International Journal of Africa Nursing Sciences最新文献

{"title":"Factors influencing unplanned ICU readmissions: A retrospective cohort study","authors":"Aladeen Alloubani,&nbsp;Esraa Saadeh,&nbsp;Ismail Alsalhi,&nbsp;Hadeel Alkhateeb","doi":"10.1016/j.ijans.2024.100758","DOIUrl":"10.1016/j.ijans.2024.100758","url":null,"abstract":"<div><h3>Aim</h3><p>The goal of this study is to explore the factors that predict ICU readmissions and their correlations with readmissions that occur early and those that occur later. It evaluates various elements, including demographic information, clinical attributes, and variables related to treatment, to gain a more comprehensive understanding of the risk factors influencing the timing of ICU readmissions.</p></div><div><h3>Methods</h3><p>We conducted a retrospective cohort study, utilizing electronic medical records, to pinpoint adult patients who were repeatedly admitted to the ICU between January 1, 2022, and December 31, 2022. Predictors of early and late ICU readmissions were evaluated, employing statistical analyses that involved logistic regression models.</p></div><div><h3>Results</h3><p>The study analyzed data from 136 ICU patients. Patients admitted from the emergency department exhibited 2.22 times higher odds of early readmission in comparison to those admitted from the ward (p-value = 0.044). However, no significant correlations were observed between gender and readmission, and univariate analyses demonstrated no noteworthy variances in age, APACHE II score at discharge, Braden score, and length of ICU stay with regard to the nature of readmission.</p></div><div><h3>Conclusion</h3><p>The findings from our study hold considerable implications for healthcare procedures and policies. These outcomes suggest that the source of ICU admission plays a pivotal role in foretelling early readmission, which could potentially influence patient care and administration. The correlation between the source of ICU admission and early readmissions accentuates the necessity for patient-centric care, especially for those admitted from the emergency department, who face heightened risks.</p></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"20 ","pages":"Article 100758"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214139124001033/pdfft?md5=29f5d5dc1315aa84241cb917f74fbeee&pid=1-s2.0-S2214139124001033-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142151868","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 uptake of intermittent preventive treatment of malaria among pregnant women attending antenatal clinic in public health facilities in Osogbo metropolis, Osun state, Nigeria","authors":"Moridiyat Omolara Adeyinka Adeyemo ,&nbsp;Ganiyat Odunola Adeniran ,&nbsp;Victoria Adenike Adeniyi ,&nbsp;Elisha Oluwatobi Olabisi ,&nbsp;Rahmat Aderayo Oyekale ,&nbsp;Oladayo Akinwale ,&nbsp;Sakirat Folasade Adejare ,&nbsp;Omodolapo Justinah Olaleye ,&nbsp;Rosemary Omolara Fafowora ,&nbsp;Busayo Temilola Akinbowale","doi":"10.1016/j.ijans.2024.100742","DOIUrl":"10.1016/j.ijans.2024.100742","url":null,"abstract":"<div><h3>Background</h3><p>WHO recommends three or more doses of intermittent preventive treatment of Malaria with Sulfadoxine Pyrimethamine (IPTp-SP) for pregnant women living in areas of moderate-to-high malaria transmission in Africa to protect them and their babies from severe risks by malaria. Despite this, the coverage of utilization of a minimum of three doses of the drug is still very low in Nigeria. This study assessed the knowledge and utilisation of IPTp-SP among pregnant women attending antenatal clinics in public health facilities in Osogbo, Nigeria.</p></div><div><h3>Methods</h3><p>Descriptive cross-sectional was used, data were randomly collected from 549 respondents through a semi-structured self-administered questionnaire. Descriptive statistics, Pearson chi-square, and logistic regression were used for analysis.</p></div><div><h3>Results</h3><p>About half (49.4%) of the respondents had good overall knowledge of IPTp-SP, 72.2% took a minimum of one dose, and only 10.1 % took a minimum of three doses. Factors influencing the utilisation included drug affordability, SP shortage at the facility, and monitoring of pregnant women’s intake of SP. Logistic regression analysis indicated that pregnant women in primary and secondary healthcare settings were 2.4 times and 1.3 times respectively more likely to utilise IPTp than those in tertiary healthcare settings.</p><p>Conclusion and recommendation.