Background: Stress in nurses refers to the reactions nurses experience when faced with work demands that exceed their knowledge, skills, or ability to cope. Nursing, as a profession, is particularly susceptible to work-related stress. Methods: A cross-sectional study was conducted among 405 randomly selected nurses working in Hadiya Zone public hospitals from March 1 to 30, 2023. Data were collected using a pre-tested self-administered questionnaire. The data were entered using Epi-data version 3.1, and analysed using SPSS version 20.0. Multivariable logistic regression analysis was performed to identify factors associated with the level of work stress. Variables with a p-value <0.05 were considered statistically significant. Results: In this study, 56% (95% CI 50.9-61.2) of the participants reported being stressed in their work. Several factors were found to be associated with work stress, including being female (AOR=1.94, 95% CI 1.19-3.16), rotating shifts (AOR=2.06, 95% CI 1.31-3.25), working in the intensive care unit (AOR=3.42, 95% CI 1.20-9.73), and having post-basic training (AOR=0.55, 95% CI 0.34-0.92). Conclusion: The study revealed a high level of work stress among nurses in the study area. The zonal health unit takes measures to address work stress by providing job orientation during the hiring process, rotation, and on-the-job training to help nurses cope with and manage stressful events. Stress in public hospitals and among nurses is an important issue that needs urgent attention.
背景：护士的压力是指护士在面对超出其知识、技能或应对能力的工作要求时所产生的反应。护士作为一种职业，特别容易受到工作压力的影响：方法：2023 年 3 月 1 日至 30 日，在哈迪亚区公立医院工作的 405 名随机抽取的护士中开展了一项横断面研究。数据采用预先测试的自填式问卷收集。数据使用 Epi-data 3.1 版输入，并使用 SPSS 20.0 版进行分析。对数据进行了多变量逻辑回归分析，以确定与工作压力水平相关的因素。P值小于0.05的变量被认为具有统计学意义：在这项研究中，56%（95% CI 50.9-61.2）的参与者表示工作压力大。研究发现，女性（AOR=1.94，95% CI 1.19-3.16）、轮班（AOR=2.06，95% CI 1.31-3.25）、在重症监护室工作（AOR=3.42，95% CI 1.20-9.73）和接受过基础培训后工作（AOR=0.55，95% CI 0.34-0.92）等因素与工作压力有关：研究显示，研究地区的护士工作压力很大。区卫生单位采取措施解决工作压力问题，包括在招聘过程中提供工作指导、轮岗和在职培训，以帮助护士应对和管理压力事件。公立医院和护士的压力是一个急需关注的重要问题。
{"title":"Factors Contributing to Work Stress among Nurses in Hadiya Zone’s Public Hospitals, Central Ethiopia","authors":"Asnakech Zekiwos Heliso, Getachaw Ossabo Babore, Taye Mezgebu Ashine","doi":"10.25159/2520-5293/16303","DOIUrl":"https://doi.org/10.25159/2520-5293/16303","url":null,"abstract":"Background: Stress in nurses refers to the reactions nurses experience when faced with work demands that exceed their knowledge, skills, or ability to cope. Nursing, as a profession, is particularly susceptible to work-related stress.\u0000Methods: A cross-sectional study was conducted among 405 randomly selected nurses working in Hadiya Zone public hospitals from March 1 to 30, 2023. Data were collected using a pre-tested self-administered questionnaire. The data were entered using Epi-data version 3.1, and analysed using SPSS version 20.0. Multivariable logistic regression analysis was performed to identify factors associated with the level of work stress. Variables with a p-value <0.05 were considered statistically significant.\u0000Results: In this study, 56% (95% CI 50.9-61.2) of the participants reported being stressed in their work. Several factors were found to be associated with work stress, including being female (AOR=1.94, 95% CI 1.19-3.16), rotating shifts (AOR=2.06, 95% CI 1.31-3.25), working in the intensive care unit (AOR=3.42, 95% CI 1.20-9.73), and having post-basic training (AOR=0.55, 95% CI 0.34-0.92).\u0000Conclusion: The study revealed a high level of work stress among nurses in the study area. The zonal health unit takes measures to address work stress by providing job orientation during the hiring process, rotation, and on-the-job training to help nurses cope with and manage stressful events. Stress in public hospitals and among nurses is an important issue that needs urgent attention.","PeriodicalId":517190,"journal":{"name":"Africa Journal of Nursing and Midwifery","volume":"119 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141811994","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}
Indonesia is particularly vulnerable to natural disasters, especially geological and hydrometeorological disasters, which can adversely impact human life. Disaster management is a development carried out and integrated by the Regional Government. This study aimed to analyse the natural disaster preparedness among volunteers in the Poncokusumo Area, Malang Regency, East Java, Indonesia. The study used a cross-sectional design to determine the volunteers’ level of disaster preparedness. The sampling technique used randomised (cluster) sampling with 165 respondents. The research used a questionnaire with a 5-category Guttman Scale for disaster preparedness index (DPI) with the parameters divided into knowledge and attitude (KA), emergency planning (EP), disaster warning system (DWS) and resource mobilisation capacity (RMC). The research was conducted in the working area of Poncokusumo Public Health Center, Maofng Regency. Data analysis in the study used a one-way ANOVA. The results showed that the volunteer level of preparedness for landslides was 67±1.33 (ready). There was a relationship between characteristics of disaster preparedness, namely, age (p-value = 0.033) and years of experience as a volunteer (p-value = 0.02). Volunteers can contribute to relief operations by providing necessities, such as food, water and shelter to affected individuals. They can also assist in clean-up activities, infrastructure repair, and community rebuilding initiatives. It is important to note that volunteers should be well-trained and coordinated with local authorities and emergency management agencies to ensure their safety and effectiveness in disaster preparedness and management situations.
