International Journal of Africa Nursing Sciences最新文献

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.

Background

Methods

Results

Conclusion

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.

Background

In many countries, the necessary support for bystanders is not provided. Despite the problems and complications caused by participation with the help of bystanders, psychological motivations and internal drivers will help them participate. The present study was conducted in order to identify the psychological motivators of bystanders to help in traffic accidents.

Methods

This qualitative study is part of a larger study, a doctoral dissertation in nursing. study was conducted using the qualitative description method in Iran in 2022. Sampling was purposeful and then theoretical. Data was collected through semi-structured interviews with 15 participants, including 10 male and 5 female participants. The data was analyzed using a conventional content analysis approach and constant comparison simultaneously, as recommended by Corbin and Strauss (2015). Using these two approaches at the same time helps to code the data, determine subcategories and categories, identify patterns and themes, understand the complexity of the human experience, develop new hypotheses and theories, enhance validity and reliability, and facilitate communication and collaboration with colleagues, stakeholders, and non-experts. MAXQDA 2010 software was used to assist in data analysis.

Results

Six concepts—feeling of responsibility, spiritual beliefs, feeling of pity, self-sacrificing, prevention of guilty conscience, and the feeling of becoming a hero—were identified as the subcategory of psychological motivators and the most important psychological motivators among the bystanders.

Conclusion

Bystanders will not help until they feel responsible. A feeling of responsibility can cause bystanders to self-sacrifice to prevent a guilty conscience. Having spiritual beliefs, a feeling of responsibility, and a sense of heroism can increase the feeling of responsibility and motivation of bystanders to help. It is suggested that ways of increasing the feeling of responsibility and other psychological motivators and the role of education, skill, experience, and legal obstacles in bystanders should be investigated in future studies.

Background

The treatment options for children with childhood cancers have expanded to not only surgery, chemotherapy, radiotherapy, and biotherapy, but also hematopoietic stem cell transplantation (HSCT). There are many challenges linked to this type of treatment. One of the challenges is the insight into how the stem cell team members perceive the treatment of the children.

Objective

To explore the insights of a paediatric stem cell transplantation team.

Design and methods

A qualitative study method was employed. Data were collected using face-to-face personal interviews with sixteen (16) eligible participants. Non-probability sampling method was used to select participants. Thematic analysis and coding were used to transcribe data. The setting was a private and public hospital in the Western Cape where hematopoietic stem cell transplantations were performed.

Results

The team was positive about this treatment option for childhood cancers. Selected members of the team experienced psychological encounters to practice in a hematological setting, especially with sick children. However, certain members could disconnect psychologically from the patients.

Conclusions

The management of hematopoietic stem cell transplant patients is complex, and the multi-disciplinary team must have a suitable approach towards these patients. Training of team members should include hematopoietic stem cell transplantation for children. Haematology practitioners must be well-informed about stem cell research in children. Health education in the community regarding stem cell transplantations should be conducted to create awareness.

Background

No comprehensive nationwide evidence exists regarding neonatal jaundice in Ethiopia. Hence, this study aimed to determine the pooled prevalence of neonatal jaundice and explore its relationship with sepsis, birth trauma, and prolonged labor in Ethiopia.

Methods

The systematic review and meta-analysis adhered to the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines. It encompassed both published and grey literature, identified through suitable keywords across various databases: PubMed, Cochrane Library, PsycINFO, Hinari, and Google Scholar. Data extraction was conducted using Microsoft Excel, and meta-analysis was performed using STATA/MP 16. To assess heterogeneity and publication bias, I² and Egger test statistics were employed, respectively. Sensitivity analysis and subgroup analysis were also carried out.

Results

This systematic review and meta-analysis comprised nine articles involving a collective participant count of 6282. The pooled prevalence of neonatal jaundice in Ethiopia was determined to be 31.59 % [95 % CI: 20.02, 43.17]. Notably, the presence of neonatal sepsis [AOR = 1.91, 95 % CI: 1.24–2.96)] and prolonged labor [AOR = 2.03, 95 % CI: 1.29–3.20] exhibited significant associations with neonatal jaundice.

Conclusions

The prevalence of neonatal jaundice in Ethiopia surpassed studies conducted outside the country. Notably, neonatal sepsis and prolonged labor showed significant associations with neonatal jaundice. Consequently, stakeholders such as the government and healthcare providers should prioritize interventions aimed at reducing the incidence of neonatal sepsis within routine healthcare services. Additionally, healthcare professionals need to remain vigilant for prompt management of prolonged labor and timely treatment of neonatal sepsis, especially if the issue has already emerged.

Background

Cultural competency (CC) is imperative in Ghana where a growing multicultural society prevails. Despite Ghana’s increasing multicultural society, cultural competency is poorly understood or appreciated.

Purpose

The study aimed to determine the self-assessed CC of nurses from the Western and Ashanti Regions’ using the validated Central Vancouver Island Multicultural Society’s Cultural Competence checklist.

Method

From October to December 2022, an institutional-based cross-sectional study in eight hospitals involving nurses was conducted using a two-stage sampling technique. Simple random sampling and stratified proportional sampling techniques were deployed to select the study hospitals and 759 participants respectively. Data were entered into a spreadsheet and exported to S.P.S.S version 23. Binary and multivariable logistic regressions were used to establish the associations between dependent and independent variables. Outcome variables with a P-value < 0.05 were deemed statistically significant.

Results

A majority of respondents were females (61.4 %; n = 466). The levels of the constructs for CC ranged from high to very high except for Cultural Encounters which was moderate: Cultural Awareness (Mean = 3.43 SD = 0.56), Cultural Skills Mean = 3.65 SD = 0.65), Cultural Knowledge (Mean = 3.53 SD = 0.54), Cultural Encounters (Mean = 3.35 SD = 0.68), Cultural Desire (Mean = 3.49 SD = 0.68), and overall CC score (Mean = 3.49 SD = 0.46). Nurses’ Cultural Skills were inversely associated with traveling outside of Ghana.

Conclusion

Nurses self-rated overall cultural competence as high. However, moderate Cultural Encounters are concerning as Cultural Encounters are the pivotal construct of CC that provides the foundation for the nurses’ journey toward cultural competency. Modification in training is urgently required to increase opportunities for nurses to experience Cultural Encounters.

Workplace sexual harassment is a pervasive issue with profound consequences for individuals' psychological wellbeing. This study investigates the impact of exposure to sexual harassment on nurses’ psychological wellbeing. The study further examines the role of resilience and conflict resolution climate in the exposure to sexual harassment – nurses’ psychological wellbeing relationship. A sample of 343 employed individuals completed measures of sexual harassment experiences, psychological wellbeing, resilience, and conflict resolution climate. Results revealed that sexual harassment was significantly and negatively associated with psychological wellbeing. Additionally, resilience mediated the relationship between sexual harassment and psychological wellbeing. However, contrary to expectations, the conflict resolution climate did not moderate the relationship between sexual harassment and psychological wellbeing. The study contributes to the literature by providing insights into the mechanisms through which sexual harassment affects individuals' wellbeing and emphasizes the significance of resilience as a protective factor. Practical implications are discussed in terms of supporting individuals who experience sexual harassment and promoting healthier work environments.

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.