</p><p>Almost half of the participants had good knowledge of IPTp-SP, only a few took four doses. Healthcare providers should organize IEC programmes to create more awareness among the public on the use and safety of SP in pregnancy. The government is to establish a mechanism to ensure a consistent supply of SP in all healthcare settings,</p></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"20 ","pages":"Article 100742"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214139124000878/pdfft?md5=099947172ebb7f3633b76f5cb24ee3f0&pid=1-s2.0-S2214139124000878-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142151893","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":"Job stress among nurses in Ethiopia: A systematic review and meta-analysis","authors":"Woldu Aberhe ,&nbsp;Teklewoini Mariye ,&nbsp;Degena Bahrey ,&nbsp;Abrha Hailay ,&nbsp;Guesh Mebrahtom ,&nbsp;Kidane Zereabruk ,&nbsp;Guesh Gebreayezgi","doi":"10.1016/j.ijans.2024.100661","DOIUrl":"https://doi.org/10.1016/j.ijans.2024.100661","url":null,"abstract":"<div><h3>Background</h3><p>Although job stress appears in all professions, jobs related to humans are associated with high levels of stress. Nurses are the most frequent medical staff who spend the largest amount of time with patients, cover all areas of the healthcare network, and experience serious job stress. To date, there have been no studies and protocols that estimated the pooled national prevalence of job stress among nurses in Ethiopia. Therefore, the primary purpose of this systematic review and meta-analysis is to determine the pooled national prevalence of job- related stress among Ethiopian nurses.</p></div><div><h3>Methods</h3><p>Different database searching engines including PubMed, Scopus, Google Scholar, Africa journal Online, World Health Organization Afro library, and Cochrane review were systematically searched by using keywords such as “job-stress, occupational stress, work-related stress, job-related stress” and their combinations. Eight articles were finally selected with both published and unpublished observational studies that report the prevalence of job stress among nurses. The Preferred Reporting Items for Systematic Review and Meta-Analysis guideline was followed and, it is registered in the Prospero database <strong>(ID = CRD42020185450)</strong>. Heterogeneity across the included studies was evaluated by the inconsistency index (I²). The random-effect model was fitted to estimate the pooled prevalence of job stress among Ethiopian nurses. All statistical analysis was done using R version 3.5.3 and R Studio version 1.2.5033 software for windows.</p></div><div><h3>Results</h3><p>The pooled national prevalence of job stress among Ethiopian nurses was 49.6 % (95 % CI: 40.9, 58.3 %). This indicates that one out of two Ethiopian nurses had job stress. Based on subgroup analysis the prevalence of job stress among Amhara’s and Oromia’s region nurses was 44.9 % and 51.2 % respectively.</p></div><div><h3>Conclusion</h3><p>The prevalence of job stress among Ethiopian nurses was high. Thus, our finding suggests that half of the Ethiopian nurses had job-related stress; therefore, managers, federal minister of health, and health policymakers should take effective measures and develop programs to reduce the prevalence of job stress among nurses.</p></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"20 ","pages":"Article 100661"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214139124000064/pdfft?md5=89b7af8bbf99b308e2ee5669149dbbc4&pid=1-s2.0-S2214139124000064-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139675154","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":"Psychological wellbeing and coping strategies of unmarried men with prostate cancer in urban Ghana","authors":"Elvis Otenkorang Annan ,&nbsp;Kennedy Dodam Konlan ,&nbsp;Gideon Puplampu ,&nbsp;Lydia Aziato","doi":"10.1016/j.ijans.2024.100696","DOIUrl":"https://doi.org/10.1016/j.ijans.2024.100696","url":null,"abstract":"<div><h3>Background</h3><p>The stereotype of having prostate cancer (PCa) and possible impairment in sexuality may lead to a deterioration of the mental health of patients with PCa. However, there is paucity of data on the psychological wellbeing and coping strategies of unmarried men with PCa in Ghana. We explored the psychological wellbeing and coping strategies of unmarried men with PCA in the Accra Metropolis of Ghana.</p></div><div><h3>Methods</h3><p>In this qualitative study, we recruited ten (10) unmarried men as participants and interviewed them using a semi-structured interview guide. Data collection and analysis were done concurrently using thematic content analysis techniques with the aid of Nvivo 10. Ethics approval was obtained from the Ethics Review Committee of the 37 Military Hospital.</p></div><div><h3>Results</h3><p>The findings revealed psychological symptoms of anxiety, depression, distress and suicidal ideation were exhibited by participants. Worries about treatment and recurrence of symptom as well as erectile dysfunction caused anxiety among participants. Some participants were depressed as a result of frequent urinary retention, severe pains and having to deal with an indwelling catheter whereas others associated their depression with cost of treatment and erectile dysfunction. The participants employed diverse strategies of coping with their condition. Subsequently, three sub-themes of coping were identified; lifestyle modification, social contact, and acceptance.</p></div><div><h3>Conclusion</h3><p>Unmarried men with PCa have devastating effect on their psychological wellbeing and harbor suicidal ideations. We recommend psychological management of unmarried men with PCa.