{"title":"Preparedness for Natural Disasters among Volunteers in East Java, Indonesia: A Cross-Sectional Study","authors":"Apriyani Puji Hastuti, Ratna Roesardhyati, Ardhiles Wahyu Kurniawan, Rahmania Ambarika, Risqy Siwi Pradini, Rifatul Fani","doi":"10.25159/2520-5293/15961","DOIUrl":"https://doi.org/10.25159/2520-5293/15961","url":null,"abstract":"Indonesia is particularly vulnerable to natural disasters, especially geological and hydrometeorological disasters, which can adversely impact human life. Disaster management is a development carried out and integrated by the Regional Government. This study aimed to analyse the natural disaster preparedness among volunteers in the Poncokusumo Area, Malang Regency, East Java, Indonesia. The study used a cross-sectional design to determine the volunteers’ level of disaster preparedness. The sampling technique used randomised (cluster) sampling with 165 respondents. The research used a questionnaire with a 5-category Guttman Scale for disaster preparedness index (DPI) with the parameters divided into knowledge and attitude (KA), emergency planning (EP), disaster warning system (DWS) and resource mobilisation capacity (RMC). The research was conducted in the working area of Poncokusumo Public Health Center, Maofng Regency. Data analysis in the study used a one-way ANOVA. The results showed that the volunteer level of preparedness for landslides was 67±1.33 (ready). There was a relationship between characteristics of disaster preparedness, namely, age (p-value = 0.033) and years of experience as a volunteer (p-value = 0.02). Volunteers can contribute to relief operations by providing necessities, such as food, water and shelter to affected individuals. They can also assist in clean-up activities, infrastructure repair, and community rebuilding initiatives. It is important to note that volunteers should be well-trained and coordinated with local authorities and emergency management agencies to ensure their safety and effectiveness in disaster preparedness and management situations.","PeriodicalId":517190,"journal":{"name":"Africa Journal of Nursing and Midwifery","volume":"46 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141343875","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 : 2024-06-14DOI: 10.25159/2520-5293/16087
Ulemu Phiri
One of the major causes of death among women worldwide is cervical cancer (CC). The majority of the cases occur in underdeveloped nations, especially among human immunodeficiency virus (HIV)-positive women. The purpose of this study was to evaluate the uptake of CC screening and the factors that are related to it in these HIV-positive women at Mzuzu Central Hospital, Malawi. The study used a quantitative methodological approach. Secondary data for 397 women was extracted from hospital registers. It was then entered and analysed using STATA. Descriptive statistics, univariate analysis, multivariate analysis, and chi-square analysis were performed to test the association between the outcome variable and the independent variables. The results showed that a significant correlation between subsequent screenings and positive outcomes was found by multivariate analysis using ordered logistic regression (adjusted odds ratio (AOR) = 5.546; 95% confidence interval (CI) [4.718696, 6.373458]). A significant correlation between the number of screenings performed and marital status was found using chi-square analysis. Compared to married and widowed women, the proportion of divorced and single women who underwent multiple screenings was lower. In conclusion, the study found that among HIV-positive women in Mzuzu, Malawi, a complex interaction of demographic factors influenced the results of CC screening. Age and marital status showed varied effects, even though further screenings were positively associated with favourable outcomes.
