International Journal of Africa Nursing Sciences最新文献

{"title":"Comparison of mental health and mother–child bonding between mothers of children with and without developmental delay","authors":"Khadijeh Khalili-Azar ,&nbsp;Somayeh Abdolalipour ,&nbsp;Monireh Hamed-Biabani ,&nbsp;Seifollah Heidarabadi ,&nbsp;Mojgan Mirghafourvand","doi":"10.1016/j.ijans.2025.100849","DOIUrl":"10.1016/j.ijans.2025.100849","url":null,"abstract":"<div><h3>Introduction</h3><div>Caregivers of children with developmental delay (DD) may be at risk of mental disorders, and mother–child bonding levels likely differ from those observed in mothers of well-developed children. This study aimed to compare the mental health and mother–child bonding levels between mothers of well-developed children and mothers of children affected with DD.</div></div><div><h3>Methods</h3><div>This case-control study was conducted in 2022 on 150 mothers of under five years old children with DD referred to the development center (case group) and 150 mothers of well-developed children referred to Tabriz health centers (control group). The case group was sampled through convenience sampling and the control group through the random sampling method. Both case and control groups were matched in terms of child age. Data was collected by interviewing the participants using a socio-demographic information<!--> <!-->questionnaire, Ages and Stages Questionnaires (ASQ), General Health Questionnaire (GHQ-28), and mother–child bonding questionnaire used as data collection instruments.</div></div><div><h3>Results</h3><div>After adjusting for socio-demographic variables, there was no longer a statistically significant difference between the two groups in terms of social dysfunction (B (95 % CI): −0.6 (−1.3 to 0.01), P = 0.052), but, the difference in care anxiety between the two groups was statistically significant (B (95 % CI): 0.6 (0.01 to 1.2), P = 0.047).</div></div><div><h3>Conclusion</h3><div>There is no difference in mental health status in mothers of children with DD than in mothers of well-developed children, but caregiver anxiety is probably higher in mothers of children with DD. Future studies using different methods in this area are warranted.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"22 ","pages":"Article 100849"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143839329","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}

{"title":"Knowledge on availability of suicide preventive services among undergraduate students at a public university in Ghana","authors":"Koduah Amankwah ,&nbsp;Apedani Dominic ,&nbsp;Azie Aren-enge Reubean ,&nbsp;Ankamah Ababio Christian ,&nbsp;Odotei Adjei Rose ,&nbsp;Brempong Appiah Emmanuel ,&nbsp;Okyere Paul","doi":"10.1016/j.ijans.2025.100851","DOIUrl":"10.1016/j.ijans.2025.100851","url":null,"abstract":"<div><h3>Background</h3><div>The incidence of suicide cases and its related episodes is on the increase in tertiary institutions and attracts extreme mass media attention. Globally, over 800,000 people die of suicide every year and it is the second leading cause of death in 15–29-year-olds. The study sought to determine how well-informed undergraduate students are about suicide prevention services available at a public university in Ghana.</div></div><div><h3>Methods</h3><div>This study employed a cross-sectional study design and quantitative approach. A well-structured close-ended questionnaire was used to assess students’ knowledge of the availability of suicide preventive services among undergraduate students in all six colleges of a public University campus in Ghana.</div></div><div><h3>Results</h3><div>The study found out that the majority of the students (86.29 %) did not know whether the university had suicide support/prevention hotlines or not, however, ten per cent (10 %) of them were aware of such hotlines and eleven per cent (11 %) was able to provide the service number correctly. Some respondents said the unit is not accessible to them and cited reasons ranging from location or distance (74.04 %). On whether the university has a mental health service available, eleven per cent (11 %) were aware of such services while forty-four per cent were not sure if such services exist or not. But then 43.79 % were sure that such services were not available. Most of them (76.03 %) knew there was a helpline for such services, however only a few students (10.00 %) could produce the number. The student’s access to other informal social support systems for comfort, reassurance and encouragement was assessed and the findings show that the majority of them rely on family (79.15 %) and friends (95.61 %) for such support.</div></div><div><h3>Conclusion</h3><div>The majority of the students have no idea about the availability of suicide preventive services. It is recommended that the university authorities focus on mental health education programmes, orientation and awareness creation should also be organised regularly to increase students’ knowledge on the availability of suicide preventive services. Also, during orientation programmes for freshmen (new students) awareness creation on counselling services and mental health services in the university hospital is possible at the beginning of every academic year. Dissemination of suicide and mental health services’ hotlines/helplines to students can be done through bulk SMS messages to individual students’ cell phones.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"22 ","pages":"Article 100851"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143882130","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}

