Community Service Nurse practitioners are newly graduated professional nurses who are mandated to serve in public health facilities for a minimum period of one year before registration as Professional Nurses. Since its inception, several experiences have been reported on the practice and experiences regarding Compulsory Community Service (CCS). To date, empirical evidence is yet to be consolidated into a comprehensive account of new nurse graduates’ experiences and practices during service placement, particularly in the sub-Saharan African context.
Aim
To synthesize evidence on community service nurse practitioners’ experiences and practices during service placement in sub-Saharan Africa.
Methods
A scoping review was conducted using the methodological framework by Arksey and O’ Malley. The Population, Concept and Context (PCC) framework was used to identify relevant studies using keywords with Boolean operators in electronic databases, namely CINAHL, Google Scholar, PubMed, Scopus, and Web of Science. A modified data extraction tool was used to extract relevant studies, and findings are reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Thematic content analysis is subsequently used to provide a narrative account of the review.
Results
A total of 17 articles were included in the review. The majority of studies consisted of grey literature (n = 11), while the remaining were peer-reviewed publications (n = 6). Most studies were conducted in South Africa (n = 15) while the remaining were from Namibia and Lesotho, respectively (n = 1).
Conclusion
Community service nurse practitioners’ experiences and practices during service placement relate to challenges associated with lack of support during placement, human and infrastructure challenges, and reality shock associated with the practice environment. The findings broadly highlight the need for interventions to address the theory–practice divide between undergraduate training and clinical practice as a professional.
{"title":"Mapping evidence on community service nurse practitioners’ experiences and practices during service placement in sub-Saharan Africa: A scoping review","authors":"Mthokozisi Zulu , Thembelihle Sylvia Prudence Ngxongo , Lauren Anne Hillerman , Themba Mgwaba , Celenkosini Thembelenkosini Nxumalo","doi":"10.1016/j.ijans.2025.100889","DOIUrl":"10.1016/j.ijans.2025.100889","url":null,"abstract":"<div><h3>Background</h3><div>Community Service Nurse practitioners are newly graduated professional nurses who are mandated to serve in public health facilities for a minimum period of one year before registration as Professional Nurses. Since its inception, several experiences have been reported on the practice and experiences regarding Compulsory Community Service (CCS). To date, empirical evidence is yet to be consolidated into a comprehensive account of new nurse graduates’ experiences and practices during service placement, particularly in the sub-Saharan African context.</div></div><div><h3>Aim</h3><div>To synthesize evidence on community service nurse practitioners’ experiences and practices during service placement in sub-Saharan Africa.</div></div><div><h3>Methods</h3><div>A scoping review was conducted using the methodological framework by Arksey and O’ Malley. The Population, Concept and Context (PCC) framework was used to identify relevant studies using keywords with Boolean operators in electronic databases, namely CINAHL, Google Scholar, PubMed, Scopus, and Web of Science. A modified data extraction tool was used to extract relevant studies, and findings are reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Thematic content analysis is subsequently used to provide a narrative account of the review.</div></div><div><h3>Results</h3><div>A total of 17 articles were included in the review. The majority of studies consisted of grey literature (n = 11), while the remaining were peer-reviewed publications (n = 6). Most studies were conducted in South Africa (n = 15) while the remaining were from Namibia and Lesotho, respectively (n = 1).</div></div><div><h3>Conclusion</h3><div>Community service nurse practitioners’ experiences and practices during service placement relate to challenges associated with lack of support during placement, human and infrastructure challenges, and reality shock associated with the practice environment. The findings broadly highlight the need for interventions to address the theory–practice divide between undergraduate training and clinical practice as a professional.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"23 ","pages":"Article 100889"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144987838","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}
Depression affects every population worldwide and plays a major role in the burden of diseases worldwide. People who are imprisonedare especially susceptible to depression.
Objectives
This study was aimed to assess the prevalence of depression, identify risk factors for depression, and characterize the signs and symptoms of depression among inmates at the eastern Ethiopia, Prison Commission.
Methods
The study was carried out between May and June of 2022 in eastern Ethiopia, Prison Commission. A simple random selection method was employed to choose 210 inmates. The 21-item Beck Depression Inventory II (BDI II), with a cut point of eleven or higher, was used to measure depression. Information on behavioral aspects, perceived general well-being, demographic characteristics, and jail context variables was gathered using an organized questionnaire trained interviewers gathered the information. The data was analyzed using version 25 of the Statistical Package of Social Science (SPSS). To find determinants of depression, multivariable logistic regression was employed.
Results
According to the study, 61.9 % of people had depression (95 % CI: 55.2, 68.6 %). Depression was significantly correlated with having a chronic medical condition (AOR = 2.73 95 % CI:1.31, 5.23), having suicidal thoughts (AOR = 2.13, 95 %CI:1.03, 4.86), having inadequate social support (AOR = 2.91, 95 %CI:1.03, 6.24), being between the ages of 18 and 25 (AOR = 7.72, 95 %CI:1.64, 8.45), and being between the ages of 26 and 36 (AOR = 5.28, 95 %CI:1.08, 6.81).
