interviewer-administered questionnaire and patient review checklist employing a purposive sample technique. A binary logistic regression model, which examines the relationship between the dependent and independent variables, was used to analyze the data using SPSS version 20.

Results

The magnitude of benign prostate hyperplasia (BPH) was 27 (18.9 %). Old age >=75 years (AOR = 0.07; 95 % CI: 0.005–1.024), being smokers (AOR = 0.261; 95 % CI: 0.078–00.871), positive familial history of BPH (AOR = 0.13; 95 % CI: 0.038–00.428), patients with renal disease (AOR = 5.724; 95 % CI: 1.669–19.631), and patients with a history of difficulties with sexual activity (AOR = 0.17; 95 % CI: 0.034–00.830) were found to be statistically associated with the presence of BPH.

Conclusions

In conclusion, the findings of this study revealed that BPH was a prevalent disease among men. Factors that could potentially increase the risk of benign prostatic hyperplasia were old age, positive family history, smoking, renal disease, and difficulties with sexual activities.

Background

The Automated External Defibrillator represents a cornerstone of life-saving interventions, essential for responding to cardiac emergencies both within hospital walls and in community settings. Nurses shoulder the responsibility of understanding the correct protocols for AED usage, as their proficiency can be pivotal in administering timely and effective interventions during instances of cardiac arrest, significantly increasing the chances of survival.

Purpose

The aim of this study Assess of Sudanese nurses Competency in Automated External Defibrillator (AED) knowledge and performance: in Khartoum Sudan.

Methods

A quasi-experimental study conducted in 2023 aimed to evaluate the competencies of 100 qualified nurses regarding their knowledge and performance related to Automated External Defibrillators (AEDs). Throughout the study, seminars and lectures were delivered to the nursing staff to enhance their understanding of AED usage. Nurse performance was measured by conducting an applied experiment involving a mannequin and an AED, and following the prescribed steps. Data collection was carried out using questionnaires and observation checklists, with subsequent analysis conducted using the statistical software SPSS.

Result

The study findings indicate a predominant representation of female participants, comprising 65 % of the total sample, with a significant portion falling within the 18 to 30 years age bracket. Among the participants, the majority, at 56 %, held a B.Sc. degree, followed by diplomas (25 %), master's degrees (5 %), and Ph.D. qualifications (2 %). Surprisingly, 57 % of participants had not undergone prior training in AED usage. The study's pre-test mean for knowledge stood at 16 %, increasing substantially to 84 % in the post-test phase, with a statistically significant P-value of 0.000, reflecting a marked improvement in knowledge. Similarly, the pre-test mean for performance was 19.1 %, rising to 80.1 % in the post-test phase, with a corresponding P-value of 0.000, indicating a significant enhancement in performance. These findings collectively suggest a positive shift towards improved knowledge and performance in AED usage among the participants.

Conclusion

Study concludes improves nurses’ knowledge and performance in Automated External Defibrillator.

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Results

Conclusion