{"title":"Results of fetal health assessment tests in pregnancies with borderline and normal amniotic fluid index: A case-control study","authors":"Somayyeh Naghizadeh ,&nbsp;Zahra pourmohammad ,&nbsp;Farnaz Faroughi ,&nbsp;Mojgan Mirghafourvand","doi":"10.1016/j.ijans.2025.100874","DOIUrl":"10.1016/j.ijans.2025.100874","url":null,"abstract":"<div><h3>Background</h3><div>There is currently insufficient evidence to support routine fetal surveillance or early delivery decisions in cases of borderline Amniotic Fluid Index (AFI).</div></div><div><h3>Objective</h3><div>This study aimed to compare the results of fetal health assessment tests in pregnancies with borderline and normal AFI.</div></div><div><h3>Methods</h3><div>This case-control study was conducted on 300 pregnant women (150 with normal AFI and 150 with borderline AFI) at the 29 Bahman Hospital in Tabriz-Iran. Due to the small number of mothers with borderline AFI, all pregnant mothers with borderline AFI were recruited (census sampling). For the control group, mothers with normal AFI were selected using matched sampling based on age, parity, and gestational age to correspond to the borderline group. The data were collected using a four-part researcher-made questionnaire.</div></div><div><h3>Results</h3><div>A significant difference was observed in the reduction of maternal perception of fetal movements between the two groups (p = 0.0001), with 35 (23.3 %) women in the normal AFI group and 46 (30.7 %) women in the borderline AFI group reporting reduced movements. The groups had no significant differences regarding Non-Stress Test (NST) (p = 0.324) and Biophysical Profile (BPP) (p = 0.442) results. In women with borderline AFI, maternal perception of decreased fetal movement was 7 times more likely than in women with a normal AFI (OR = 7.43; 95 %CI: 4.4 to 12.4; p = 0.0001).</div></div><div><h3>Conclusion</h3><div>The results of fetal health assessment tests in women with borderline AFI were similar to those with normal AFI. Therefore, clinical management of borderline AFI cases may be approached similarly to those with normal AFI.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"23 ","pages":"Article 100874"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144721230","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}

{"title":"Impact of pharmacological and non-pharmacological approaches on the sleep quality of MS patients: A systematic review","authors":"Soheila Shamsikhani ,&nbsp;Mohammad Reza Shamshiri ,&nbsp;Mohammadsadegh Kamran ,&nbsp;Mahsa Hosseini","doi":"10.1016/j.ijans.2025.100882","DOIUrl":"10.1016/j.ijans.2025.100882","url":null,"abstract":"<div><h3>Background</h3><div>Multiple sclerosis (MS) is an autoimmune disease of the central nervous system, recognized by various symptoms, like fatigue, pain, cognitive impairment, and mood disorders, which can impact sleep and cause sleep disorders.</div></div><div><h3>Objective</h3><div>Due to the scattered nature of existing evidence and the significant clinical impact of sleep disturbances among patients with MS, this systematic review seeks to comprehensively integrate current pharmacological and non-pharmacological treatment approaches while identifying prevailing knowledge gaps and outlining directions for future investigations.</div></div><div><h3>Methods</h3><div>A systematic search was conducted in PubMed, Web of Science, and Scopus databases up to September 2024, following PRISMA guidelines. The research was guided by the question: “What therapeutic approaches are effective in improving sleep quality in MS patients?” The PICOS framework defined the inclusion criteria (P = MS patients, I = Any intervention, C = Compared to other interventions, O = Sleep quality, S = Randomized controlled trials). After removing duplicates, the remaining articles were screened based on predefined inclusion/exclusion criteria. A total of 24 full-text articles were evaluated, and 16 studies met the final inclusion criteria. Data were extracted on study characteristics, intervention details, and outcomes. The quality of included studies was assessed using the NIH quality assessment tool for controlled intervention studies.</div></div><div><h3>Results</h3><div>Sixteen randomized controlled trials (RCTs) were included. This study confirms the efficacy of melatonin and CBT-I as primary interventions while highlighting the potential of relaxation and mindfulness-based approaches. All studies referenced in this article were of acceptable quality, demonstrating either good or fair quality standards.</div></div><div><h3>Conclusion</h3><div>This review provides valuable insights into the management of sleep disturbances in individuals with MS. It confirms the efficacy of melatonin and CBT-I as primary interventions while highlighting the potential of relaxation and mindfulness-based approaches.While melatonin showed some benefits, other medications had limited or mixed effects. These findings underscore the need for methodological improvements and more targeted research. Addressing these gaps will help refine clinical practices, ensuring better sleep quality and overall well-being for individuals with MS.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"23 ","pages":"Article 100882"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144867283","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}