宫颈癌（CC）是全球妇女死亡的主要原因之一。大多数病例发生在不发达国家，尤其是人类免疫缺陷病毒（HIV）阳性妇女。本研究的目的是评估马拉维姆祖祖中心医院的 HIV 阳性妇女接受宫颈癌筛查的情况及其相关因素。研究采用定量方法。从医院登记册中提取了 397 名妇女的二手数据。然后使用 STATA 进行输入和分析。通过描述性统计、单变量分析、多变量分析和卡方分析来检验结果变量与自变量之间的关联。结果显示，使用有序逻辑回归进行多变量分析发现，后续筛查与阳性结果之间存在显著相关性（调整后的几率比（AOR）= 5.546；95% 置信区间（CI）[4.718696, 6.373458]）。利用卡方分析发现，筛查次数与婚姻状况之间存在明显的相关性。与已婚和丧偶妇女相比，离婚和单身妇女接受多次筛查的比例较低。总之，该研究发现，在马拉维姆祖祖的艾滋病毒呈阳性妇女中，人口统计学因素的复杂相互作用影响着CC筛查的结果。年龄和婚姻状况显示出不同的影响，尽管进一步筛查与有利的结果呈正相关。
{"title":"Uptake of Cervical Cancer Screening Services and Associated Factors among HIV-Positive Women at Mzuzu Central Hospital, Malawi","authors":"Ulemu Phiri","doi":"10.25159/2520-5293/16087","DOIUrl":"https://doi.org/10.25159/2520-5293/16087","url":null,"abstract":"One of the major causes of death among women worldwide is cervical cancer (CC). The majority of the cases occur in underdeveloped nations, especially among human immunodeficiency virus (HIV)-positive women. The purpose of this study was to evaluate the uptake of CC screening and the factors that are related to it in these HIV-positive women at Mzuzu Central Hospital, Malawi. The study used a quantitative methodological approach. Secondary data for 397 women was extracted from hospital registers. It was then entered and analysed using STATA. Descriptive statistics, univariate analysis, multivariate analysis, and chi-square analysis were performed to test the association between the outcome variable and the independent variables. The results showed that a significant correlation between subsequent screenings and positive outcomes was found by multivariate analysis using ordered logistic regression (adjusted odds ratio (AOR) = 5.546; 95% confidence interval (CI) [4.718696, 6.373458]). A significant correlation between the number of screenings performed and marital status was found using chi-square analysis. Compared to married and widowed women, the proportion of divorced and single women who underwent multiple screenings was lower. In conclusion, the study found that among HIV-positive women in Mzuzu, Malawi, a complex interaction of demographic factors influenced the results of CC screening. Age and marital status showed varied effects, even though further screenings were positively associated with favourable outcomes.","PeriodicalId":517190,"journal":{"name":"Africa Journal of Nursing and Midwifery","volume":"50 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141343954","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 : 2024-05-22DOI: 10.25159/2520-5293/15525
Anna N. Haifete, G. Chironda, Petra Brysiewicz
The process of placing research knowledge into action and thereby ensuring its dissemination is very important in healthcare currently. Although nurse-led knowledge translation interventions have become an important focus in the high-income countries, the extent of such interventions in the World Health Organization (WHO) Afro Region is not well established. This scoping review aimed to map the evidence of nurse-led knowledge translation interventions in the countries in the WHO Afro Region using the Joanna Briggs Institute (JBI) Scoping Review Methodology. A systematic electronic search of articles was carried out in selected electronic data bases using various search engines. All 688 eligible identified articles were imported into the Systematic Reviews Web App (Beta) Rayyan. The selection process included title and abstract screening, and full text article screening. A Prisma flow diagram detailing the procedure was developed. The review process resulted in 21 selected articles. The results showed minimal publications between 2013 and 2019 with a sudden increase in 2020 (n = 5) and 2021 (n = 4). The Eastern WHO Afro Region contributed 48% of the studies, followed by the Western WHO Afro Region with 43%. Ten countries were selected through the process of screening according to where nurse-led medical-surgical knowledge translation interventions were found. Nigeria contributed 33%, followed by Uganda with 19%. The scoping review concluded that studies be appraised for their ability to promote evidence-based knowledge, skills and behaviour in both rural and urban clinical settings. More of these studies need to be conducted in the WHO Afro Region. More focused systematic reviews should be conducted to sum up the best available research on these specific questions, supported by findings by clinical setting, type of intervention, and outcomes.
