International Journal of Africa Nursing Sciences最新文献

Objectives

Limited studies have examined the factors associated with utilisation of long acting reversible contraceptive (LARC) in Malawi. The purpose of this study was to assess prevalence and determinants of LARC utilisation among women of reproductive age at Balaka district hospital, Malawi.

Study design

Facility based cross-sectional study was conducted from 4th July to 28th September 2022. A total of 216 women of reproductive age were selected by a systematic random sampling technique. Data collection was done through face-to-face interviews using a structured and pre-tested questionnaire. Bivariate and multivariate logistic regressions were performed to examine the association between independent variables and utilisation of LARCs. Results were presented as adjusted odds ratios (AOR) with statistical precision at p ≤ 0.05 and 95 % confidence interval (CI).

Results

The prevalence of LARC utilisation at the study site was 26.4 %. Couple discussion (AOR = 7.169;95 % CI:1.872–27.453), partner approval (AOR = 11.157; 95 % CI:3.039–40.960), history of unplanned pregnancy (AOR = 3.099; 95 % CI: 1.114–8.622), fear of unplanned pregnancy (AOR = 3.605;95 % CI:1.286–10.107), counselling on LARCs (AOR = 3.829; 95 % CI: 1.070–13.654), number of children (AOR = 1.504; 95 % CI:1.044–2.167) and waiting time at clinic (AOR = 0.315;95 % CI: 0.174–0.571) were identified as the determinants of LARC utilisation.

Conclusion

The study found low overall utilisation of LARCs. Strategies to increase LARCs utilisation should consider promoting men’s involvement in family planning (FP) activities and address health system related factors including long waiting time at clinic and strengthening counselling on LARC methods.

Purpose

To explore factors that influence the quality of work life (QWL) as perceived by Heads of Nursing Departments (HoDs) at South African universities.

Background

Quality of life includes work life as an important subdivision. Quality of work life has sequalae of (and, in turn, influences) other aspects of a person’s life. By addressing factors that influence the QWL in nursing departments, nursing students are potentially provided with quality teaching and learning experiences.

Nursing HoDs have an intimate and extensive knowledge of the current QWL at their universities. Their experience and knowledge contribute to the understanding of faculty, provincial, governmental and professional body processes on aspects which might influence the prevailing QWL in nursing departments. These processes include budgeting and managing work processes.

Design and methods

A qualitative, descriptive research design was employed with data generated by in-depth interviews. Thematic analysis was performed on the transcribed data, first by familiarisation and immersion, followed by the development of codes, generation and revision of the final themes of the HODs’ understanding of QWL regarding their personal, home and family situations, departmental (work) situations, finances, and the effect of #FeesMustFall.

Results

HoDs indicate that the relationships with, and the amount of support received from different parties involved with teaching and student learning, as well as home, family and work-related issues, availability of finances and the drive for transformation in higher education facilitate the QWL in the department.

Conclusion

To improve the QWL in nursing departments towards higher education transformation, nursing departments need good human resources (HR) management practices.

Objectives

To explore nurse’s perceptions on barriers for Implementing Pressure Ulcers Preventive Measures among critically ill patients.

Research Design

An exploratory qualitative study design was employed. In-depth interviews were conducted with 15 nurses to explore their perceptions on barriers for preventing pressure ulcers among critically ill patient. Qualitative thematic analysis approach was used to analyze data.

Study settings

Medical high dependent unit, surgical high dependent unit, medical Intensive Care unit and surgical intensive care units at tertiary teaching hospital.

Findings

Seven themes emerged that describes nurses’ perceptions on barriers for implementing pressure ulcers preventive measures among patients with critical illness. The themes are: Restrictions from therapeutic interventions and severity of patient condition; Shortage of staff and equipment for pressure ulcer prevention; Unbalanced shift staffing and competing need for patient care; health care providers’ incompetence and carelessness; Lack of guidelines on implementing best practice for pressure ulcer prevention; Lack of accountability measures for negligence; and Minimal management’s commitment for PUs prevention.

Conclusion

This study reveals contextual based barriers for effective prevention of ppressure ulcers among critically ill patients. Nurses should be continuously empowered with competence for pressure ulcers prevention. This should go along with staffing and equipping critical care settings for pressure ulcers prevention. Managerial oversight is required for effective implementation of pressure ulcer preventive measures. This should include development of guidelines and policies, establishing accountability measures for negligence, malpractice as well as initiating clinical audit for reflective learning purpose.

Background

This study focuses on enhancing the knowledge of maternal healthcare services among the Hausa community, recognizing the community's unique characteristics that may act as barriers to accessing such services.

Methods

Employing a quasi-experimental design with pre-test and post-test measurements, the study randomly assigned 166 participants into intervention and control groups. Data were collected through semi-structured interviews and teaching guides used as intervention tools. Statistical analyses using SPSS version 22 included Independent T tests, and results were presented through frequencies, percentages, and bar charts.

Results

The post-test results in the intervention group demonstrated a significant increase in awareness of maternal healthcare services, with 96.3 % of participants being aware compared to 55.4 % in the pre-test. The mean knowledge score also exhibited improvement, rising from 2.1±2.1 in the pre-test to 5.4±1.6 in the post-test. In the control group, knowledge increased from 57.8 % pre-intervention to 63.0 %, but a significant portion (61.4 %) scored below the 50th percentile, indicating poor knowledge.

Conclusion

The study concludes that health education effectively improved understanding and awareness of maternal healthcare services among participants. These findings underscore the potential of targeted interventions to address knowledge gaps and improve access to maternal healthcare services within the Hausa community.

