International Journal of Africa Nursing Sciences最新文献

{"title":"Comparison of effectiveness of Foley catheter versus vaginal misoprostol for cervical ripening in induction of labour in Gedeo zone public hospitals, Ethiopia, 2022. Quasi-experimental design","authors":"Tesfaye Temesgen ,&nbsp;Zerihun Figa ,&nbsp;Rediet Gido ,&nbsp;Dr.Fitsum Solomon ,&nbsp;Asrat Alemu ,&nbsp;Melkam Andargie ,&nbsp;Fikru Bedecha ,&nbsp;Meresa Berwo","doi":"10.1016/j.ijans.2024.100734","DOIUrl":"https://doi.org/10.1016/j.ijans.2024.100734","url":null,"abstract":"<div><h3>Background</h3><p>This study aims to evaluate the effectiveness of two methods commonly used to induce labor in women with an unfavorable cervix, which is Misoprostol and <em>trans</em>-cervical Foley catheterization.</p></div><div><h3>Method</h3><p>A total of 120 pregnant women who met the inclusion criteria and were scheduled for induction were recruited for this study. Group 1 comprised 60 women who received the Foley catheter, and Group 2 comprised 60 women who received Misoprostol. The data analysis was done using SPSS version 25, and the student’s independent <em>t</em>-test and chi-square analysis were used to compare the means and proportions of continuous and categorical variables, respectively. The level of statistical significance was set at P &lt; 0.05.</p></div><div><h3>Results</h3><p>The results showed that 41 (68.3 %) participants in the Foley catheter group and 49 (81.7 %) participants in the Misoprostol group had a favorable cervix within 24 h. The mean time interval from the start of ripening to a favorable cervix was shorter in the Misoprostol group (10.27 + 2.506) than in the Foley catheter group (11.78 + 2.151). The successful outcome of the induction was 33 (80.5 %) in the Foley catheter group and 35 (71.4 %) in the Misoprostol group.</p><p>Conclusion and recommendation: misoprostol was a more effective method of cervical ripening than the Foley catheter, resulting in a higher rate of favorable cervix in a shorter time frame. Further research is recommended with different study designs and larger sample sizes.</p></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"20 ","pages":"Article 100734"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214139124000799/pdfft?md5=0f0593ff37f79a8bdb14f0680504ff88&pid=1-s2.0-S2214139124000799-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141297934","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":"Coping strategies of nurses caring for mental health care users displaying violent and aggressive behaviour in mental health care institutions in North West province","authors":"Motlagomang Patience Sehularo,&nbsp;Annatjie van der Wath,&nbsp;Nombulelo Veronica Sepeng","doi":"10.1016/j.ijans.2024.100799","DOIUrl":"10.1016/j.ijans.2024.100799","url":null,"abstract":"<div><h3>Background</h3><div>Mental health care users displaying violent and aggressive behaviour is a serious concern in mental health care institutions. Nurses working in mental health care institutions are more exposed to patient violence compared to health care professionals in general health settings. However, there is limited evidence regarding the strategies used by nurses to cope with violent and aggressive behaviour in mental health care institutions, particularly in the North West province.</div></div><div><h3>Aim</h3><div>The aim of the study was therefore to explore and describe the strategies used by nurses to cope with violent and aggressive behaviour in mental health care institutions in North West province.</div></div><div><h3>Methods</h3><div>A qualitative-exploratory-descriptive and contextual research design guided the study. Face-to-face semi-structured individual interviews and field notes were used to collect data in August and September 2023 at two public mental health care institutions in North West which is one of the nine provinces in South Africa. The data was analysed by the researcher and an independent coder using thematic analysis.</div></div><div><h3>Results</h3><div>Four themes emerged, namely: factors contributing to violence and aggression, negative experiences in caring for mental health care users displaying violent and aggressive behaviour, coping strategies used by nurses, and suggestions to enhance effective coping with violent and aggressive behaviour. Effective coping strategies mentioned by nurses include problem-focused coping strategies, appraisal-focused coping strategies and social-focused coping strategies.</div></div><div><h3>Conclusion</h3><div>Although nurses had had negative experiences that affected their coping, they also shared effective coping strategies, namely faith-based practices, problem-focused coping strategies, appraisal-focused coping strategies, emotion-focused strategies and social coping.