{"title":"A Scoping Review of Nurse-Led Medical-Surgical Knowledge Translation Interventions to Improve In-Hospital Clinical Practice in the WHO Afro Region","authors":"Anna N. Haifete, G. Chironda, Petra Brysiewicz","doi":"10.25159/2520-5293/15525","DOIUrl":"https://doi.org/10.25159/2520-5293/15525","url":null,"abstract":"The process of placing research knowledge into action and thereby ensuring its dissemination is very important in healthcare currently. Although nurse-led knowledge translation interventions have become an important focus in the high-income countries, the extent of such interventions in the World Health Organization (WHO) Afro Region is not well established. This scoping review aimed to map the evidence of nurse-led knowledge translation interventions in the countries in the WHO Afro Region using the Joanna Briggs Institute (JBI) Scoping Review Methodology. A systematic electronic search of articles was carried out in selected electronic data bases using various search engines. All 688 eligible identified articles were imported into the Systematic Reviews Web App (Beta) Rayyan. The selection process included title and abstract screening, and full text article screening. A Prisma flow diagram detailing the procedure was developed. The review process resulted in 21 selected articles. The results showed minimal publications between 2013 and 2019 with a sudden increase in 2020 (n = 5) and 2021 (n = 4). The Eastern WHO Afro Region contributed 48% of the studies, followed by the Western WHO Afro Region with 43%. Ten countries were selected through the process of screening according to where nurse-led medical-surgical knowledge translation interventions were found. Nigeria contributed 33%, followed by Uganda with 19%. The scoping review concluded that studies be appraised for their ability to promote evidence-based knowledge, skills and behaviour in both rural and urban clinical settings. More of these studies need to be conducted in the WHO Afro Region. More focused systematic reviews should be conducted to sum up the best available research on these specific questions, supported by findings by clinical setting, type of intervention, and outcomes.","PeriodicalId":517190,"journal":{"name":"Africa Journal of Nursing and Midwifery","volume":"32 14","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141109629","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 : 2024-05-21DOI: 10.25159/2520-5293/15333
Y. M. V. B. Aty, Florentianus Tat, Elisabeth Herwanti, Pius Selasa, Trifonia Srinurwela
The incidence of stroke is increasing every year, and effective management comprises both pre-hospital and hospital care. The key to successful management is for families to recognise the clinical symptoms and promptly seek medical attention. Delayed assistance frequently leads to complications, underscoring the importance of timely intervention to save lives and prevent long-term disabilities. The key to successful management is identifying a stroke and prompt transportation to a medical facility. This study used a quantitative approach with a cross-sectional design, and the total sample was 300 people, while data analysis was performed using the Chi-Square test and logistic regression. The results showed that the family decision-making time in taking a stroke patient to the hospital, individually or collectively, significantly affected the Accuracy of Pre-Hospital Stroke Patient Management with a value of P (Sig) < 0.05. The magnitude of the influence was indicated by the value of EXP (B), also known as ODDS RATIO (OR). Specifically, the Decision-Making Time by the family to take stroke patients to the hospital exhibited an OR of 20.714. This implied that respondents capable of making the right decision to take stroke patients to the hospital were 20.714 times more likely to be accurate in pre-hospital stroke patient management. Based on the results, it can be concluded that the dominant factor influencing pre-hospital stroke attack management is the family decision-making time to take the stroke patient to the hospital. Therefore, the Kupang City government needs to improve ambulance facilities for the public, making it easier to access services, specifically in emergencies.
中风的发病率逐年上升，有效的治疗包括院前和住院治疗。成功救治的关键在于家属能够识别临床症状并及时就医。延误救治往往会导致并发症，这就强调了及时干预对挽救生命和预防长期残疾的重要性。成功处理的关键是识别中风并及时送医。本研究采用横断面设计的定量方法，样本总数为 300 人，数据分析采用 Chi-Square 检验和逻辑回归。结果表明，在将脑卒中患者送往医院的过程中，家属个人或集体的决策时间对院前脑卒中患者管理的准确性有显著影响，P（Sig）值<0.05。影响程度用 EXP (B) 值表示，也称为 ODDS RATIO (OR)。具体而言，家属将脑卒中患者送往医院的决策时间的 OR 值为 20.714。这意味着，能够做出正确决定将脑卒中患者送往医院的受访者在院前脑卒中患者管理方面的准确性是其他受访者的 20.714 倍。根据结果可以得出结论，影响院前中风发作管理的主导因素是家属决定将中风患者送往医院的决策时间。因此，古邦市政府需要为公众改善救护车设施，使其更容易获得服务，尤其是在紧急情况下。
{"title":"Analysis of Dominant Factors Affecting Pre-Hospital Stroke Management in Kupang City","authors":"Y. M. V. B. Aty, Florentianus Tat, Elisabeth Herwanti, Pius Selasa, Trifonia Srinurwela","doi":"10.25159/2520-5293/15333","DOIUrl":"https://doi.org/10.25159/2520-5293/15333","url":null,"abstract":"\u0000The incidence of stroke is increasing every year, and effective management comprises both pre-hospital and hospital care. The key to successful management is for families to recognise the clinical symptoms and promptly seek medical attention. Delayed assistance frequently leads to complications, underscoring the importance of timely intervention to save lives and prevent long-term disabilities. The key to successful management is identifying a stroke and prompt transportation to a medical facility. This study used a quantitative approach with a cross-sectional design, and the total sample was 300 people, while data analysis was performed using the Chi-Square test and logistic regression. The results showed that the family decision-making time in taking a stroke patient to the hospital, individually or collectively, significantly affected the Accuracy of Pre-Hospital Stroke Patient Management with a value of P (Sig) < 0.05. The magnitude of the influence was indicated by the value of EXP (B), also known as ODDS RATIO (OR). Specifically, the Decision-Making Time by the family to take stroke patients to the hospital exhibited an OR of 20.714. This implied that respondents capable of making the right decision to take stroke patients to the hospital were 20.714 times more likely to be accurate in pre-hospital stroke patient management. Based on the results, it can be concluded that the dominant factor influencing pre-hospital stroke attack management is the family decision-making time to take the stroke patient to the hospital. Therefore, the Kupang City government needs to improve ambulance facilities for the public, making it easier to access services, specifically in emergencies.\u0000","PeriodicalId":517190,"journal":{"name":"Africa Journal of Nursing and Midwifery","volume":"53 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141114101","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 : 2024-04-23DOI: 10.25159/2520-5293/15512