{"title":"Influence of skill-based training on Midwives’ competence in Kangaroo mother care positioning techniques: A Quasi-Experimental study in tertiary healthcare facilities in low-resource Nigerian settings","authors":"Gbemisola Bolanle Ogbeye ,&nbsp;Beatrice M. Ohaeri ,&nbsp;Deborah Tolulope Esan ,&nbsp;Carlos G. Ramos","doi":"10.1016/j.ijans.2025.100912","DOIUrl":"10.1016/j.ijans.2025.100912","url":null,"abstract":"<div><h3>Background</h3><div>Kangaroo Mother Care (KMC) has been globally recognized and proven to reduce neonatal morbidity and mortality among low-birth-weight babies, but the implementation of KMC intervention is poor in low- and middle-income countries. In Nigeria, evidence shows that KMC is underutilized due to inadequate training for midwives. Hence, the study evaluated the effect of a structured skill-based training intervention in enhancing KMC competence among midwives in Ondo State, Nigeria.</div></div><div><h3>Methods</h3><div>Two-group quasi-experimental study design was utilized. All the three tertiary health facilities in Ondo State were selected for the study. These facilities were randomly assigned to Intervention Group (IG) and Control Group (CG). Total sampling was used to select 203 midwives for the study; 82 in IG and 121 in CG. A 12-item Likert scale checklist was used to assess KMC skills. The IG was trained on KMC positioning techniques; immediate (P1), six weeks (P2), and twelve weeks (P3) post-intervention assessments were conducted. Written informed consent was obtained from the participants. Analyses were done using descriptive and inferential statistics at α_0.05.</div></div><div><h3>Result</h3><div>Participants’ age in IG and CG were 36.3 ± 8.6 and 38.0 ± 8.2 years, respectively. At baseline KMC skill was poor in both groups, IG (0 %) versus CG (0 %); however, post-intervention IG had better KMC skill at P1 (70.7 %), P2 (62.2 %) and P3 (61.0 %) than CG which remained 0 % at P1, P2, and P3. Significant differences were observed in KMC skills between midwives in IG and CG post-intervention.</div></div><div><h3>Conclusion</h3><div>It was found that skill-based training significantly improved KMC competence among midwives in the intervention group.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"23 ","pages":"Article 100912"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145424823","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}

{"title":"A graduate tracer study of the diploma in nursing program at Saint John of God College of Health Sciences in Mzuzu, Malawi: A descriptive survey design","authors":"Chimwemwe Munthali ,&nbsp;Esmie Mkwinda ,&nbsp;Catherine Mselema ,&nbsp;Jester Jere ,&nbsp;Meriam K. Banda ,&nbsp;Zione Mugala ,&nbsp;Treazar Jere ,&nbsp;Dumisani Mfune ,&nbsp;Modestar Hara ,&nbsp;Geldine Chironda","doi":"10.1016/j.ijans.2025.100925","DOIUrl":"10.1016/j.ijans.2025.100925","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Tracer studies are essential for understanding the relevance and quality of programs offered by universities, as well as their alignment with the labour market. Despite tracer studies being common and popular in higher education in recent years, St. John of God College of Health Sciences has not conducted a tracer study for the Diploma in Nursing (Registered Nurse) program graduates since its inception in 2014. This study provides valuable information for evaluating the whereabouts of the graduates, their employability status, perceptions of the nursing program, and gaps observed in its implementation.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To explore the perceptions of graduate nurses regarding the University Diploma in Nursing (Registered Nurse) program.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;A descriptive survey design was employed from March 2023 to July 2023. A purposive sample of 167 graduates was sent questionnaires. Data were collected using the Graduate Tracer Study Questionnaire (GTSQ), which included three open-ended questions. Quantitative data were coded and entered into SPSS Version 22. Descriptive statistics were used to analyze quantitative data, while content analysis was employed for qualitative data. Statistical significance was defined as a p-value &lt; 0.05.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Findings&lt;/h3&gt;&lt;div&gt;A total of 89 graduates participated in the study, giving a response rate of 53%. The majority (n = 81) were employed, of whom 63 were working as nurse technicians. It took most of them one to two years to find a job as a nurse. Additionally, most graduates (67.9%) were supported by in-service training in their workplaces. The results revealed the relevance of the course to the graduates’ current professional roles. However, participants perceived the college as having inadequate sports facilities (n = 77) and a lack of canteens (n = 50). Nearly half of the participants (48.3%) were not satisfied with the extracurricular activities available at the institution. The following associations were identified: gender and adequacy of sports facilities (p = 0.034); professional rank and relevance of courses (p = 0.027); and type of organization and relevance of courses to the current job (p = 0.009). The qualitative component reported the lack of a midwifery component as the major gap in program delivery (n = 35), followed by a shortage of staff (n = 13) and lecturers not being fully present in clinical areas (n = 12). Participants also reported a lack of supervision during clinical practice (n = 8). Other reported gaps included a lack of scholarships, internships, and adequate classrooms.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;Although participants appreciated the relevance of the program to their professional work, limited sports facilities, absence of student canteens, inadequate staff, and lack of a midwifery course within the program were highlighted. Recommendations should focus on introducing a midwifery com","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"23 ","pages":"Article 100925"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145578694","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}

