International Journal of Africa Nursing Sciences最新文献

Introduction and background

Numerous multifaceted issues continue to pose a serious challenge to the success of nursing education and training worldwide. In South Africa, distinct situations, such as the transitioning of public nursing colleges to higher education to be part of a unified higher education system, amplify the problems faced by nursing education leaders. To unravel these complexities, an exploration of South Africa’s existing nursing education leadership strengths was undertaken.

Purpose

To describe the leadership competencies deemed as an existing leadership strength in a challenged and transforming South African nursing education context.

Method

As part of a larger study, embedded in social constructionism, an exploration of the country’s existing nursing education leadership strengths was conducted with the purposefully selected nursing education leadership experts. Qualitative, descriptive, and contextual data yielded by the ten participants were analysed using thematic analysis.

Findings

Four main themes emerged namely, leadership competencies; governance, leadership, legislation, and policy; staff development as well as community engagement.

Conclusion

The authors propose that the described leadership competencies offered by the nursing education leadership experts as the existing nursing education leadership strengths in the country be considered as a foundational basis to navigate emergent challenges in wider contexts.

Background

the desire to remain in the nursing field has become a serious problem across the globe, and a shortage of nurses shows gaps for the health care system in terms of cost, patients care cabability, and nursing care quality. The nursing profession is losing a lot of nurses. There is paucity of data on the degree and factors influencing intention to stay.

Objective

To asses the level of intent to stay in the nursing profession and associated factors among nurses employed at public hospitals of Eastern Ethiopia, a multi centere study.

Methods

A cross-sectional study was conducted among 413 nurses employed at public hospitals of eastern Ethiopia from March 1 to 30, 2020. Participants were chosen via simple random sampling methods, with a lottery method. Data were gathered using standardised self-administered questionnaires that had been pre-tested and supervised by an interviewer. EpiData Version 4.6 was used to enter the data, which was then exported to SPSS Version 20 for analysis. Bivariable and multivariable analyses were used. An adjusted odds ratio with a 95% confidence interval was used to determine the association between the dependant and independent variables. Finally, factors were deemed statistically significant, if their p-value was less than 0.05. The Hosmer-Lemeshow statistic, with 0.254, and the omnibus test, with < 0.001, were used to assess the goodness of fit.

Results

Percentage of nurses intended to remain in nursing profession was 49.3 % (95 %CI: 46–55.9). Having dependent family members (AOR = 1.908, 95 %CI:1. 142–3.188), job satisfaction (AOR = 6.54, 95 %CI, 2.774–15.41), organizational commitment (AOR=0.301, 95 %CI, 0.127–0.713) and normative commitment (AOR = 3.617,95 %CI, 1.879–6.963) were all substantially correlated with the intention to stay.

Conclusion

This study demonstrated that nurses had low level of intent to stay in their profession. Having dependent family members, job satisfaction, organizational commitment, and having a high normative commitment showed association with intent to stay. Such kind of unstability in profession altered quality nursing service. Therefore, strengthing nurses’ intent to stay requires enhancing their job happiness, autonomy, professional opportunity, and organizational commitment.

Background

Implementing a transformative nursing curriculum is strategic for a country’s population health outcomes. However, transforming a nursing curriculum is challenging due to the lack of investigation into cultural influences impacting such transformation.Therefore, in order to implement a transformative nursing curriculum, educators need support to explore what a culturally congruent framework would look like.

Purpose

To socially construct a framework for culturally congruent nursing curriculum transformation in Lesotho.

Methodological approach

This study used a descriptive, qualitative, multiple-method research approach. The transformative learning theory was the theoretical context within the social constructivism research paradigm. The Mmogo-Method^TMand the KAWA technique were methods used for data collection during the study’s two empirical phases. The Mmogo-Method^TM was used to describe cultural influences on curriculum implementation, while the KAWA technique was used to describe the congruency between culture and transformative curriculum implementation. Out of a population of 11, a convenience sample of seven midwifery educators was used for the Mmogo-Method^TM and a criterion purposive samplingselection of 14 nursing educatorsfrom a population of 64 for the KAWA technique. Additionally, a narrative literature review was systematically performed to establisha relationship between culture and transformative curriculum implementation.

Findings and interpretations

Empirical findings from the Mmogo-Method^TM, KAWA technique, and the narrative literature review confirmed that culture might well influence the implementation of a transformative nursing curriculum. The findings were used to draft a framework validated by nursing educators. The three emergent framework concepts were: transformative learning; educators; and students. These three concepts were inter-related throughout the learning process.

Purpose

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

Design

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

Results

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

Originality

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

Introduction

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

Objective

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

Methods

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

Results

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

Conclusion

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

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

Background

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

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

Methods

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

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

Result

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

Conclusion

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

Background

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

Objectives

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

Design

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

Methods

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

Results

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

Conclusions

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

Introduction

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

Methods

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

Result

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

Conclusion

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