Conclusion
This study indicates that there is a notably high prevalence of depression among convicts. Among all inmates, mild depression affected 27.1 %, moderate depression affected 25.7 %, which severe depression affected 8.1 %, and extreme depression affected just 1 %.Having chronic medical illness, poor social support, suicidal ideation in prison, and being between the ages of 18–25 and 26–33 years were found to be associated with depression. Therefore, inmates who have a history of suicide attempts, lack social support, or have a chronic medical condition that coexists with their imprisonment must have better early screening and treatment for depression by the Harari Regional Prison Commission’s administration in partnership with responsible governmental and non-governmental organizations.
{"title":"Prevalence of depression and associated factors among prisoners at the eastern Ethiopia, Prison Commission","authors":"Jerman Dereje , Magarsa Lami , Shimelis Tilahun , Dawit Abdi , Abera Cheru , Kidist Mehari Azene , Bethelem Fekadeselassie Lemma , Olifan Getachew Wakjira","doi":"10.1016/j.ijans.2025.100865","DOIUrl":"10.1016/j.ijans.2025.100865","url":null,"abstract":"<div><h3>Background</h3><div>Depression affects every population worldwide and plays a major role in the burden of diseases worldwide. People who are imprisonedare especially susceptible to depression.</div></div><div><h3>Objectives</h3><div>This study was aimed to assess the prevalence of depression, identify risk factors for depression, and characterize the signs and symptoms of depression among inmates at the eastern Ethiopia, Prison Commission.</div></div><div><h3>Methods</h3><div>The study was carried out between May and June of 2022 in eastern Ethiopia, Prison Commission. A simple random selection method was employed to choose 210 inmates. The 21-item Beck Depression Inventory II (BDI II), with a cut point of eleven or higher, was used to measure depression. Information on behavioral aspects, perceived general well-being, demographic characteristics, and jail context variables was gathered using an organized questionnaire trained interviewers gathered the information. The data was analyzed using version 25 of the Statistical Package of Social Science (SPSS). To find determinants of depression, multivariable logistic regression was employed.</div></div><div><h3>Results</h3><div>According to the study, 61.9 % of people had depression (95 % CI: 55.2, 68.6 %). Depression was significantly correlated with having a chronic medical condition (AOR = 2.73 95 % CI:1.31, 5.23), having suicidal thoughts (AOR = 2.13, 95 %CI:1.03, 4.86), having inadequate social support (AOR = 2.91, 95 %CI:1.03, 6.24), being between the ages of 18 and 25 (AOR = 7.72, 95 %CI:1.64, 8.45), and being between the ages of 26 and 36 (AOR = 5.28, 95 %CI:1.08, 6.81).</div></div><div><h3>Conclusion</h3><div>This study indicates that there is a notably high prevalence of depression among convicts. Among all inmates, mild depression affected 27.1 %, moderate depression affected 25.7 %, which severe depression affected 8.1 %, and extreme depression affected just 1 %.Having chronic medical illness, poor social support, suicidal ideation in prison, and being between the ages of 18–25 and 26–33 years were found to be associated with depression. Therefore, inmates who have a history of suicide attempts, lack social support, or have a chronic medical condition that coexists with their imprisonment must have better early screening and treatment for depression by the Harari Regional Prison Commission’s administration in partnership with responsible governmental and non-governmental organizations.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"23 ","pages":"Article 100865"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144535428","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 : 2025-01-01DOI: 10.1016/j.ijans.2025.100903
Mahmud Ady Yuwanto , Iyus Yosep , Iqbal Pramukti , Ati Surya Mediawati
Background & aim
Occupational stress among nurses remains a significant concern, particularly in high-intensity environments such as Intensive Care Units (ICU) and Emergency Departments (ED). While various coping strategies exist, spiritually-based interventions are still underutilized. This qualitative multiple-case study explores the potential of Quranic audio therapy specifically the recitation of Surah Ar-Rahman as a culturally embedded strategy for reducing occupational stress among Muslim nurses in Jember, Indonesia.
Methods
Two nurses experiencing moderate-to-severe stress, as identified through the Depression Anxiety Stress Scales (DASS-21), were selected via purposive sampling. Each participant engaged in a 20–25 min audio session of Surah Ar-Rahman for seven consecutive days. Pre- and post-intervention stress scores were recorded using DASS-21, alongside reflective narrative journals and observational field notes. Thematic analysis was applied to qualitative data.
Results
Thematic findings revealed improvements in emotional regulation, a deepened sense of calm, and enhanced spiritual reflection. These outcomes were supported by decreases in DASS-21 stress subscale scores for both participants.