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"21 ","pages":"Article 100799"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142659984","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":"The experiences of secondary caregivers of children diagnosed with intellectual disabilities","authors":"Lillian L. Molefe ,&nbsp;Leepile A. Sehularo ,&nbsp;Magdalena P. Koen","doi":"10.1016/j.ijans.2024.100806","DOIUrl":"10.1016/j.ijans.2024.100806","url":null,"abstract":"<div><div>Secondary caregivers of children diagnosed with intellectual disabilities in Gauteng have experiences of caring for children diagnosed with intellectual disabilities. The experiences needed to be explored. The study aims to explore and describe the experiences of secondary caregivers of children diagnosed with intellectual disabilities. The study was conducted in Gauteng province, South Africa. Three Municipalities of Gauteng were covered. A qualitative-exploratory-descriptive and contextual research design was adopted, using a non-probability purposive sampling technique to select participants. Data were collected using semi-structured individual interviews. Twenty participants were interviewed. Data analysis was done, using Content data analysis and ATLAS. it. Findings were verified with an independent co-coder. Challenges of caring and unmet needs of secondary caregivers were identified. Challenges found are lack of training on intellectual disability, lack of resources, staff shortage, emotional trauma, lack of parents’ support, victimisation and threats, lack of communication by management and staff exploitation, leading to financial struggle. Identified unmet needs are the need for training, the need for adequate resources, the need for staff increases, the need for parents’ involvement in caring, the need for improvement in communication by managers, the need for emotional support and the need for salaries increase, incentives and Performance Management Development System (PMDS). The study provided insight to what secondary caregivers are going through when caring for children diagnosed with intellectual disabilities, and what needs should be addressed for secondary caregivers.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"21 ","pages":"Article 100806"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142697783","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":"Perceived stress levels and professional quality of life aspects among nurses during COVID-19 pandemic in Saudi Arabia","authors":"Sleiman Rabee ,&nbsp;Abd Alhadi Hasan","doi":"10.1016/j.ijans.2024.100805","DOIUrl":"10.1016/j.ijans.2024.100805","url":null,"abstract":"<div><h3>Background</h3><div>Frontline healthcare personnel treating patients with COVID-19 were observed to have an increased susceptibility to a low professional quality of life compared to those dealing with non-COVID-19 patients.</div></div><div><h3>Objectives</h3><div>The study aims to assess perceived stress and professional quality of life among nurses during the COVID-19 pandemic in Saudi Arabia.</div></div><div><h3>Method</h3><div>A descriptive correlational study design was conducted using a convenience sample of nurses working in COVID-19 units (N = 212). This study utilized the Perceived Stress and Professional Quality of Life Scales to collect data after obtaining official and ethical approval. The researcher conducted the study through an online survey using the Google Forms link, reaching out to nurses in East Jeddah General Hospital.</div></div><div><h3>Results</h3><div>The study revealed that nurses experience a high level of perceived stress (35.87 ± 4.57), along with a low professional quality of life. The average Compassion Satisfaction was (19.56 ± 4.98), while burnout was high (45.87 ± 6.89) and secondary traumatic stress was also high (43.26 ± 7.25).</div></div><div><h3>Conclusions</h3><div>The COVID-19 health crisis has had an impact on the mental health and quality of professional life for healthcare professionals. There is a need to implement long-term contingency programs aimed at improving the emotional well-being of health service professionals.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"21 ","pages":"Article 100805"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143139056","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":"Needlesticks and sharp injuries and their associated factors among health care workers of Bule Hora University Teaching Hospital, Southern Ethiopia","authors":"Alqeer Aliyo,&nbsp;Tibeso Gemechu","doi":"10.1016/j.ijans.2024.100753","DOIUrl":"10.1016/j.ijans.2024.100753","url":null,"abstract":"<div><h3>Background</h3><p>This study assessed the prevalence and associated factors of needle sticks and sharp injuries among healthcare workers at the Bule Hora University Teaching Hospital, Southern Ethiopia from December 1 to 30, 2023.</p></div><div><h3>Methods</h3><p>A self-administered questionnaire was used to gather information on sociodemographic factors and exposure status. Epi-Data and SPSS were used to enter and analyze data. Binary and multivariate logistic regression analyses were used to identify risk factors. A P value less than 0.05 was considered statistical significance.