</p></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"20 ","pages":"Article 100696"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214139124000416/pdfft?md5=baff67945ae7ef16515d9c0ed8d896df&pid=1-s2.0-S2214139124000416-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140295825","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":"Prevalence and determinants of diarrhea morbidity among under five children of west Shoa Zone, Oromia Region, Ethiopia","authors":"Bizunesh Kefale Mengistu ,&nbsp;Girma Teferi Mengistu ,&nbsp;Alemayehu Siffir Argawu ,&nbsp;Dechasa Badada Tolessa ,&nbsp;Emebet Chimdi","doi":"10.1016/j.ijans.2024.100697","DOIUrl":"https://doi.org/10.1016/j.ijans.2024.100697","url":null,"abstract":"<div><h3>Background</h3><p>Diarrhea is the leading cause of morbidity and mortality among under-five children, including Ethiopia. This study aimed to assess the prevalence and determinants of diarrhea morbidity among under-five children in the west Shewa zone.</p></div><div><h3>Methods</h3><p>The community-based cross-sectional study was conducted using an interviewer-administered questionnaire. The study was conducted among 1004 study participants with under five children. The relation of covariates and diarrheal disease was checked using logistic regression at 95 %CI, where variables with p &lt; 0.05 were statistically significant.</p></div><div><h3>Results</h3><p>The finding revealed that the two-week prevalence of diarrhea in the west Shewa zone was 18.7 %. Children living in Ambo [AOR = 0.492, 95 %CI (0.255, 0.948)], Dendi [AOR = 0.413, 95 %CI (0.222, 0.769)], Toke kutaye [AOR = 0.462, 95 %CI (0.240, 0.889)], Bako Tibe [AOR = 0.522, 95 %CI (0.275, 0.993)] were less likely affected by diarrhea. Feeding by cup and spoon [AOR = 0.656, 95 %CI (0.433, 0.995)] and feeding by bottle [AOR = 0.577, 95 %CI (0.362, 0.922)] were less likely affected by diarrhea. Using untreated water [AOR = 1.795, 95 %CI (1.184, 2.721)], complementary feeding before six months [AOR = 1.798, 95 %CI (1.261, 2.565)], improper waste disposal [AOR = 2.041, 95 %CI (1.394, 2.989)], unvaccinated for rotavirus [AOR = 1.990, 95 %CI (1.162, 3.410)] were more likely develop diarrhea.</p></div><div><h3>Conclusion</h3><p>Our study identified that one in five under-five children was affected by diarrheal morbidity. It was determined by the woreda of respondents, drinking water, child feeding method, complementary feeding initiation time, waste disposal, and rotavirus vaccination. All concerned bodies should intervene based on the cause of the disease.</p></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"20 ","pages":"Article 100697"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214139124000428/pdfft?md5=2ac531627b0f0698329a6f2d3538f353&pid=1-s2.0-S2214139124000428-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140328035","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":"Prevalence and factors associated with depression among cancer patients attending chemotherapy at Jimma University Medical Centre, Jimma, Southwest Ethiopia","authors":"Melkamu Gelan Negesa","doi":"10.1016/j.ijans.2024.100693","DOIUrl":"https://doi.org/10.1016/j.ijans.2024.100693","url":null,"abstract":"<div><h3>Background</h3><p>Cancer is a chronic, life-threatening disease that causes depression, stigma, and economic cost in developing countries and most common mental problem among cancer patients on chemotherapy.</p></div><div><h3>Objectives</h3><p>To assess the prevalence and factors associated with depression among cancer patients attending chemotherapy at JUMC.</p></div><div><h3>Methods</h3><p>An institution-based cross-sectional study was conducted. A simple random sampling method was used to select 300 participants and they were interviewed from March 01 to April 01, 2022. Data was collected by using a pretested questionnaire and patient card review. The collected data were coded and entered into Epi Data Manager 4.6 and SPSS version 26 was used for analysis. Those variables with a p-value of 0.25 were candidates for multivariable logistic regressions with a p-value of 0.05, and the association was finally determined by a 95% confidence interval.</p></div><div><h3>Result</h3><p>The prevalence of depression was 170 (56.6 %), (95 % CI = 50.92, 62.28). Patients who live in urban (AOR = 0.47, 95 % CI: 0.29, 0.78), chewing khat (AOR = 2, 95 %CI: 1.17, 3.53), patients on their first chemotherapy (AOR = 2.8, 95 %CI: 1.17, 6.64), on the second chemotherapy cycles (AOR = 3.51, 95 %CI: 1.57, 7.60), and duration starting chemotherapy for 1–3 months (AOR = 0.36, 95 %CI: 0.18, 0.72) were significantly associated with depression.</p></div><div><h3>Conclusion and Recommendation</h3><p>According to the findings of this study, depression was highly prevalent among patients on chemotherapy so Jimma Medical Centre should give awareness creation and health education about cancer for the rural community, risks of chewing khat, chemotherapy treatment, and duration of starting chemotherapy.