Introduction

The need for privacy was deemed an essential human right. The aim of the study was to examining the level of respect for patients’ privacy from the perspective of operating room personnel and investigating the various factors that influence it.

Methods

This cross-sectional study was conducted in OR Hospitals in Hamadan, Iran. A total of 650 Hospital Operating Room personnel were randomly selected. Data were collected using a standard questionnaire, with the reliability of the questionnaire confirmed by Cronbach’s alpha coefficient (alpha coefficient = 0.81). For data analysis, t-tests, ANOVA, and chi-square tests were performed, utilizing SPSS version 22. The significance level was set at 0.05.

Results

The studies about 55.1 % were female, 94.3 % were under 25 years of age, and 83.80 % had less than 5 years of work experience. The study found significant differences in privacy adherence based on gender and education, with women and bachelor’s degree holders scoring higher on privacy measures. No significant differences were observed for marital status and age. The Pearson correlation indicated significant relationships between different aspects of privacy.

Conclusion

Attention to patient privacy is crucial in hospitals to improve care quality and build patient trust among operating personnel.

Background

Methods

Results

Conclusion

Background

Nurses are in the forefront of the health care force and nursing is one of the most draining occupations causing emotional and physical exhaustion. Literature has shown that nurses working in a psychiatric hospital experience burnout more than those working in general hospitals. Even though nurses experience burnout in the workplace, they use different mechanisms to cope to improve nursing care. The study aims at exploring how they cope with burnout in the workplace.

Objective

To explore and describe the coping mechanisms that nurses use to improve coping with burnout in a psychiatric hospital in Botswana.

Setting and Sampling: Purposive sampling selected 10 nurses who were working in a certain psychiatric hospital in Botswana.

Methods

The study used a qualitative research design with explorative and descriptive approaches. Data collection was conducted by telephone due to the Covid-19 restrictions and a semi-structured guiding tool was utilised. Data was analysed using thematic analysis.

Results

Four main themes emerged from the study namely, coping with burnout in a psychiatric hospital, factors contributing to burnout among nurses, manifestations of burnout and suggestions to improve burnout. Some of the coping sub-themes were debriefing with friends and colleagues, engaging in activities outside work and lastly playing board games with patients.

Conclusion

The study has shown that nurses use different coping mechanisms to deal with burnout including social support mechanisms.

Background

Evidence-based utilization is crucial for improving overall patient care quality, nursing practice, and building trust in decision-making with patient preferences to solve clinical challenges in patient care, but its practice is relatively low.

Objective

To assess the implementation of evidence-based practice (IEBP) and its correlates among nurses working in west Arsi zone public hospitals, Ethiopia.

Method

An institutional-based cross-sectional study design was employed using structured, interviewer-administered, pretested data from June 1 to July 30, 2022 and entered into epidata version 4.4.1 statistical software and exported to SPSS version 25 for further analysis.

Results

A total of 385 nurses responded the questionnaire, with 100 % response rate. Majority of participants 194 (50.4 %) were females with mean age of 32.02 (SD ± 6.8) years. The overall mean implementation of EBP among nurses was found to be 11.4 ± 8.53. Attitude, self-efficacy, working in referral hospital, being diploma in the level of education (β: −3.925; 95 % CI:(-6.399- (-1.451), knowledge of nurses toward EBP (β: 1.213; 95 % CI: 0.989–1.438) and availability of job rotation (β: 3.475; 95 % CI: 1.20–3.750) were significantly associated with the mean score of EBP utilization at a p-value ≤ 0.001.

Conclusion

A significant proportion of nurses use evidence-based practice infrequently. Knowledge, Attitude, self-efficacy, hospital level, level of education, and availability of job rotation, were the variables that contributed to the low utilization of evidence-based practice. It is recommended that integrating EBP training into nursing education curricula, establishing EBP training workshops, and research mentorship programs at the workplace are needed.

Background

Fall is a common health problem among elder and can have many physical and psychological consequences, including injuries, mobility problem, hospitalization, institutionalization, fear of falling again and even death.

Objective

The aim of present study was to assess the frequency of fall, fear of fall and its related factors among Iranian elders by systematic review and meta-analysis.

Methods

The data was gathered from the literature published in Scopus, Magiran, SID, PubMed, Google Scholar, Google, and Web of Science. The search strategy was done using the following combined text and MeSH terms included “elderly fall”, “accidental fall”, “prevalence of fall”, “fear of fall”, and “risk factor for fall”. Persian equivalents of these keywords were also searched in Iranian databases. The time span included articles published within 2007–2017. The data was analyzed using STATA (version 14) software and meta-regression.

Results

The mean number of fall events among elders was 1.9 (95 % CI: 1.15–2.64, P = 0.072) within the past year. The fall rate was obtained 32 % (95 % CI: 0.30–0.34, P < 0.001) in the recent year. Fear of fall frequency was also 41 % (95 % CI: 0.38–0.45, P < 0.001) in elders. Fall events were more prevalent in elders living in nursing homes residents compared with those resided in home 36 % (95 % CI: 32–39). The highest rate of fall was recorded in night as 25 % (95 % CI: 0.21–0.29, P < 0.12). The stairs, aisle and yard comprised the most common places of fall events as 35 % (95 % CI: 0–27.42, P < 0.001).

Conclusion

The findings revealed high prevalence of fall and fear of fall among Iranian elders. These results can assist the policy makers of elderly health institutes, elderly nurses, and families with elder members to know risk factors and implement safety measures in homes and institutions to reduce fall episodes among elders.