International Journal of Africa Nursing Sciences最新文献

{"title":"Practice and associated factors of nurses’ towards patients’ oral care in South Gondar Zone hospitals, Amhara Region, Northwest Ethiopia","authors":"Yeshiambaw Eshetie ,&nbsp;YohannesTesfahun Kassie ,&nbsp;Demewoz Kefale","doi":"10.1016/j.ijans.2025.100817","DOIUrl":"10.1016/j.ijans.2025.100817","url":null,"abstract":"<div><h3>Introduction</h3><div>Oral care is a fundamental nursing procedure that has a good impact on a patient’s overall health. Ineffective patients’ oral care has big oral health consequences like oral diseases, difficulty of chewing and swallowing for fluid and diet intakes in general. Although oral health diseases can result in physical, functional, social, emotional, and mental health of the patient, it is given little attention.</div></div><div><h3>Objective</h3><div>The study aims to assess nurses’ patient oral care practice level and its associated factors in South Gondar Zone hospitals, Ethiopia, 2024.</div></div><div><h3>Methods</h3><div>Institution-based cross-sectional study design was used to assess 330 nurses, chosen through convenience sampling technique. Data were collected by using adapted, structured and self-administered questionnaires. The effect of independent variables on the outcome variables was explored by using logistic regression analyses. The levels of significance were determined using an odds ratio with a 95% confidence interval.</div></div><div><h3>Results</h3><div>Of the total 330 study participants, 310 participated with a response rate of 93.9 %. Among the participants, 52.9 % (95 %CI; 47–58) had a good patient oral care practice level. Based on the multivariate analysis, took training (AOR = 1.74; 95 %CI: 1.09, 2.77; p = 0.02) and being female Nurses (AOR = 1.88; 95 %CI: 1.18, 3.00; p = 0.01) were significantly associated with oral care practice of nurses.</div></div><div><h3>Conclusions</h3><div>The finding of this study showed that oral care practice level of nurses was poor. Took training and sex of participants were statistically significant with the nurses’ practice level towards patients’ oral care.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"22 ","pages":"Article 100817"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143178473","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":"“…we suffer the trauma, yet we soldier on” midwives’ narrations of the effects of maternal deaths on their lives","authors":"Judith Bentil ,&nbsp;Vida Ocloo ,&nbsp;Gideon Awenabisa Atanuriba ,&nbsp;Comfort Baaba De Graft","doi":"10.1016/j.ijans.2025.100826","DOIUrl":"10.1016/j.ijans.2025.100826","url":null,"abstract":"<div><h3>Purpose</h3><div>Maternal deaths continue to remain unacceptably high in many resourced-constrained countries. There is a proliferation of literature about the effects of these deaths on families, communities, and nations but less on the impact of maternal deaths on midwives who directly attend to the women. Our current study seeks to explore the impact of MM on the well-being, practices and profession development of midwives in Ghana.</div><div>To explore and describe the effects of maternal deaths on midwives.</div></div><div><h3>Methods</h3><div>A descriptive qualitative study among midwives who have encountered maternal mortality (ies) and were audited from a referral hospital in the Bono region of Ghana. The sample size was determined by data saturation at the 12th interviewed participant using a semi-structured interview guide based on themes from earlier unstructured piloted interviews and published literature on the phenomenon. Thematic analysis was conducted. We achieved rigor through data collection and analytical triangulation, peer debriefs, and prolonged engagement with participants for validation of their descriptions.</div></div><div><h3>Results</h3><div>Three themes were constructed, these were physical effects, psychological trauma, and professional distress.</div></div><div><h3>Conclusions</h3><div>Maternal deaths and the audit process affect midwives’ heath thus physically, psychologically, and professionally. System strengthening to provide support to midwives who encounter maternal deaths is highly suggested.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"22 ","pages":"Article 100826"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143420252","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":"Campus closures and students’ mental health in Lebanon and Sharjah: A comparative cross-sectional study","authors":"Michael Clinton ,&nbsp;Jacqueline Maria Dias ,&nbsp;Myrna A. Doumit ,&nbsp;Mohamad Alameddine ,&nbsp;Murielle Mardi ,&nbsp;Karen Bou- Karroum","doi":"10.1016/j.ijans.2025.100844","DOIUrl":"10.1016/j.ijans.2025.100844","url":null,"abstract":"<div><h3>Background</h3><div>Since October 2019, Lebanon has been immersed in political paralysis and economic crisis. Rising inflation and financial distress have added to the stressors on university students. Sharjah is a wealthy and politically stable state in the United Arab Emirates. Investigators have researched the impact of COVID-19 on university students but have yet to compare campus closure effects on students in crisis-torn and high-income countries. Accordingly, the study aimed to compare students’ perceptions of online learning, prevalence rates for anxiety, depression, and burnout, and life satisfaction, resilience, and engagement scores following campus closures in Lebanon and Sharjah.