</p></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"20 ","pages":"Article 100693"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214139124000386/pdfft?md5=0ccd3faef488eefbf3dfca2e84240ab9&pid=1-s2.0-S2214139124000386-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140330869","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":"Barriers to delivery of culturally competent care among nurses: A multi-center cross-sectional study in a resource-limited setting","authors":"Abdul-Karim Abubakari ,&nbsp;Janet Gross ,&nbsp;Eric Asamoah","doi":"10.1016/j.ijans.2024.100705","DOIUrl":"https://doi.org/10.1016/j.ijans.2024.100705","url":null,"abstract":"<div><h3>Background</h3><p>In a growing multicultural society like Ghana, the cultural competence (CC) of nurses is imperative. Despite the importance of CC within the healthcare environment, factors that hinder nurses’ ability to render culturally competent care (CCC) to patients in the clinical unit have not been adequately explored.</p></div><div><h3>Purpose</h3><p>To examine the barriers nurses encounter in the delivery of CCC across two regions of Ghana.</p></div><div><h3>Methods</h3><p>From October to December 2022, an institutional-based cross-sectional study in eight hospitals involving nurses was conducted in the Western and Ashanti regions. A probability sampling method was employed to select 759 participants. Data was entered into a spreadsheet and exported to S.P.S.S version 23. Binary and multivariable logistic regressions were used to establish the associations between dependent and independent variables. The odds ratio with a 95 % confidence interval was computed. Outcome variables with a P-value &lt; 0.05 were deemed statistically significant.</p></div><div><h3>Results</h3><p>The majority of the respondents were females (61.4 %; n = 466). The three-factor structure of the instrument was validated using an exploratory factor analysis. The study revealed that barriers that hindered nurses were the lack of CCC policies (β = 0.150, 95 % CI = 0.120, 0.180), nurse staffing-related factors (β = 0.120, 95 %; CI = 0.090, 0.150), and the lack of training related factors (β = 0.084, 95 % CI = 0.054, 0.114). Nurses’ age, marital status, and experience were significant at a p-value of &lt; 0.05.</p></div><div><h3>Conclusion</h3><p>The lack of culturally appropriate policies, lack of training-related factors, and nurse staffing-related challenges hindered respondents’ efforts to render CCC. Interventions aimed at improving CCC should target these barriers.</p></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"20 ","pages":"Article 100705"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214139124000507/pdfft?md5=41898850775176c81d88d8f8cccc69ac&pid=1-s2.0-S2214139124000507-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140557849","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":"Birth stories of South African mothers of children with albinism: A critical human rights analysis","authors":"Sheryl Reimer-Kirkham ,&nbsp;Barbara Astle ,&nbsp;Jennifer Kromberg ,&nbsp;Innocentia Mgijima-Konopi ,&nbsp;Ramadimetja Shirley Mooa ,&nbsp;Maretha de Waal ,&nbsp;Meghann Buyco ,&nbsp;Ikponwosa Ero ,&nbsp;Dianah Msipa ,&nbsp;Tintswalo Victoria Nesengani ,&nbsp;Nomasonto Mazibuko ,&nbsp;Ronell Leech ,&nbsp;Mpho Tjope","doi":"10.1016/j.ijans.2023.100650","DOIUrl":"10.1016/j.ijans.2023.100650","url":null,"abstract":"<div><h3>Background</h3><p>The genetic condition of oculocutaneous albinism is disproportionately present in Africa. Little research has addressed the experiences of mothers impacted by albinism, even though they are more likely to be impacted by human rights violations.</p></div><div><h3>Methods</h3><p>A qualitative study was designed to examine the resilience of mothers affected by albinism in South Africa. Virtual and in-person fieldwork was conducted with the facilitation of community-based researchers and local cultural liaisons.</p></div><div><h3>Findings</h3><p>Giving birth to a child with albinism in South Africa, as in many parts of sub-Saharan Africa, was a life-defining moment for mothers and their families, setting them on a trajectory of health-related stigma, gender inequalities, reduced access to social determinants of health, and other human rights violations. Mothers engaged in sense-making processes shaped by the responses of birth attendants and families, and that reflected social discourses. Their resilience was impacted by access to health teaching, genetic counselling, and health and social services, which were often incomplete or absent all together. Civil society organizations, peer groups, and faith communities were vital in filling these gaps.</p></div><div><h3>Conclusions</h3><p>The experience giving birth to a child with albinism was both the same and different compared to mothers forty years earlier. What varied was the digital availability of health information; progressive health and social policies and resourcing; and human rights instruments. These transformations point to best practices to support mothers’ resilience.