International Journal of Africa Nursing Sciences最新文献

{"title":"Feasibility of a group-based laughter yoga therapy on anxiety and happiness among community-dwelling older adults: A quasi-experimental study","authors":"Mona Metwally El-Sayed ,&nbsp;Sarah Ali Hafez ,&nbsp;Abdulqadir J. Nashwan ,&nbsp;Mahmoud Abdelwahab Khedr ,&nbsp;Ayman Mohamed El-Ashry","doi":"10.1016/j.ijans.2024.100675","DOIUrl":"https://doi.org/10.1016/j.ijans.2024.100675","url":null,"abstract":"<div><h3>Background</h3><p>Applying a unique, non-pharmacological therapy for community-dwelling older adults, such as Laughing Yoga Therapy, may have a considerable impact on their anxiety, happiness, and psychological well-being.</p></div><div><h3>Aim of the study</h3><p>To investigate the feasibility of applying Laughing Yoga Therapy interventions to anxiety and happiness among community-dwelling older adults.</p></div><div><h3>Methodology</h3><p>A quasi-experimental design was used on a convenient community-dwelling. Older adult participants were selected to undergo eight sessions over four weeks. The Geriatric Anxiety Scale and Arabic Scale of Happiness were used to evaluate the participants' anxiety and happiness levels.</p></div><div><h3>Results</h3><p>A statistically significant decrease in anxiety level among the study group compared to the control group (Pre = 16.68 (7.35), immediate = 6.65 (2.89), post three-month = 7.68 (2.75), p=&lt;0.001 and effect size = 0.715). As well as an increase in happiness level among the study group compared to the control group were found (pre = 54.23 (6.60), immediate = 62.05 (4.09), post three-month = 61.95 (4.38), with statistical significant= &lt;0.001 and effect size = 0.677.</p></div><div><h3>Conclusion and recommendations</h3><p>Participation in laughing yoga therapy significantly reduced anxiety and increased happiness among elderly people. These findings suggest incorporating laughing yoga therapy into nursing interventions offered to older adults in nursing homes and community groups.</p></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"20 ","pages":"Article 100675"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214139124000209/pdfft?md5=d0f53a8eb230812d60d0f2912ca59037&pid=1-s2.0-S2214139124000209-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139907363","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":"Effectiveness of an educational program on coping, self-efficacy and health-related quality of life of patients with permanent pacemaker implantation: A quasi-experimental study","authors":"Noha Mohammed Ibrahim ,&nbsp;Mona Ibrahim Hebeshy ,&nbsp;Hayat Mohammed Ahmed ,&nbsp;Maha Mahmoud Mahmoud saadoon ,&nbsp;Nermen Abdelftah Mohamed ,&nbsp;Hassanat Ramadan Abdel-Aziz ,&nbsp;Ahmad Khaleel Alomari ,&nbsp;Mohamed Gamal Elsehrawy","doi":"10.1016/j.ijans.2024.100700","DOIUrl":"https://doi.org/10.1016/j.ijans.2024.100700","url":null,"abstract":"<div><p>Patients undertaking long-lasting implantable pacemakers are challenged with numerous mental and psychosocial problems. Educating cardiac patients implanting pacemaker with important items regarding self-care management may stop healthcare problems.</p></div><div><h3>Purpose</h3><p>of this research was determine the impact of interventional sessions for patients with pacemakers concerning coping, quality of life and self-care management.</p></div><div><h3>Methods</h3><p>A quasi-experimental study was used with a sample of 45 patients with pacemakers. The current investigation was conducted at Damietta's specialized heart and digestive system center, affiliated with the Ministry of Health, Egypt. Five main tools were used in this study: A questionnaire (self-administered), Patients’ knowledge survey, a Short-form Health Assessment and Coping Strategy Indicator.</p></div><div><h3>Results</h3><p>showed that the educational program improved the coping<strong>,</strong> self-efficacy, and quality of life of patients with pacemakers in the post-intervention period compared with the pre-intervention period, with highly statistically significant improvements within all items (P ≤ 0.05). Finally, there was a statistically significant relationship between age and coping of patients with pacemakers pre and post program intervention (p =.001).</p></div><div><h3>Conclusion</h3><p>This research suggested that an essential component of the overall care of patients receiving pacemakers should be the teaching program. Upon admission, all patients receiving pacemaker implantation should get a thorough booklet that has been simplified and includes updated guidelines about pacemaker management. Patients who are illiterate should be provided with clear explanations using photographs.</p></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"20 ","pages":"Article 100700"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214139124000453/pdfft?md5=beac44cf47ef55bbdfec0179685fc512&pid=1-s2.0-S2214139124000453-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140341287","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":"Experiences in learning research methods: Recommendations from undergraduate nursing students at two African universities","authors":"Florence Mbuthia ,&nbsp;L.J. Mogakwe ,&nbsp;Champion Nyoni ,&nbsp;Marianne Reid ,&nbsp;Winfred Wambui ,&nbsp;Simon Githui","doi":"10.1016/j.ijans.2024.100712","DOIUrl":"10.1016/j.ijans.2024.100712","url":null,"abstract":"<div><h3>Background</h3><p>Globally there is increasing demand for high-quality nursing care driven by research and evidence-based practice. Engagement of undergraduate nursing students in research activities identifies experiences and strategies that bring best outcomes in nursing practice. This study sought to establish strategies that will improve research practices among undergraduate nursing students at two African universities.