Meryem Kılıç, Çisem Meteris
Evidence-based data recommends injection to the ventrogluteal (VG) site instead of the dorsogluteal (DG) site for intramuscular injection (IMI) due to the risk of sciatic nerve damage. Despite this, it has been seen that nurses do not prefer this site due to insufficient information and negative opinions. The aim of this study was to determine how the training on administering an injection to the site provided to the nurses affects their knowledge, view and preference for the practice. The study design was a single-group, quasi-experimental pretest-posttest. The study was conducted with 30 nurses in the Adult Emergency Service of Hacettepe University Hospitals in Ankara, Turkey, between May and August 2020. The data was collected by using a nurse information form and forms that evaluated the nurses’ knowledge, opinions and practices regarding using the VG site. The data was analysed by using number, percentage, mean, standard deviation, Friedman test, Wilcoxon test, and McNemar test. As a result of the study, it was found that while the views of 86.7% (n = 26) of the nurses about the VG site changed positively after the training, the mean score of the VG site was 14.80+3.09 before the training, and 18.50+1.68 after the training (p < .001). After the training, 7 of 16 nurses started to prefer the VG site for injection administration (p > .05). The training provided on the VG site increased the knowledge of nurses, changed their views, and affected their preference for the practice. It is recommended that nurses repeat the training on IMI administration to the VG site and assess their abilities on a regular basis.
{"title":"Evaluation of the Training Given to Emergency Department Nurses on Ventrogluteal Site Injection Administration: A Quasi-Experimental Study","authors":"Meryem Kılıç, Çisem Meteris","doi":"10.25159/2520-5293/15512","DOIUrl":"https://doi.org/10.25159/2520-5293/15512","url":null,"abstract":"Evidence-based data recommends injection to the ventrogluteal (VG) site instead of the dorsogluteal (DG) site for intramuscular injection (IMI) due to the risk of sciatic nerve damage. Despite this, it has been seen that nurses do not prefer this site due to insufficient information and negative opinions. The aim of this study was to determine how the training on administering an injection to the site provided to the nurses affects their knowledge, view and preference for the practice. The study design was a single-group, quasi-experimental pretest-posttest. The study was conducted with 30 nurses in the Adult Emergency Service of Hacettepe University Hospitals in Ankara, Turkey, between May and August 2020. The data was collected by using a nurse information form and forms that evaluated the nurses’ knowledge, opinions and practices regarding using the VG site. The data was analysed by using number, percentage, mean, standard deviation, Friedman test, Wilcoxon test, and McNemar test. As a result of the study, it was found that while the views of 86.7% (n = 26) of the nurses about the VG site changed positively after the training, the mean score of the VG site was 14.80+3.09 before the training, and 18.50+1.68 after the training (p < .001). After the training, 7 of 16 nurses started to prefer the VG site for injection administration (p > .05). The training provided on the VG site increased the knowledge of nurses, changed their views, and affected their preference for the practice. It is recommended that nurses repeat the training on IMI administration to the VG site and assess their abilities on a regular basis.","PeriodicalId":517190,"journal":{"name":"Africa Journal of Nursing and Midwifery","volume":"15 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140671306","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 : 2024-04-16DOI: 10.25159/2520-5293/15436
Havagül Ayruk, Hacer Gök Uğur
Background: Hypertension is a chronic disease characterised by high blood pressure, which is an important public health problem that causes serious complications. It is very important to provide training and remote telephone counselling to patients for them to comply with the drug treatment of hypertension disease and to comply with the principles of rational drug use. Aim: This study aimed to define the effect of training and phone counselling provided to hypertension patients on their medication adherence and rational drug use. Methods: The study was conducted randomised controlled as a single-blind experimental study between July 2021 and June 2022. The study universe consisted of hypertension patients admitted to hospital, and the sample consisted of 92 patients. The block randomisation method was used. The study data were collected using a Patient Identification Form; the Medication Adherence Self-efficacy Scale; and the Rational Drug Use Scale. The experimental group received training once, in addition to a total of four phone counsellings (week 2-4-8-12). Results: According to the group-by-time interaction of control/experimental group patients, a statistical difference was found between the median scores of the Medication Adherence Self-efficacy Scale and the Rational Drug Use Scale (p<0.001). The pre-test median of the Medication Adherence Self-efficacy Scale of the experimental group patients was 30.00, and the post-test median was 46.00. The pre-test median of the Rational Drug Use Scale of the experimental group patients was 43.00, and the post-test median was 68.00. Conclusion: In the study, it was determined that the application of education and telephone counselling to hypertension patients increased patients’ medication compliance and rational drug use. In systolic-diastolic blood pressure levels, which are critical for hypertension patients, it was determined that the application of education and telephone counselling significantly decreased the blood pressure of patients.