</p></div><div><h3>Results</h3><p>In this study, the prevalence of at least one Needlesticks and sharp injuries in the last 12 months was 46.4 % (95 % CI: 39.3 %-53.6 %). Of most needlesticks and sharp injuries, 47.2 % were superficial skin injuries. The majority of injuries 45.8 % were due to the syringe needle. Factors such as needle recap (AOR=3.73, 95 % CI: 1.07–12.19), Recapping with two hands (AOR=2.78, 95 % CI: 1.36–10.02), working 40 h per week (AOR=2.18, 95 % CI: 0.98–6.86), lack of training in occupational safety practices (AOR=4.01, 95 % CI: 2.60–9.91), and lack of job satisfaction were factors significantly associated with the prevalence of needlesticks and sharp injuries.</p></div><div><h3>Conclusion</h3><p>This study found that nearly half of the respondents experienced a sharp needle poke and injury at least once in the previous year; however, the volume of NSSI remains high in the study area. Healthcare personnel should receive on-the-job training, and hospital executives should set aside time for discussions on how to solve the problem.</p></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"20 ","pages":"Article 100753"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214139124000982/pdfft?md5=bd40a349a08890e33c132aa29c2cf8fb&pid=1-s2.0-S2214139124000982-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141853428","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":"Motivating factors influencing the career advancement of nurses into nursing management positions","authors":"S. A Mohammed ,&nbsp;A. Al Jaffane ,&nbsp;M. Al Qahtani","doi":"10.1016/j.ijans.2024.100751","DOIUrl":"10.1016/j.ijans.2024.100751","url":null,"abstract":"<div><h3>Background</h3><p>Nurse motivation is a prerequisite for improved patient outcomes, performance and job satisfaction. There are studies discussed the factors influencing nurses’ motivation and the job performance however little research has been conducted on the factors influencing the career advancement of nurses to nursing management positions which can bridge the gap in this area.</p></div><div><h3>Objectives</h3><p>The aim of the study was to comprehend the intrinsic, extrinsic, and demographic motivation factors that influence nurses’ career advancement into nursing management positions.</p></div><div><h3>Methods</h3><p>This study employed a quantitative, cross sectional and descriptive design. A self-administered questionnaire was distributed among 158 nurses who were either planning to advance their career in nursing management in the future (131) or working in Saudi Arabian hospitals in nursing management positions (27) at the time of study. A preliminary study was also conducted prior to the main study. A self-administered questionnaire, measured using a 7-point Likert scale was used for the study. The study utilized SPSS-19 software pack and descriptive analysis for analyzing data.</p></div><div><h3>Results</h3><p>The results of the study indicated that the intrinsic motivation factors that influenced the nurses to advance the career into nursing management positions included joy and happiness (p = 0.002), sense of personal accomplishment (p = 0.025), independence in the job (p = 0.010), achievements in life (p = 0.000), freedom of doing the job effectively (p = 0.027), reassurance (p = 0.000), personal satisfaction (p = 0.007), self-esteem (p = 0.012), job<!--> <!-->discrimination at base-level positions (p = 0.001), responsibility (p = 0.000), and opportunities to use their abilities (p = 0.007). The extrinsic motivation factors that motivated the nurses included the provision of more educational opportunities (p = 0.006), more flexibility in family life (p = 0.001), more suitable for a healthy living (p = 0.022), and opening up more career prospects (p = 0.046), among others. Finally, the demographic factors that motivated nurses included sex (p = 0.001), marital status (p = 0.000), current nursing job (p = 0.025), and total years of nursing experience (p = 0.018).</p></div><div><h3>Conclusions</h3><p>The present study demonstrated that intrinsic, extrinsic and demographic factors motivated nurses to advance their careers into nursing management positions in the Kingdom of Saudi Arabia. Accordingly, the study renders important implications for the career development of nurses in relation to nursing management roles.</p></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"20 ","pages":"Article 100751"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214139124000969/pdfft?md5=37b89167dc8f6549081d5eaa8b4848dd&pid=1-s2.0-S2214139124000969-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142151895","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":"Predictors of erectile dysfunction in men living with HIV: A systematic review update","authors":"Mostafa Golshekan ,&nbsp;Mahmood Abedinzade ,&nbsp;Zahra Bostani Khalesi ,&nbsp;Marzieh Shayesteh Fard","doi":"10.1016/j.ijans.2024.100791","DOIUrl":"10.1016/j.ijans.2024.100791","url":null,"abstract":"<div><div>Sexual problems, such as difficulty achieving or maintaining an erection, also known as ED, are common among men living with HIV. However, there is limited understanding of the factors associated with ED among this group. The purpose of this study was to conduct a systematic review of the predictors of ED among men living with HIV. We conducted thorough searches of internet search engines and various electronic research databases