</p></div><div><h3>Methods</h3><p>The study was conducted in University of the Free State (UFS) in South Africa and Dedan Kimathi University of Technology (DeKUT) in Kenya. Nominal group technique (NGT) was used to collect data from 116 undergraduate nursing students (South Africa = 53; Kenya = 63). Participants recruitment involved complete collection sampling with 5 group discussions (South Africa = 2; Kenya = 3). Data analysis involved initial intra-group analysis step done to tally and combine scores for specific ideas. Second step identified top five ideas across groups per institution based on highest scores. Final step compared similarities and differences between the two institutions. Ethical clearance was obtained in both countries.</p></div><div><h3>Results</h3><p>The nominal group results showed top five priorities for the students in Kenya were group work research, calm manner of addressing mistakes, timely feedback from supervisors, standardised assessment, face to face teaching of data analysis software and avoidance of nullification of research projects. South African university students prioritised Student support, knowing expectations, supervisor’s feedback and contact classes, interactive classrooms and breaking down research jargon.</p></div><div><h3>Conclusion</h3><p>The participants reported need for creating supportive learning experiences with peer/teacher mentorship. Timely feedback, structured supervision, and student-centred approach to learning new information in research enrich learners’ positive experience.</p></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"20 ","pages":"Article 100712"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S221413912400057X/pdfft?md5=bbd823af0c901c783328d2562ab46ac4&pid=1-s2.0-S221413912400057X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140760986","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 organizational politics: Implications for nurses’ stress and job satisfaction","authors":"Yennuten Paarima ,&nbsp;Asongo Akwobi Kisinna ,&nbsp;Adelaide Maria Ansah Ofei","doi":"10.1016/j.ijans.2024.100686","DOIUrl":"https://doi.org/10.1016/j.ijans.2024.100686","url":null,"abstract":"<div><h3>Background</h3><p>Perceived organizational politics is a common phenomenon in almost every organization and is associated with undesirable employee outcomes. Despite numerous studies on this important topic, studies describing the influence of perceived organizational politics on nurses' outcomes (job satisfaction and stress) remain underinvestigated. This study examined the impact of perceived organizational politics on job satisfaction and job stress among nurses.</p></div><div><h3>Methods</h3><p>A quantitative cross-sectional design was used in this study. Two hundred and thirteen (213) nurses participated. Three standardized instruments were utilized: Perception of Organizational Politics, Job Satisfaction Scale, and Job Stress Scale. Data were analyzed using descriptive statistics, Pearson correlation, and multiple regression analyses.</p></div><div><h3>Findings</h3><p>Nurses perceived a high level of organizational politics. We identified a significant correlation between perceived organizational politics, job stress, and job satisfaction in nursing. The results showed nurses' perception of organizational politics had a positive relationship with job stress and a negative relationship with job satisfaction.</p></div><div><h3>Managerial implication</h3><p>Hospital management should reconsider the organizational, group, and individual situations that create perceived organizational politics to prevent any unnecessary political behaviors in the hospital. Also, strategies to enhance nursing management and healthcare provision should be directed at reducing the use of politics to promote self-interest.</p></div><div><h3>Originality/value</h3><p>Our study provides a novel insight into the unexplored nature and impact of perceived organizational politics on nurses' job satisfaction and stress in Ghana. It is the first research to investigate organizational politics using nursing population in the Ghanaian context and makes significant contributions to theory and practice.</p></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"20 ","pages":"Article 100686"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214139124000313/pdfft?md5=68c6347800ff7ed2c14a2de7bc16b6c5&pid=1-s2.0-S2214139124000313-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140030256","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":"Knowledge and practice about hand hygiene among medical and health science students in a clinical setting during the COVID-19 pandemic","authors":"Hailemichael Kindie Abate,&nbsp;Mohammed Hassen Salih","doi":"10.1016/j.ijans.2024.100685","DOIUrl":"https://doi.org/10.1016/j.ijans.2024.100685","url":null,"abstract":"<div><h3>Introduction</h3><p>During the era of coronavirus-2019 (COVID-19), hand hygiene has become more essential than ever before. Poor knowledge and practice of hand hygiene medical and health science students lead to burdens hospitalized patients and increase cases in the intensive care unit.