Conclusion
Quranic audio therapy may offer a culturally relevant approach to support emotional regulation and stress reduction among Muslim nurses. While findings are promising, they remain exploratory; further research is needed to validate these outcomes in broader clinical contexts.
{"title":"The effectiveness of Quranic audio therapy in reducing occupational stress among ICU and ED nurses, Jember, Indonesia: a multiple case study","authors":"Mahmud Ady Yuwanto , Iyus Yosep , Iqbal Pramukti , Ati Surya Mediawati","doi":"10.1016/j.ijans.2025.100903","DOIUrl":"10.1016/j.ijans.2025.100903","url":null,"abstract":"<div><h3>Background & aim</h3><div>Occupational stress among nurses remains a significant concern, particularly in high-intensity environments such as Intensive Care Units (ICU) and Emergency Departments (ED). While various coping strategies exist, spiritually-based interventions are still underutilized. This qualitative multiple-case study explores the potential of Quranic audio therapy specifically the recitation of Surah Ar-Rahman as a culturally embedded strategy for reducing occupational stress among Muslim nurses in Jember, Indonesia.</div></div><div><h3>Methods</h3><div>Two nurses experiencing moderate-to-severe stress, as identified through the Depression Anxiety Stress Scales (DASS-21), were selected via purposive sampling. Each participant engaged in a 20–25 min audio session of Surah Ar-Rahman for seven consecutive days. Pre- and post-intervention stress scores were recorded using DASS-21, alongside reflective narrative journals and observational field notes. Thematic analysis was applied to qualitative data.</div></div><div><h3>Results</h3><div>Thematic findings revealed improvements in emotional regulation, a deepened sense of calm, and enhanced spiritual reflection. These outcomes were supported by decreases in DASS-21 stress subscale scores for both participants.</div></div><div><h3>Conclusion</h3><div>Quranic audio therapy may offer a culturally relevant approach to support emotional regulation and stress reduction among Muslim nurses. While findings are promising, they remain exploratory; further research is needed to validate these outcomes in broader clinical contexts.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"23 ","pages":"Article 100903"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145158050","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 : 2025-01-01DOI: 10.1016/j.ijans.2025.100896
Nour Ghassoub Arandass , Ibrahim Kadamani
Aim
The present study aimed to assess knowledge and attitudes toward STDs among Beirut Arab University (BAU) students.
Methods
A QR code linked to the Google Forms questionnaire was scanned by the students and an explanation about the project was provided to the targeted sample. The estimated time required to complete the questionnaire was approximately (5–10 min). The data collection form included socio-demographics, as well as knowledge and attitudes scale about STDs.
Results
A total of 414 students were included in the study. The findings revealed that 80.5% of the students had moderate to high knowledge levels. Age, marital status, and faculty were found to be linked to knowledge levels, where older, married, and those in health-related fields scored higher. Furthermore, our study results showed that students have a neutral attitude toward STDs, so 50% of attitude scores were greater than 3.625. Moreover, the current study found that higher students’ knowledge scores were linked to better students’ attitudes toward STDs.
Conclusion
The findings indicated that the overall knowledge level tends to be moderate to high, but specific knowledge gaps still exist about sexually transmitted diseases; this issue should be addressed during sex education. On the other hand, the overall students’ attitudes towards STDs tend to be neutral with some misconceptions.
{"title":"Knowledge and attitudes towards sexually transmitted diseases among students in a private university in Lebanon","authors":"Nour Ghassoub Arandass , Ibrahim Kadamani","doi":"10.1016/j.ijans.2025.100896","DOIUrl":"10.1016/j.ijans.2025.100896","url":null,"abstract":"<div><h3>Aim</h3><div>The present study aimed to assess knowledge and attitudes toward STDs among Beirut Arab University (BAU) students.</div></div><div><h3>Methods</h3><div>A QR code linked to the Google Forms questionnaire was scanned by the students and an explanation about the project was provided to the targeted sample. The estimated time required to complete the questionnaire was approximately (5–10 min). The data collection form included socio-demographics, as well as knowledge and attitudes scale about STDs.</div></div><div><h3>Results</h3><div>A total of 414 students were included in the study. The findings revealed that 80.5% of the students had moderate to high knowledge levels. Age, marital status, and faculty were found to be linked to knowledge levels, where older, married, and those in health-related fields scored higher. Furthermore, our study results showed that students have a neutral attitude toward STDs, so 50% of attitude scores were greater than 3.625. Moreover, the current study found that higher students’ knowledge scores were linked to better students’ attitudes toward STDs.</div></div><div><h3>Conclusion</h3><div>The findings indicated that the overall knowledge level tends to be moderate to high, but specific knowledge gaps still exist about sexually transmitted diseases; this issue should be addressed during sex education. On the other hand, the overall students’ attitudes towards STDs tend to be neutral with some misconceptions.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"23 ","pages":"Article 100896"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145018598","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 : 2025-01-01DOI: 10.1016/j.ijans.2025.100842
Tomilayo Felicity Omotosho , Tobiloba Oyejide Alex Omotosho , Paul Bass
Background
The nursing profession is inherently stressful, leading to absenteeism, increased errors, and reduced performance, which pose serious threats to patient safety. Despite these critical issues, research on work-related stress among nurses in The Gambia remains scarce. Therefore, this study sought to assess work-related stress and its associated factors among nurses in the Greater Banjul Area, The Gambia.