{"title":"Lived experiences of critical care nurses in communicating with non-verbal or unconscious patients in Western Amhara, Northwest Ethiopia: A descriptive phenomenological study","authors":"Abebe Dilie Afenigus ,&nbsp;Mastewal Ayehu Sinshaw","doi":"10.1016/j.ijans.2025.100924","DOIUrl":"10.1016/j.ijans.2025.100924","url":null,"abstract":"<div><h3>Background</h3><div>Critical care nurses frequently care for non-verbal or unconscious patients, where communication is essential yet inherently complex. This demands compassionate strategies to maintain patient dignity, ensure comfort, and foster therapeutic presence.</div></div><div><h3>Objective</h3><div>This study explored the lived experiences of critical care nurses in communicating with non-verbal or unconscious patients in intensive care units in Western Amhara, Northwest Ethiopia.</div></div><div><h3>Methods</h3><div>A descriptive phenomenological study was conducted from October 30 to December 30, 2022, at Felege Hiwot Comprehensive Specialized Hospital and Tibebe Ghion Specialized Hospital. Twelve critical care nurses were selected through criterion-based, heterogeneous purposive sampling. Data were collected via in-depth, face-to- face interviews, which were audio-recorded with consent, transcribed in Amharic, and translated into English. Data were analyzed using Colaizzi’s seven-step descriptive phenomenological method.</div></div><div><h3>Results</h3><div>Nurses used a multimodal communication approach, integrating verbal, nonverbal, sensory, and environmental strategies. Key approaches included body movement and gestures (kinesics), personal and environmental objects (artefacts), bedside presence with adequate time (chronemics), proximity and physical closeness (proxemics), modulation of tone and pace (paralanguage), professional appearance, therapeutic touch (haptics), intentional silence, and active listening supported by consistent care routine. Nurses also relied on physiological and behavioral cues to assess needs and collaborated with family members. Challenges included emotional strain, limited training, resource constraints, and difficulty interpreting subtle non-verbal cues. To overcame these, nurses relied on peer and multidisciplinary support, utilized validated behavioral assessment tools such as COPT, and creativity.</div></div><div><h3>Conclusion</h3><div>Effective communication with non-verbal or unconscious patients requires empathy, attentiveness, and creativity. Enhancing nurses training on non-verbal communication, providing access to behavioral assessment tools, and fostering support systems are vital to enhance care.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"23 ","pages":"Article 100924"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145578695","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}

{"title":"Assessment of the effect of the COVID-19 pandemic on levels of satisfaction in marital relationships during and post-lockdown","authors":"Rasha Aziz Attia Salama ,&nbsp;Rabab Gad Abd El-Kader ,&nbsp;Talaat Matter Tadross ,&nbsp;Shaimaa Hashem Elsalous","doi":"10.1016/j.ijans.2025.100831","DOIUrl":"10.1016/j.ijans.2025.100831","url":null,"abstract":"<div><div>The current study aimed to assess marital satisfaction during and post the lockdown of the COVID-19 pandemic and explore the factors influencing marital satisfaction among the public.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted in Ras Al Khaimah Emirate, United Arab Emirates. A total of 409 respondents participated in a web-based anonymous survey from April to September 2021 and completed sociodemographic and personal characteristics. The Enriching and Nurturing Relationship Issues, Communication and Happiness Marital Satisfaction scale, and the GAD-7 scale were employed in data collection. Bivariate and logistic regression were used to determine the relationship between marital satisfaction and sociodemographic and personal factors.</div></div><div><h3>Results</h3><div>The findings indicated that the mean score of the EMS scale increased significantly after the lockdown in all areas of marital relationships, except for leisure time activities (P = 0.42) and religious orientation (P = 0.47). Marital satisfaction during and after the COVID-19 lockdown was significantly associated with age, gender, education attainment, income, health condition, and anxiety status. Factors such as gender, education, income, and anxiety status have been identified as predictors of marital satisfaction, particularly during the COVID-19 pandemic.</div></div><div><h3>Conclusions</h3><div>The results underscore the importance of considering sociodemographic and personal factors in understanding fluctuations in marital satisfaction during challenging times. They highlight the need to address mental health and emotional well-being within marital contexts, especially during crises. Tailored interventions aimed at enhancing coping strategies, communication skills, and emotional support could help mitigate anxiety’s adverse impact on marital satisfaction, ultimately strengthening relationships and overall well-being.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"22 ","pages":"Article 100831"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143509221","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}