{"title":"The Effect of Training and Phone Counselling Provided to Hypertension Patients on their Medication Adherence and Rational Drug Use: A Single-blind Randomised Controlled Trial","authors":"Havagül Ayruk, Hacer Gök Uğur","doi":"10.25159/2520-5293/15436","DOIUrl":"https://doi.org/10.25159/2520-5293/15436","url":null,"abstract":"Background: Hypertension is a chronic disease characterised by high blood pressure, which is an important public health problem that causes serious complications. It is very important to provide training and remote telephone counselling to patients for them to comply with the drug treatment of hypertension disease and to comply with the principles of rational drug use.\u0000Aim: This study aimed to define the effect of training and phone counselling provided to hypertension patients on their medication adherence and rational drug use.\u0000Methods: The study was conducted randomised controlled as a single-blind experimental study between July 2021 and June 2022. The study universe consisted of hypertension patients admitted to hospital, and the sample consisted of 92 patients. The block randomisation method was used. The study data were collected using a Patient Identification Form; the Medication Adherence Self-efficacy Scale; and the Rational Drug Use Scale. The experimental group received training once, in addition to a total of four phone counsellings (week 2-4-8-12).\u0000Results: According to the group-by-time interaction of control/experimental group patients, a statistical difference was found between the median scores of the Medication Adherence Self-efficacy Scale and the Rational Drug Use Scale (p<0.001). The pre-test median of the Medication Adherence Self-efficacy Scale of the experimental group patients was 30.00, and the post-test median was 46.00. The pre-test median of the Rational Drug Use Scale of the experimental group patients was 43.00, and the post-test median was 68.00.\u0000Conclusion: In the study, it was determined that the application of education and telephone counselling to hypertension patients increased patients’ medication compliance and rational drug use. In systolic-diastolic blood pressure levels, which are critical for hypertension patients, it was determined that the application of education and telephone counselling significantly decreased the blood pressure of patients.","PeriodicalId":517190,"journal":{"name":"Africa Journal of Nursing and Midwifery","volume":"5 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140697877","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 : 2024-03-14DOI: 10.25159/2520-5293/15152
Idyatul Hasanah, Apriani Susmita Sari, N. Nursalam, Baiq Safinatunnaja, Ilya Krisnana, Hikmah Lia Basuni, Zikrul Haikal, W. Ramdani
Mobile and web health applications have gained widespread usage worldwide for pediatric patients with chronic diseases, yet comprehensive research evaluating their impact remains limited. This research aims to determine the comprehensive impact of mobile and web health apps on pediatric chronic disease management and quality of life. Searches were performed on seven primary databases (Emerald Insight, Scopus, ScienceDirect, PubMed, ProQuest, Ebsco, and SpringerLink) from 2003 to 2023. The study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 Statement guidelines. The quality study was conducted using JBI's critical appraisal tools. Descriptive and narrative analysis methods were used, and the findings were presented in text and tabular formats. Out of 1,840 articles reviewed, only 28 met the inclusion and exclusion criteria. The most identified outcomes in the study of mobile and web health apps on pediatric chronic disease management are psychological, cognitive, and behavioural outcomes and quality of life. However, biological markers seem to be the least evaluated outcome. Mobile and web health applications play a positive role in managing chronic diseases and enhancing the quality of life for pediatric patients. These applications offer a range of features, including symptom assessment, information dissemination, educational resources, caregiver communication, social support, and calendar reminders. Healthcare providers and caregivers should consider integrating these technologies into caring for children with chronic diseases. It can lead to improved outcomes and overall well-being.