Methods
A cross-sectional study was conducted among 192 nurses in three public hospitals. A proportionate stratified random sampling method was used to stratify study participants by hospital and nursing cadre and recruit eligible participants. Data was collected using a structured self-administered questionnaire and the validated Nursing Stress Scale to assess work-related stress. Descriptive statistics, bivariate, and multivariable logistic regression models were used.
Results
Most of the nurses were aged between 21 and 30 years (77.1 %, n = 148) and were females (59.2 %, n = 113). The prevalence of nurses’ work-related stress in this study was 53.6 %. Nurses who maintained a monogamous family (aOR = 2.06, 95 % CI = 1.08 ∼ 3.95), experienced psychological distress (aOR = 3.19, 95 % CI = 1.55 ∼ 6.57) and worked in accident and emergency/ICU (aOR = 6.85, 95 % CI = 1.64 ∼ 28.64) were at higher risk for developing work-related stress.
Conclusion
More than half of the nurses experienced work-related stress. Nurses from monogamous families, experiencing psychological distress, and working in the A&E/ICU department were more likely to report work stress. Practical measures such as implementing the Gambia’s occupational health laws are recommended to improve work stress for better mental health outcomes among nurses.
护理职业本身就充满压力，导致缺勤，错误增加，绩效下降，这对患者安全构成了严重威胁。尽管存在这些关键问题，但对冈比亚护士工作压力的研究仍然很少。因此，本研究旨在评估冈比亚大班珠尔地区护士的工作压力及其相关因素。方法对3所公立医院192名护士进行横断面调查。采用比例分层随机抽样方法，按医院和护理干部对研究对象进行分层，招募符合条件的研究对象。数据收集使用结构化的自我管理问卷和有效的护理压力量表来评估工作压力。使用描述性统计、双变量和多变量逻辑回归模型。结果21 ~ 30岁的护士占77.1%（148人），女性占59.2%（113人）。本研究中护士工作压力患病率为53.6%。维持一夫一妻制家庭（aOR = 2.06, 95% CI = 1.08 ~ 3.95）、经历过心理困扰（aOR = 3.19, 95% CI = 1.55 ~ 6.57）以及在事故和急诊/ICU工作（aOR = 6.85, 95% CI = 1.64 ~ 28.64）的护士发生工作压力的风险更高。结论半数以上的护士存在工作压力。来自一夫一妻制家庭、经历过心理困扰以及在急症室/重症监护室工作的护士更有可能报告工作压力。建议采取实际措施，如实施冈比亚职业卫生法，以减轻工作压力，改善护士的心理健康状况。
{"title":"Work-related stress and its associated factors among nurses in public hospitals in the Greater Banjul Area, The Gambia","authors":"Tomilayo Felicity Omotosho , Tobiloba Oyejide Alex Omotosho , Paul Bass","doi":"10.1016/j.ijans.2025.100842","DOIUrl":"10.1016/j.ijans.2025.100842","url":null,"abstract":"<div><h3>Background</h3><div>The nursing profession is inherently stressful, leading to absenteeism, increased errors, and reduced performance, which pose serious threats to patient safety. Despite these critical issues, research on work-related stress among nurses in The Gambia remains scarce. Therefore, this study sought to assess work-related stress and its associated factors among nurses in the Greater Banjul Area, The Gambia.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted among 192 nurses in three public hospitals. A proportionate stratified random sampling method was used to stratify study participants by hospital and nursing cadre and recruit eligible participants. Data was collected using a structured self-administered questionnaire and the validated Nursing Stress Scale to assess work-related stress. Descriptive statistics, bivariate, and multivariable logistic regression models were used.</div></div><div><h3>Results</h3><div>Most of the nurses were aged between 21 and 30 years (77.1 %, n = 148) and were females (59.2 %, n = 113). The prevalence of nurses’ work-related stress in this study was 53.6 %. Nurses who maintained a monogamous family (aOR = 2.06, 95 % CI = 1.08 ∼ 3.95), experienced psychological distress (aOR = 3.19, 95 % CI = 1.55 ∼ 6.57) and worked in accident and emergency/ICU (aOR = 6.85, 95 % CI = 1.64 ∼ 28.64) were at higher risk for developing work-related stress.</div></div><div><h3>Conclusion</h3><div>More than half of the nurses experienced work-related stress. Nurses from monogamous families, experiencing psychological distress, and working in the A&E/ICU department were more likely to report work stress. Practical measures such as implementing the Gambia’s occupational health laws are recommended to improve work stress for better mental health outcomes among nurses.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"22 ","pages":"Article 100842"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143696896","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}
Despite improvements in child health and nutrition in Ethiopia, undernutrition remains a critical issue, causing half of child deaths. Many severely malnourished children seek treatment at therapeutic feeding centers, but a significant number still die in stabilization centers. This study aimed to estimate survival rates and identify predictors of mortality among children with severe acute malnutrition admitted to public health facilities in Hawassa City, Southern Ethiopia.