</p></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"20 ","pages":"Article 100650"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214139123001257/pdfft?md5=6539ffa7c6c33459de161296f6dc0023&pid=1-s2.0-S2214139123001257-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139013168","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":"Factors influencing clinical competence of new graduate nurses employed in selected public hospitals of North West Province: Operational Managers’ perspectives","authors":"Kholofelo L. Matlhaba ,&nbsp;Naomi L. Nkoane","doi":"10.1016/j.ijans.2024.100683","DOIUrl":"https://doi.org/10.1016/j.ijans.2024.100683","url":null,"abstract":"<div><h3>Background</h3><p>Nurses have always been regarded as the backbone of the healthcare system, hence the need for a competent workforce in provision of quality care.</p></div><div><h3>Purpose</h3><p>To report on factors influencing clinical competence of new graduate nurses as perceived by operational managers and to make recommendations for the mitigation of those perceived factors.</p></div><div><h3>Methods</h3><p>An exploratory and descriptive qualitative research was conducted in specific public hospitals of the North West Province, South Africa. A purposive sampling technique was used to select operational managers from different nursing units. Semi-structured in-depth interviews were used for data collection during four focus group discussions and eight in-depth interviews. The six steps of thematic analysis were then used to analyse the transcribed data.</p></div><div><h3>Results</h3><p>The research participants described identified determinants that influence clinical competencies of new graduate nurses during the early years in their nursing careers. The identified factors were related to: 1) Nursing education and training system; 2) Health care system and institutional systems.</p></div><div><h3>Conclusion</h3><p>The study concluded that, it is imperative for nursing education and training as well as the health policy makers to take the responsibility of strengthening endorsements on clinical competence of new graduate nurses to improve on quality nursing care rendered in South Africa.</p></div><div><h3>Implications for practice</h3><p>Nursing Practice and Nursing Education and Training Directorates should begin to re-imagine innovative ways of integrating theory with practice in an effort to assist the new graduate nurses to fortify their clinical competence early in their professional voyage of rendering quality nursing care in South Africa.</p></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"20 ","pages":"Article 100683"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214139124000283/pdfft?md5=edec66db54baa4f61bd5f64148be412d&pid=1-s2.0-S2214139124000283-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140123319","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 psychometric evaluation of the perceived perioperative competence scale-revised for Malawian student nurses","authors":"Richard K. Bwanali ,&nbsp;Gladys Msiska ,&nbsp;Kristin H. Urstad ,&nbsp;Bodil Bø ,&nbsp;Angela Chimwaza","doi":"10.1016/j.ijans.2024.100731","DOIUrl":"https://doi.org/10.1016/j.ijans.2024.100731","url":null,"abstract":"<div><h3>Background</h3><p>Perioperative nursing plays an important role in the success of any surgery. In Malawi, pre-service training is the only source of perioperative knowledge for nurses. In order to ensure that nurses are adequately prepared with perioperative knowledge and skills, an effective assessment of perioperative competence is required. The Perceived Perioperative Competence Scale-Revised (PPCS-R) is a scientifically developed and psychometrically validated tool for assessing perioperative nurses’ competence. Therefore, this study aimed to adapt and evaluate the psychometric properties of the Perioperative Competence Scale-Revised (PPCS-R) for use on undergraduate student nurses in Malawi.</p></div><div><h3>Methods</h3><p>The adaptation of the PPCS-R involved a review by a panel of experts for content validity followed by an evaluation of Psychometric properties through a confirmatory factor analysis. The confirmatory factor analysis evaluated the reliability coefficient and factor loading for the scale based on data from 100 former nursing students.</p></div><div><h3>Results</h3><p>Content analysis led to the exclusion of six items while twelve items were revised. The confirmatory Factor Analysis yielded 6 factors with Cronbach’s alpha ranging between 0.811 to 0.879.</p></div><div><h3>Conclusion</h3><p>The Malawian student version of the PPCS-R has good reliability, validity, and psychometric properties. This will enable nurse educators, preceptors, clinical nurses, and even student nurses to assess perioperative nursing competency for undergraduate student nurses in Malawi.</p></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"20 ","pages":"Article 100731"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214139124000763/pdfft?md5=7c542da538bde7332549dda02323a77c&pid=1-s2.0-S2214139124000763-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141326087","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}