</div></div><div><h3>Methods</h3><div>The electronic anonymous survey was conducted from November 2021 to July 2022. The 370 participants were 232 undergraduates, 37 nursing students in Lebanon, and 101 nursing students in Sharjah. The students in Descriptive statistics, ANOVA, the Mann-Whitney U, and Hotelling T-tests were used. Parametric test results were interpreted for non-equal sample sizes.</div></div><div><h3>Results</h3><div>All the non-nursing students in Lebanon and 87.1 % of the nursing students in Sharjah screened positive for anxiety. Students in Sharjah had a higher prevalence of depression than undergraduates and nursing students in Lebanon (92.7 % versus 90.5 % and 87.4 %). Undergraduates had a higher prevalence of high burnout than nursing students in Lebanon and Sharjah (83.2 % versus 54.1 % and 53.5 %). The effect sizes for differences between students’ mean scores in Lebanon and Sharjah were life satisfaction η2 = 0.13, anxiety = η2 = 0.09, and high burnout 2 = 0.06. There were no statistically significant location effects for depression, engagement, or resilience. Students in Lebanon were more concerned about online learning than students in Sharjah (p = 0&lt;.001). Final-year students in Lebanon were more concerned about their post-graduation prospects than others (p &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>The prevalence rates for anxiety, depression, and high burnout in Lebanon and Sharjah indicate the need for whole-of-institution strategies to build healthy campus cultures. Students who screen positive for anxiety, depression, or high burnout require professional mental health assessment and access to evidence-based interventions. Online resources are available to supplement institutional resources, promote best practices, and encourage continuous innovation.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"22 ","pages":"Article 100844"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143714649","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 retrospective cohort study of survival status and mortality predictors among children with severe acute malnutrition in public health facilities, Hawassa City, Southern Ethiopia","authors":"Bargude Balta ,&nbsp;Bedilu Bekele ,&nbsp;Alemu Bogale ,&nbsp;Deresse Daka","doi":"10.1016/j.ijans.2025.100824","DOIUrl":"10.1016/j.ijans.2025.100824","url":null,"abstract":"<div><h3>Purpose</h3><div>Despite improvements in child health and nutrition in Ethiopia, undernutrition remains a critical issue, causing half of child deaths. Many severely malnourished children seek treatment at therapeutic feeding centers, but a significant number still die in stabilization centers. This study aimed to estimate survival rates and identify predictors of mortality among children with severe acute malnutrition admitted to public health facilities in Hawassa City, Southern Ethiopia.</div></div><div><h3>Method</h3><div>A facility-based retrospective cohort study was employed to estimate survival status and predictors among under-five children with severe acute malnutrition admitted to selected health facilities. A total of 476 randomly selected under-five children with SAM from January 2018 to December 31, 2021, participated in the study. Data were analyzed by SPSS IBM version 26. Bivariable and multivariable Cox regression models assessed risk factors. Kaplan- Maier Curve and Long rank test were used to estimate cumulative survival probability and to compare survival status probability across different groups.</div></div><div><h3>Results</h3><div>Over the 3-year observation period, the overall survival status was, (84.7 %), [95 % CI; 81.2, 87.8]. The incidence density of death was 3.8/100 person-day. The overall median survival time was 34 [95 % CI 32.2––37.5] days. After controlling for other factors, a child who had co-morbidities [AHR = 3.305, 95 %; CI:(1.1, 10.9)], and deworming using Albendazole [AHR = 5.3, 95 %; CI:(1.3, 21.7)] were identified as the independent predictors of the time to death.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"22 ","pages":"Article 100824"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143402027","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":"Work-related stress and its associated factors among nurses in public hospitals in the Greater Banjul Area, The Gambia","authors":"Tomilayo Felicity Omotosho ,&nbsp;Tobiloba Oyejide Alex Omotosho ,&nbsp;Paul Bass","doi":"10.1016/j.ijans.2025.100842","DOIUrl":"10.1016/j.ijans.2025.100842","url":null,"abstract":"<div><h3>Background</h3><div>The nursing profession is inherently stressful, leading to absenteeism, increased errors, and reduced performance, which pose serious threats to patient safety. Despite these critical issues, research on work-related stress among nurses in The Gambia remains scarce. Therefore, this study sought to assess work-related stress and its associated factors among nurses in the Greater Banjul Area, The Gambia.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted among 192 nurses in three public hospitals. A proportionate stratified random sampling method was used to stratify study participants by hospital and nursing cadre and recruit eligible participants. Data was collected using a structured self-administered questionnaire and the validated Nursing Stress Scale to assess work-related stress. Descriptive statistics, bivariate, and multivariable logistic regression models were used.</div></div><div><h3>Results</h3><div>Most of the nurses were aged between 21 and 30 years (77.1 %, n = 148) and were females (59.2 %, n = 113). The prevalence of nurses’ work-related stress in this study was 53.6 %. Nurses who maintained a monogamous family (aOR = 2.06, 95 % CI = 1.08 ∼ 3.95), experienced psychological distress (aOR = 3.19, 95 % CI = 1.55 ∼ 6.57) and worked in accident and emergency/ICU (aOR = 6.85, 95 % CI = 1.64 ∼ 28.64) were at higher risk for developing work-related stress.