using specific keywords to March 2024. Original articles in Persian and English that examined the predictors of ED in HIV-infected men were eligible for inclusion. Two independent reviewers conducted data extraction and assessment. The study included thirty articles involving 65 to 5682 participants. The primary risk factors for ED included demographic characteristics (such as age, nicotine use, unemployment, and lower education level), psychological factors (fear of virus transmission, depression, anxiety, and a history of emotional, physical, or sexual abuse), treatment-related factors (long-term use of ART medication and delayed ART initiation), health-related factors (hepatitis B infection, current diabetes, dyslipidemia, atherosclerosis, substance abuse, poor sleep quality, and sleep apnea), and socioeconomic issues (stigma, negative HIV coping, and poverty). Higher levels of social support were associated with a lower risk of ED. This systematic review indicated that certain demographic characteristics, psychological, treatment-related, health-related factors, and socioeconomic issues among men living with HIV predict the likelihood of experiencing ED. Healthcare providers should consider incorporating routine ED assessments using validated tools as part of follow-up programs to improve the overall well-being of men living with HIV.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"21 ","pages":"Article 100791"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142442195","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":"Nursing education leadership strengths in South Africa: An exploratory study","authors":"Lebuile John Mogakwe,&nbsp;Deirdre Van Jaarsveldt","doi":"10.1016/j.ijans.2024.100765","DOIUrl":"10.1016/j.ijans.2024.100765","url":null,"abstract":"<div><h3>Introduction and background</h3><p>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.</p></div><div><h3>Purpose</h3><p>To describe the leadership competencies deemed as an existing leadership strength in a challenged and transforming South African nursing education context.</p></div><div><h3>Method</h3><p>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.</p></div><div><h3>Findings</h3><p>Four main themes emerged namely, leadership competencies; governance, leadership, legislation, and policy; staff development as well as community engagement.</p></div><div><h3>Conclusion</h3><p>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.</p></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"21 ","pages":"Article 100765"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214139124001100/pdfft?md5=3c70e24a1e179a8333a33565d5b40fd3&pid=1-s2.0-S2214139124001100-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142041254","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":"Intent to stay in nursing profession and predictors among nurses working in public hospitals of Eastern Ethiopia, a multi-center study","authors":"Kirubel Eshetu ,&nbsp;Tiwabwork Tekalign ,&nbsp;Tadele Lankrew ,&nbsp;Belete Gelaw ,&nbsp;Mistire Teshome ,&nbsp;Andualem Assefa ,&nbsp;Tsegaye Demeke ,&nbsp;Amanuel Yosef ,&nbsp;Gizachew Ambaw","doi":"10.1016/j.ijans.2024.100781","DOIUrl":"10.1016/j.ijans.2024.100781","url":null,"abstract":"<div><h3>Background</h3><p>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.</p></div><div><h3>Objective</h3><p>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.</p></div><div><h3>Methods</h3><p>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 &lt; 0.001, were used to assess the goodness of fit.</p></div><div><h3>Results</h3><p>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.</p></div><div><h3>Conclusion</h3><p>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.</p></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"21 ","pages":"Article 100781"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214139124001276/pdfft?md5=b6b0bf28fd802de5f5b4999407651c8f&pid=1-s2.0-S2214139124001276-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142272400","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 socially constructed framework for culturally congruent nursing curriculum transformation in Lesotho: A Multi-Methods approach","authors":"Nthabiseng Ann Molise,&nbsp;Yvonne Botma,&nbsp;Deirdre Van Jaarsveldt","doi":"10.1016/j.ijans.2024.100777","DOIUrl":"10.1016/j.ijans.2024.100777","url":null,"abstract":"<div><h3>Background</h3><p>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.</p></div><div><h3>Purpose</h3><p>To socially construct a framework for culturally congruent nursing curriculum transformation in Lesotho.</p></div><div><h3>Methodological approach</h3><p>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.</p></div><div><h3>Findings and interpretations</h3><p>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.</p></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"21 ","pages":"Article 100777"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214139124001239/pdfft?md5=2b61888aaaac73d9d85f0fade9211fe6&pid=1-s2.0-S2214139124001239-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142238385","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}