{"title":"A systematic review and meta-analysis to evaluate the effectiveness of physical and behavioral intervention on community dwelling older adult’s well-being","authors":"Rashida Bibi ,&nbsp;Zhang Yan ,&nbsp;Hamayun Khan ,&nbsp;Fath ur Rahman ,&nbsp;Nahed Ahmed Hussien ,&nbsp;Imtiaz Alam","doi":"10.1016/j.ijans.2025.100837","DOIUrl":"10.1016/j.ijans.2025.100837","url":null,"abstract":"<div><h3>Background</h3><div>Several lines of gerontology researches support the efficacy of physical activity, and behavioural modification interventions in a large population. However, the true impact of this kind of intervention on the subjective well-being of community-based older adults is still unknown. The purpose of this study was to evaluate the true effects of physical, and behavioral interventions on the subjective well-being (WB) of high-risk older adults.</div></div><div><h3>Methods</h3><div>The search process was carried out from January 2023 to May 2023; following databases were searched to pool all the relevant scientific papers: PubMed (Web of Science (1950–January 2020), Medline (2006–2021), Scopus (1978–2022), Springer (2008–2020), Science Direct (1978–2021), Google Scholar (2010–2020), and Mandalay (2014–2023). Checking the reference lists; searching for ongoing trials and research registers; and performing manual searches. Two independent authors did this, and a third independent author tested the data extraction. We adopted the PRISMA guidelines.</div></div><div><h3>Results</h3><div>The review included 12 randomized controlled trials (RCTs) with 2037 community-based older adults. The overall effect size of physical, and behavioral interventions on the overall subjective WB of community based older adults was −0.0274 (95 % CI: −0.6697 to 0.8950), which was statistically significant (Z = 0.03752, p.0.02075). Five studies had shown statistically significant improvements in Quality Of life (QOL) scales in the intervention group compared to the control group</div></div><div><h3>Conclusion</h3><div>Physical, and behavioral intervention when blended together improve the WB of community based high-risk older adults. Further research with appropriate randomization, and allocation maybe needed.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"22 ","pages":"Article 100837"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143839330","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}

{"title":"Towards health justice: Implementing structural competency in women’s healthcare education","authors":"Daina Charnelle Fougang ,&nbsp;Charles Mpofu ,&nbsp;Dianne Wepa","doi":"10.1016/j.ijans.2025.100819","DOIUrl":"10.1016/j.ijans.2025.100819","url":null,"abstract":"<div><h3>Introduction</h3><div>The World Health Organization advocates for preparing medical students to address health disparities experienced by minority groups. The persistent disparities in women’s health outcomes, particularly among racial and ethnic minorities, highlight critical gaps in current medical education approaches. Despite strong consensus about the significance of structural competence training in medical education, most curricula struggle to develop, teach, and assess it effectively, particularly in addressing women’s health disparities.</div></div><div><h3>Objectives</h3><div>This systematic review aims to: (1) evaluate structural competency’s role in women’s health disparities and (2) develop implementation strategies for women’s healthcare education.</div></div><div><h3>Methodology</h3><div>A systematic literature review using Scopus, Google Scholar, and Web of Science databases (2010–2023) initially identified 905 articles. Following rigorous inclusion criteria focusing on structural competency, women’s health disparities, and medical education, 40 articles were selected for final analysis.</div></div><div><h3>Findings</h3><div>The review presents (1) comprehensive evidence of health disparities in women’s healthcare, particularly affecting racial and ethnic minorities; (2) the critical role of structural competency in addressing systemic barriers and discrimination in healthcare delivery; (3) effective teaching strategies including lecture-based, case-based, team-based, and simulation-based learning approaches; Findings indicate that successful implementation of structural competency requires multi-level interventions across individual, interpersonal, clinic, community, research, and policy domains.</div></div><div><h3>Conclusion</h3><div>This review establishes the importance of integrating structural competency into women’s healthcare education. While implementation challenges exist, the framework developed provides practical guidance to address women’s health disparities through structural competency training.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"22 ","pages":"Article 100819"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143377925","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}