Method
A facility-based retrospective cohort study was employed to estimate survival status and predictors among under-five children with severe acute malnutrition admitted to selected health facilities. A total of 476 randomly selected under-five children with SAM from January 2018 to December 31, 2021, participated in the study. Data were analyzed by SPSS IBM version 26. Bivariable and multivariable Cox regression models assessed risk factors. Kaplan- Maier Curve and Long rank test were used to estimate cumulative survival probability and to compare survival status probability across different groups.
Results
Over the 3-year observation period, the overall survival status was, (84.7 %), [95 % CI; 81.2, 87.8]. The incidence density of death was 3.8/100 person-day. The overall median survival time was 34 [95 % CI 32.2––37.5] days. After controlling for other factors, a child who had co-morbidities [AHR = 3.305, 95 %; CI:(1.1, 10.9)], and deworming using Albendazole [AHR = 5.3, 95 %; CI:(1.3, 21.7)] were identified as the independent predictors of the time to death.
目的尽管埃塞俄比亚的儿童健康和营养状况有所改善，但营养不足仍然是一个严重问题，造成了一半的儿童死亡。许多严重营养不良的儿童在治疗性喂养中心寻求治疗，但仍有相当数量的儿童死于稳定中心。本研究旨在估计埃塞俄比亚南部阿瓦萨市公共卫生机构收治的严重急性营养不良儿童的存活率和确定死亡率预测因素。方法采用一项以医院为基础的回顾性队列研究，对选定医疗机构收治的5岁以下严重急性营养不良儿童的生存状况和预测因素进行评估。在2018年1月至2021年12月31日期间，随机抽取476名患有SAM的5岁以下儿童参与了这项研究。数据采用SPSS IBM version 26进行分析。双变量和多变量Cox回归模型评估了危险因素。Kaplan- Maier曲线和Long rank检验用于估计累积生存概率和比较不同组间生存状态概率。结果在3年的观察期内，总生存状况为（84.7%），[95% CI；81.2、87.8)。死亡发生率为3.8/100人/日。总中位生存时间为34天[95% CI 32.2—37.5]。在控制其他因素后，有合并症的儿童1例[AHR = 3.305, 95%；CI:(1.1, 10.9)]，阿苯达唑驱虫[AHR = 5.3, 95%；CI:(1.3, 21.7)]被确定为死亡时间的独立预测因子。
{"title":"A retrospective cohort study of survival status and mortality predictors among children with severe acute malnutrition in public health facilities, Hawassa City, Southern Ethiopia","authors":"Bargude Balta , Bedilu Bekele , Alemu Bogale , Deresse Daka","doi":"10.1016/j.ijans.2025.100824","DOIUrl":"10.1016/j.ijans.2025.100824","url":null,"abstract":"<div><h3>Purpose</h3><div>Despite improvements in child health and nutrition in Ethiopia, undernutrition remains a critical issue, causing half of child deaths. Many severely malnourished children seek treatment at therapeutic feeding centers, but a significant number still die in stabilization centers. This study aimed to estimate survival rates and identify predictors of mortality among children with severe acute malnutrition admitted to public health facilities in Hawassa City, Southern Ethiopia.</div></div><div><h3>Method</h3><div>A facility-based retrospective cohort study was employed to estimate survival status and predictors among under-five children with severe acute malnutrition admitted to selected health facilities. A total of 476 randomly selected under-five children with SAM from January 2018 to December 31, 2021, participated in the study. Data were analyzed by SPSS IBM version 26. Bivariable and multivariable Cox regression models assessed risk factors. Kaplan- Maier Curve and Long rank test were used to estimate cumulative survival probability and to compare survival status probability across different groups.</div></div><div><h3>Results</h3><div>Over the 3-year observation period, the overall survival status was, (84.7 %), [95 % CI; 81.2, 87.8]. The incidence density of death was 3.8/100 person-day. The overall median survival time was 34 [95 % CI 32.2––37.5] days. After controlling for other factors, a child who had co-morbidities [AHR = 3.305, 95 %; CI:(1.1, 10.9)], and deworming using Albendazole [AHR = 5.3, 95 %; CI:(1.3, 21.7)] were identified as the independent predictors of the time to death.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"22 ","pages":"Article 100824"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143402027","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}
Pub Date : 2025-01-01DOI: 10.1016/j.ijans.2025.100855
Fadiyah Jadid Alanazi , Safaa Ibrahim Ahmed , Layan Salem Alenezi , Shaden Anad Almadhrash , Sadeem Falah Alanazi , Sama Sultan Alanazi , Fathia Ahmed Mersal
Objective
This study aims to explore the experiences of male nursing students in maternity clinical courses in Saudi Arabia, identifying the challenges they face and their perceptions of the role of male nurses in a traditionally female-dominated field. The study addresses a significant gap in the existing body of knowledge particularly within the context of Saudi Arabia. While there is a growing body of literature on gender dynamics in nursing, few studies specifically focus on the challenges and perceptions of male nursing students in traditionally female fields.