</div></div><div><h3>Conclusion</h3><div>More than half of the nurses experienced work-related stress. Nurses from monogamous families, experiencing psychological distress, and working in the A&amp;E/ICU department were more likely to report work stress. Practical measures such as implementing the Gambia’s occupational health laws are recommended to improve work stress for better mental health outcomes among nurses.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"22 ","pages":"Article 100842"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143696896","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":"Self-care in nursing: A bibliometric analysis (1976–2023)","authors":"Mahsa Hosseini ,&nbsp;Soheila Shamsikhani ,&nbsp;Masoomeh Noruzi Zamengani ,&nbsp;Sediqullah Ahmadi ,&nbsp;Ali Jadidi","doi":"10.1016/j.ijans.2025.100821","DOIUrl":"10.1016/j.ijans.2025.100821","url":null,"abstract":"<div><h3>Context</h3><div>This study conducted a science mapping analysis of Self-care for nurses research until 1 January 2024. Self-care is a crucial element in promoting global health. Self-care can lead to the health and happiness of nurses. The purpose of this study was to identify the authoritative journals in this field, and topics related to nurses’ self-care.</div></div><div><h3>Evidence Acquisition</h3><div>The present study was a bibliometric analysis that used science mapping techniques and data was extracted from the Web of Science and Scopus. Based on the study population and the outcome, Self-care and nurses were considered as the main search terms. Data collection and analysis may be divided into two main: descriptive and bibliometric. The use of VOSviewer for analysis.</div></div><div><h3>Results</h3><div>This study retrieved 102 publications which, 74 (58%) were articles and 12 (11%) were reviewed articles. The United States is the most effective country in this field with the most publications and citations. Common related to self-care, nursing, work factors, and health-related. The International Journal of Nursing Studies from Elsevier has the most citations in the WOS and Scopus databases.</div></div><div><h3>Conclusions</h3><div>Due to the lack of research in the field, there is a concern to produce information and research in this field. The importance of research in this field is related to the role of nurses in the health system. self-care can help improve global health by improving the physical and mental health of nurses. Therefore, it is suggested that pay special attention to Self-care for nurses.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"22 ","pages":"Article 100821"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143349776","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":"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":"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}

{"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":"Simulation-based education on initial neonatal care knowledge among nursing and midwifery students in Tanzania: Quasi experimental study","authors":"Rosemary M. Malya ,&nbsp;Kristin H. Urstad ,&nbsp;Bodil Bø ,&nbsp;Michael J. Mahande ,&nbsp;Jane Rogathi","doi":"10.1016/j.ijans.2025.100847","DOIUrl":"10.1016/j.ijans.2025.100847","url":null,"abstract":"<div><h3>Background</h3><div>Simulation-based education is an effective pedagogical method for improving nursing students’ knowledge and quality care. However, traditional methods of auditorium lectures are widely conducted in nursing education institutions in Tanzania. Such pedagogic provides students with theoretical knowledge with limited hands-on exposure for clinical competence, thus, affecting professional integration of students and quality care delivery. Therefore, this study assessed the effectiveness of simulation-based education on initial neonatal care knowledge among nursing students in Tanzania.</div></div><div><h3>Methods</h3><div>A quasi-experimental with pre-post study design was employed. Ninety students from two nursing schools: forty-five students in urban school (intervention group), and forty-five in a rural school (control group) were purposively selected to participate in the study. The students received two different initial neonatal care scenarios: (1) initial neonatal care to a term normal healthy breathing neonate, (2) Initial neonatal care to neonates with difficulty breathing. The pre-post test data was collected using structured questionnaire between March and June 2023. Data was analysed using descriptive statistics, independent <em>t</em>-test, and multiple linear model.</div></div><div><h3>Results</h3><div>The interventional group students showed a significant higher knowledge mean score on initial neonatal care aβC = 7.6(6.8–8.4), p- &lt;0.001. The effect size of the intervention was statistically significant aDiD 3.0(1.8–4.1), p- value 0.001.</div></div><div><h3>Conclusion</h3><div>Simulation-based education improved students’ knowledge in the interventional group compared to traditional lectures. This approach could enhance learning outcomes in Tanzania’s nursing education programs, addressing challenges related to the shortage of skilled healthcare providers and quality neonatal care.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"22 ","pages":"Article 100847"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143791136","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}