{"title":"Impact of Mobile and Web Health Apps on Pediatric Chronic Disease Management and Quality of Life: An Update Systematic Review","authors":"Idyatul Hasanah, Apriani Susmita Sari, N. Nursalam, Baiq Safinatunnaja, Ilya Krisnana, Hikmah Lia Basuni, Zikrul Haikal, W. Ramdani","doi":"10.25159/2520-5293/15152","DOIUrl":"https://doi.org/10.25159/2520-5293/15152","url":null,"abstract":"\u0000Mobile and web health applications have gained widespread usage worldwide for pediatric patients with chronic diseases, yet comprehensive research evaluating their impact remains limited. This research aims to determine the comprehensive impact of mobile and web health apps on pediatric chronic disease management and quality of life. Searches were performed on seven primary databases (Emerald Insight, Scopus, ScienceDirect, PubMed, ProQuest, Ebsco, and SpringerLink) from 2003 to 2023. The study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 Statement guidelines. The quality study was conducted using JBI's critical appraisal tools. Descriptive and narrative analysis methods were used, and the findings were presented in text and tabular formats. Out of 1,840 articles reviewed, only 28 met the inclusion and exclusion criteria. The most identified outcomes in the study of mobile and web health apps on pediatric chronic disease management are psychological, cognitive, and behavioural outcomes and quality of life. However, biological markers seem to be the least evaluated outcome. Mobile and web health applications play a positive role in managing chronic diseases and enhancing the quality of life for pediatric patients. These applications offer a range of features, including symptom assessment, information dissemination, educational resources, caregiver communication, social support, and calendar reminders. Healthcare providers and caregivers should consider integrating these technologies into caring for children with chronic diseases. It can lead to improved outcomes and overall well-being.\u0000","PeriodicalId":517190,"journal":{"name":"Africa Journal of Nursing and Midwifery","volume":"11 13","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140241496","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}
Midwifery policy is important in regulating services, and its significance cannot be overstated. Despite the ongoing efforts in formulating policy, there remains a need for further analysis. This is because evidence-based research in midwifery serves as a foundation for enhancing the professionalism of the service practices. Bibliometric analysis of publications pertaining to midwifery policy is absent, leaving a gap in understanding trends and concepts. Therefore, this research aimed to determine trends in the number of publications, and visualisation of the relationship on the topic of midwifery policy through bibliometric analysis. The method used systematic reviews with the stages following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) diagram. Scientific publication data related to midwifery policy was retrieved through dimensions.ai from 2010 to 2022 and the data was analysed using VOSviewer. The results showed that first, there was an annual exponential growth in the number of publications and citations on the topic. Second, there were 224 items, 8 clusters, and 10047 links with a strength of 63352 on the topic of midwifery policy. Third, trends of research related to the topic were focused on hospitals, behaviour, and framework. Fourth, the research related to policy were topics with a low-density category, namely professional development, registration, and public health. Research results could identify trends and novelty in midwifery policy and recommend directions for further analysis.
{"title":"Bibliometric Analysis of Research Trends and Novelty of Midwifery Policy","authors":"Fitriani Nur Damayanti, Ariyani Lutfitasari, Budi Santosa, Sherkia Ichtiarsi Prakasiwi, Suparman, Novita Nining Anggraini","doi":"10.25159/2520-5293/14031","DOIUrl":"https://doi.org/10.25159/2520-5293/14031","url":null,"abstract":"Midwifery policy is important in regulating services, and its significance cannot be overstated. Despite the ongoing efforts in formulating policy, there remains a need for further analysis. This is because evidence-based research in midwifery serves as a foundation for enhancing the professionalism of the service practices. Bibliometric analysis of publications pertaining to midwifery policy is absent, leaving a gap in understanding trends and concepts. Therefore, this research aimed to determine trends in the number of publications, and visualisation of the relationship on the topic of midwifery policy through bibliometric analysis. The method used systematic reviews with the stages following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) diagram. Scientific publication data related to midwifery policy was retrieved through dimensions.ai from 2010 to 2022 