Methods
A qualitative phenomenological approach was employed, utilizing focus group discussions with twelve male nursing students from various regions of Saudi Arabia. Open-end questions was used to collect the data. Thematic analysis was conducted to identify key themes related to their experiences in maternity nursing courses.
Results
Four main themes emerged from the data: (1) Attraction to Maternity Nursing—participants expressed reluctance to specialize in maternity nursing due to societal perceptions; (2) Perceptions of Male Roles—students felt out of place in maternity settings, influenced by gender stereotypes; (3) Challenges in Providing Care—participants reported discomfort in interacting with female patients and faced barriers in gaining practical experience; (4) Support and Inclusion—there were mixed feelings about the support received from educators and colleagues, highlighting the need for a more inclusive environment.
Conclusions
The study underscores the significant impact of cultural and societal norms on male nursing students in maternity care. It highlights the need for targeted support and educational initiatives to foster a more inclusive environment for male nurses and encourage their full participation in maternity nursing roles.
{"title":"Male student experience in a maternity nursing clinical course in Saudi Arabia","authors":"Fadiyah Jadid Alanazi , Safaa Ibrahim Ahmed , Layan Salem Alenezi , Shaden Anad Almadhrash , Sadeem Falah Alanazi , Sama Sultan Alanazi , Fathia Ahmed Mersal","doi":"10.1016/j.ijans.2025.100855","DOIUrl":"10.1016/j.ijans.2025.100855","url":null,"abstract":"<div><h3>Objective</h3><div>This study aims to explore the experiences of male nursing students in maternity clinical courses in Saudi Arabia, identifying the challenges they face and their perceptions of the role of male nurses in a traditionally female-dominated field. The study addresses a significant gap in the existing body of knowledge particularly within the context of Saudi Arabia. While there is a growing body of literature on gender dynamics in nursing, few studies specifically focus on the challenges and perceptions of male nursing students in traditionally female fields.</div></div><div><h3>Methods</h3><div>A qualitative phenomenological approach was employed, utilizing focus group discussions with twelve male nursing students from various regions of Saudi Arabia. Open-end questions was used to collect the data. Thematic analysis was conducted to identify key themes related to their experiences in maternity nursing courses.</div></div><div><h3>Results</h3><div>Four main themes emerged from the data: (1) Attraction to Maternity Nursing—participants expressed reluctance to specialize in maternity nursing due to societal perceptions; (2) Perceptions of Male Roles—students felt out of place in maternity settings, influenced by gender stereotypes; (3) Challenges in Providing Care—participants reported discomfort in interacting with female patients and faced barriers in gaining practical experience; (4) Support and Inclusion—there were mixed feelings about the support received from educators and colleagues, highlighting the need for a more inclusive environment.</div></div><div><h3>Conclusions</h3><div>The study underscores the significant impact of cultural and societal norms on male nursing students in maternity care. It highlights the need for targeted support and educational initiatives to foster a more inclusive environment for male nurses and encourage their full participation in maternity nursing roles.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"22 ","pages":"Article 100855"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144071308","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 : 2025-01-01DOI: 10.1016/j.ijans.2025.100862
Khanyoh Zuma, Ozayr Mahomed
Background
A fundamental understanding of financial policies and practices is essential for nurse managers in the healthcare sector. Nurse managers with financial knowledge can manage the assigned budget better to ensure efficient and reasonable use of the available resources, which addresses the issue of quality health care. This study aimed to determine the level of self-reported financial literacy among nurse managers and to examine how factors such as age, years of management experience, formal qualifications, and attendance at financial management workshops are associated with self-reported financial literacy levels among nurse managers.
Methods
A quantitative approach using a cross-sectional design was employed. A self-administered questionnaire was used to collect data using a census survey. Data analysis was conducted using descriptive, bivariate and multivariate analysis.
Findings
Nurse managers showed a low level of knowledge and skills in financial management. The current study’s median self-reported financial literacy score was 37 %. Nurse managers who were older than 50 years of age, nurse managers who had more than ten years of experience in the nursing management position and who had previously attended financial management workshops reported a significantly better likelihood of above-median self-reported financial literacy scores.
Conclusion
Nurse managers surveyed in this study self-reported a low level of financial literacy. Financial management should be incorporated in nursing education. Continuous experiential learning and mentorship programs, including access to targeted financial management workshops, focussing on financial management, budgeting, and resource allocation tailored to nurse managers’ specific duties and responsibilities in healthcare settings should be introduced.
{"title":"Financial management literacy among nurse managers in two districts of KwaZulu-Natal, South Africa: A cross-sectional study","authors":"Khanyoh Zuma, Ozayr Mahomed","doi":"10.1016/j.ijans.2025.100862","DOIUrl":"10.1016/j.ijans.2025.100862","url":null,"abstract":"<div><h3>Background</h3><div>A fundamental understanding of financial policies and practices is essential for nurse managers in the healthcare sector. Nurse managers with financial knowledge can manage the assigned budget better to ensure efficient and reasonable use of the available resources, which addresses the issue of quality health care. This study aimed to determine the level of self-reported financial literacy among nurse managers and to examine how factors such as age, years of management experience, formal qualifications, and attendance at financial management workshops are associated with self-reported financial literacy levels among nurse managers.</div></div><div><h3>Methods</h3><div>A quantitative approach using a cross-sectional design was employed. A self-administered questionnaire was used to collect data using a census survey. Data analysis was conducted using descriptive, bivariate and multivariate analysis.</div></div><div><h3>Findings</h3><div>Nurse managers showed a low level of knowledge and skills in financial management. The current study’s median self-reported financial literacy score was 37 %. Nurse managers who were older than 50 years of age, nurse managers who had more than ten years of experience in the nursing management position and who had previously attended financial management workshops reported a significantly better likelihood of above-median self-reported financial literacy scores.</div></div><div><h3>Conclusion</h3><div>Nurse managers surveyed in this study self-reported a low level of financial literacy. Financial management should be incorporated in nursing education. Continuous experiential learning and mentorship programs, including access to targeted financial management workshops, focussing on financial management, budgeting, and resource allocation tailored to nurse managers’ specific duties and responsibilities in healthcare settings should be introduced.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"23 ","pages":"Article 100862"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144271835","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 : 2025-01-01DOI: 10.1016/j.ijans.2025.100873
Dylan Quiroga, Meghan Botes
Background
Sexual violence remains a pervasive worldwide issue, and despite noteworthy progress in survivor-oriented care, service delivery in settings with limited resources continues to be unpredictable and inconsistent.
Purpose of the Study
This review aims to consolidate scholarly evidence on the emergency care provided to individuals who have experienced sexual violence and to assess which of the identified advancements could be feasibly implemented in low-resource environments.
Methods
An integrative literature review was conducted, involving an exhaustive search of multiple databases. From an initial pool of 2,142 articles, 47 met the inclusion criteria and were subsequently examined and evaluated.
Results
The analysis produced eight central themes: (1) screening processes for sexual violence, (2) emergency medical interventions, (3) forensic services, (4) mental health provisions, (5) follow-up protocols, (6) technological supports, (7) organizational or structural elements, and (8) the impact on healthcare professionals.
Conclusion
Systematic screening for sexual violence, the introduction of structured quality improvement techniques (e.g., clinical pathways), and strengthened follow-up and psychological interventions achieved through nurse-driven programs and the application of Trauma Informed Care are key strategies for improving care in resource-constrained settings.
{"title":"The emergency care of patients who have experienced sexual violence: An integrative literature review of global practices and commentary on feasibility for low resources settings","authors":"Dylan Quiroga, Meghan Botes","doi":"10.1016/j.ijans.2025.100873","DOIUrl":"10.1016/j.ijans.2025.100873","url":null,"abstract":"<div><h3>Background</h3><div>Sexual violence remains a pervasive worldwide issue, and despite noteworthy progress in survivor-oriented care, service delivery in settings with limited resources continues to be unpredictable and inconsistent.</div></div><div><h3>Purpose of the Study</h3><div>This review aims to consolidate scholarly evidence on the emergency care provided to individuals who have experienced sexual violence and to assess which of the identified advancements could be feasibly implemented in low-resource environments.</div></div><div><h3>Methods</h3><div>An integrative literature review was conducted, involving an exhaustive search of multiple databases. From an initial pool of 2,142 articles, 47 met the inclusion criteria and were subsequently examined and evaluated.</div></div><div><h3>Results</h3><div>The analysis produced eight central themes: (1) screening processes for sexual violence, (2) emergency medical interventions, (3) forensic services, (4) mental health provisions, (5) follow-up protocols, (6) technological supports, (7) organizational or structural elements, and (8) the impact on healthcare professionals.</div></div><div><h3>Conclusion</h3><div>Systematic screening for sexual violence, the introduction of structured quality improvement techniques (e.g., clinical pathways), and strengthened follow-up and psychological interventions achieved through nurse-driven programs and the application of Trauma Informed Care are key strategies for improving care in resource-constrained settings.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"23 ","pages":"Article 100873"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144687080","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}
Inadequate monitoring of foetal heart rate has resulted in undesired outcomes during delivery. It has contributed to perinatal mortalities resulting from birth asphyxia.