and the data was analysed using VOSviewer. The results showed that first, there was an annual exponential growth in the number of publications and citations on the topic. Second, there were 224 items, 8 clusters, and 10047 links with a strength of 63352 on the topic of midwifery policy. Third, trends of research related to the topic were focused on hospitals, behaviour, and framework. Fourth, the research related to policy were topics with a low-density category, namely professional development, registration, and public health. Research results could identify trends and novelty in midwifery policy and recommend directions for further analysis.","PeriodicalId":517190,"journal":{"name":"Africa Journal of Nursing and Midwifery","volume":"51 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139895492","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 : 2024-02-08DOI: 10.25159/2520-5293/14232
Diyan Indriyani, Esti Yunitasari, Ferry Efendi
Antenatal care (ANC) is crucial for the health of both mother and child. However, information on ANC in rural Indonesia is limited despite its essential role. This research examined the determinants of adequate antenatal care among rural Indonesian pregnant women. A cross-sectional study analysed pregnant Indonesian women aged 18-49, focusing on adequate antenatal care (ANC) during the third trimester. The study included sociodemographic variables and component factors (knowledge, motivation, social support, and health services). A multivariate logistic regression analysis was performed. A total number of 350 pregnant women aged 18–49 years old enrolled in this study. Almost half (47.1) % of women received adequate ANC (≥ eight visits) during their pregnancy, and about 79.1% of participants had adequate ANC (4 or more visits). Mothers with higher education and married were more likely to have adequate ANC (AOR = 1.52; 95% CI [1.12–3.46]) and (AOR = 1.17; 95% CI [1.01–3.32]), respectively. Poor knowledge toward ANC (AOR = 0.41; 95% CI [0.12–0.65], low motivation (AOR = 0.73; 95% CI [0.31–0.97]), poor health service (AOR = 2.76; 95% CI [1.85–4.32]), and poor social support (AOR = 3.24; 95% CI [2.11–5.34]) was negatively associated with adequate ANC. The intervention aims to improve access to maternity care for women in rural Indonesia by enhancing social support, reproductive health awareness, and expanding safety net services
产前护理（ANC）对母婴健康至关重要。然而，尽管产前护理起着至关重要的作用，但有关印尼农村地区产前护理的信息却十分有限。本研究探讨了印尼农村孕妇接受适当产前保健的决定因素。这项横断面研究分析了年龄在 18-49 岁之间的印尼孕妇，重点关注她们在怀孕三个月期间是否获得了充分的产前保健（ANC）。研究包括社会人口变量和构成因素（知识、动机、社会支持和医疗服务）。共有 350 名 18-49 岁的孕妇参加了这项研究。近一半（47.1%）的妇女在怀孕期间接受了充分的产前保健（≥8 次），约 79.1%的参与者接受了充分的产前保健（4 次或以上）。受教育程度较高的母亲和已婚母亲更有可能进行充分的产前保健（AOR = 1.52；95% CI [1.12-3.46]）和（AOR = 1.17；95% CI [1.01-3.32]）。对产前检查认识不足（AOR = 0.41；95% CI [0.12-0.65]）、积极性低（AOR = 0.73；95% CI [0.31-0.97]）、医疗服务差（AOR = 2.76；95% CI [1.85-4.32]）和社会支持差（AOR = 3.24；95% CI [2.11-5.34]）与适当的产前检查呈负相关。该干预措施旨在通过加强社会支持、提高生殖健康意识和扩大安全网服务，改善印度尼西亚农村妇女获得产科护理的机会。
{"title":"Factors Associated with Adequate Antenatal Care among Pregnant Women in Rural Indonesia","authors":"Diyan Indriyani, Esti Yunitasari, Ferry Efendi","doi":"10.25159/2520-5293/14232","DOIUrl":"https://doi.org/10.25159/2520-5293/14232","url":null,"abstract":"Antenatal care (ANC) is crucial for the health of both mother and child. However, information on ANC in rural Indonesia is limited despite its essential role. This research examined the determinants of adequate antenatal care among rural Indonesian pregnant women. A cross-sectional study analysed pregnant Indonesian women aged 18-49, focusing on adequate antenatal care (ANC) during the third trimester. The study included sociodemographic variables and component factors (knowledge, motivation, social support, and health services). A multivariate logistic regression analysis was performed.\u0000A total number of 350 pregnant women aged 18–49 years old enrolled in this study. Almost half (47.1) % of women received adequate ANC (≥ eight visits) during their pregnancy, and about 79.1% of participants had adequate ANC (4 or more visits). Mothers with higher education and married were more likely to have adequate ANC (AOR = 1.52; 95% CI [1.12–3.46]) and (AOR = 1.17; 95% CI [1.01–3.32]), respectively. Poor knowledge toward ANC (AOR = 0.41; 95% CI [0.12–0.65], low motivation (AOR = 0.73; 95% CI [0.31–0.97]), poor health service (AOR = 2.76; 95% CI [1.85–4.32]), and poor social support (AOR = 3.24; 95% CI [2.11–5.34]) was negatively associated with adequate ANC. The intervention aims to improve access to maternity care for women in rural Indonesia by enhancing social support, reproductive health awareness, and expanding safety net services","PeriodicalId":517190,"journal":{"name":"Africa Journal of Nursing and Midwifery","volume":"97 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139895623","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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