Purpose
The study aimed at identifying gaps involved in monitoring foetal heart rate, with the sole purpose of improving practice and reducing cases of perinatal mortality from birth asphyxia.
Design
The study used a descriptive cross-sectional study design utilizing a mixed-method approach. A simple random sampling method was used to select 127 medical records, whilst a convenience sampling method was used to recruit 17 midwives. The study focused on women who had delivered in January 2023. Data were collected using a data abstraction form, an observation checklist, and a structured interview guide. Quantitative data were analyzed using descriptive statistics, while qualitative data were analyzed using the thematic method with an inductive approach.
Results
Based on direct observation, 100 % of women were monitored for foetal heart rate. However, the frequency and timing of monitoring were inconsistent. Most women (46 %) were monitored four times, 36 % twice, and 18 % once, with monitoring intervals ranging from 30 min to 4 h. Monitoring occurred primarily during active labour (88 %), with no monitoring observed in the second stage. In contrast, review of medical records revealed that only 70.1 % of women had documented evidence of foetal heart rate monitoring. Observed challenges included inadequate staffing, poor documentation practices, non-adherence to the monitoring schedule, cultural preferences, women’s unwillingness to be auscultated, peer pressure during delivery, lack of accountability, and assumptions by the midwives.
Conclusion
The practice of foetal heart rate monitoring at the County Referral Hospital falls short of the international standards. The inadequacy is evident in the inconsistency in monitoring, particularly among the women in the latent phase of the first stage of labour and those in the second stage. This gap is due to challenges existing at the facility, which include inadequate staffing, documentation challenges, non-adherence to the monitoring schedule, cultural preferences, unwillingness of the women to be auscultated, peer pressure during delivery, lack of accountability and assumptions by the midwives.
{"title":"Practices and Challenges in Foetal Heart Rate Monitoring: A Case Study of a County Referral Hospital in Kenya","authors":"Godfrey Mbaabu Limungi , Evans Kasmai Kiptulon , Festus Mwendia Muriuki , Sylvia Nabwile Makhoka , Maté Orsolya","doi":"10.1016/j.ijans.2025.100877","DOIUrl":"10.1016/j.ijans.2025.100877","url":null,"abstract":"<div><h3>Background of the study</h3><div>Inadequate monitoring of foetal heart rate has resulted in undesired outcomes during delivery. It has contributed to perinatal mortalities resulting from birth asphyxia.</div></div><div><h3>Purpose</h3><div>The study aimed at identifying gaps involved in monitoring foetal heart rate, with the sole purpose of improving practice and reducing cases of perinatal mortality from birth asphyxia.</div></div><div><h3>Design</h3><div>The study used a descriptive cross-sectional study design utilizing a mixed-method approach. A simple random sampling method was used to select 127 medical records, whilst a convenience sampling method was used to recruit 17 midwives. The study focused on women who had delivered in January 2023. Data were collected using a data abstraction form, an observation checklist, and a structured interview guide. Quantitative data were analyzed using descriptive statistics, while qualitative data were analyzed using the thematic method with an inductive approach.</div></div><div><h3>Results</h3><div>Based on direct observation, 100 % of women were monitored for foetal heart rate. However, the frequency and timing of monitoring were inconsistent. Most women (46 %) were monitored four times, 36 % twice, and 18 % once, with monitoring intervals ranging from 30 min to 4 h. Monitoring occurred primarily during active labour (88 %), with no monitoring observed in the second stage. In contrast, review of medical records revealed that only 70.1 % of women had documented evidence of foetal heart rate monitoring. Observed challenges included inadequate staffing, poor documentation practices, non-adherence to the monitoring schedule, cultural preferences, women’s unwillingness to be auscultated, peer pressure during delivery, lack of accountability, and assumptions by the midwives<strong>.</strong></div></div><div><h3>Conclusion</h3><div>The practice of foetal heart rate monitoring at the County Referral Hospital falls short of the international standards. The inadequacy is evident in the inconsistency in monitoring, particularly among the women in the latent phase of the first stage of labour and those in the second stage. This gap is due to challenges existing at the facility, which include inadequate staffing, documentation challenges, non-adherence to the monitoring schedule, cultural preferences, unwillingness of the women to be auscultated, peer pressure during delivery, lack of accountability and assumptions by the midwives.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"23 ","pages":"Article 100877"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144770687","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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