</p></div><div><h3>Objectives</h3><p>This study aimed to assess the knowledge and practice of medical and health science students in a clinical setting during the COVID-19 pandemic.</p></div><div><h3>Methods</h3><p>An institutional-based cross-sectional study was conducted from June 1 to July 15/2021. A stratified sampling technique was used to select the study participants. Data were collected by using a self-administered questionnaire. Data were analyzed using SPSS version 20. To explain study variables; frequency tables and percentages were used. Logistic regression analysis was used to see the association between independent and dependent variables.</p></div><div><h3>Result</h3><p>Out of the total 387 respondents; 18.3 % had poor knowledge, similarly; 64.1 % of them had poor practice about hand hygiene. Factors such as knowing hand hygiene guidelines (adjusted odds ratio (AOR) = 0.18, 95 % CI (0.09-0.34)) were significantly associated with poor knowledge of hand hygiene, whereas poor knowledge of hand hygiene (AOR = 0.65, 95 % CI (0.39–89)) was significantly associated with the poor practice of hand hygiene.</p></div><div><h3>Conclusion</h3><p>In this study participant, about 18.3% had poor knowledge, whereas 64.1% had poor practice about hand hygiene during the COVID-19 pandemic. Training about hand hygiene, and didn't know hand hygiene guidelines were found to have significantly associated with poor knowledge. Giving additional training, and initiating to read guidelines can improve the knowledge as well practice of participants towards hand hygiene.</p></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"20 ","pages":"Article 100685"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214139124000301/pdfft?md5=c1220d2227ce221b23404c0cbf4c12a1&pid=1-s2.0-S2214139124000301-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139999130","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":"Effect of spirituality on plasma donation in people recovered from COVID-19 in Iran","authors":"Nasrin Samadi ,&nbsp;Sevda Gardashkhani ,&nbsp;Saba Rahmati","doi":"10.1016/j.ijans.2024.100747","DOIUrl":"https://doi.org/10.1016/j.ijans.2024.100747","url":null,"abstract":"<div><h3>Background</h3><p>Due to the prevalence of COVID-19 disease and the growing demand for plasma therapy to assess its effectiveness, the potential impact of spirituality on plasma donation by COVID-19 patients, the role of spirituality can be considered more than before.</p></div><div><h3>Objective</h3><p>We decided to conduct the present study to determine the effect of spirituality on plasma donation in the recovery from COVID-19.</p></div><div><h3>Methods</h3><p>This was an analytical case-control study. The study population included all individuals who recovered from COVID-19, divided into two groups: case and control groups (90 subjects). The instrument used to assess spirituality in this study will be the Spiritual Assessment Inventory (SAI).</p></div><div><h3>Results</h3><p>The results showed that there were statistically significant differences between the two groups in terms of total spirituality scores. The plasma donor group had a higher score (195.00 ± 19.70) compared to the control group (174.44 ± 29.06) who were not willing to donate plasma. Additionally, in the dimensions of awareness, actual acceptance, and magnification, the case group scored higher than the control group. Also, there was a statistically significant difference (P &lt; 0.05) in these areas as well.</p></div><div><h3>Conclusion</h3><p>The spirituality of people who donated plasma was higher than that of those who did not donate, indicating a potential correlation between plasma donation and spiritual well-being. Therefore, it is important to recognize and address the spiritual needs of individuals who have recovered from COVID-19. In this regard, nurses can play a crucial role in providing holistic care that encompasses the spiritual aspect of patients while tending to those with COVID-19.</p></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"20 ","pages":"Article 100747"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214139124000921/pdfft?md5=93aef2e337beeb2a681d5ccd8a330fe0&pid=1-s2.0-S2214139124000921-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141480864","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 of anemia in older adults: A systematic and meta-analysis study","authors":"Aida Mohammadi ,&nbsp;Mohsen Kazeminia ,&nbsp;Alireza Chogan ,&nbsp;Amir Jalali","doi":"10.1016/j.ijans.2024.100739","DOIUrl":"10.1016/j.ijans.2024.100739","url":null,"abstract":"<div><h3>Background</h3><p>Anemia in older adults is a natural consequence of aging and its symptoms and side effects are mostly neglected, which leads to negative effects on the quality of life in older adults. This study is an attempt to determine the prevalence of anemia in older adults through a systematic and <em>meta</em>-analysis study.</p></div><div><h3>Materials and Methods</h3><p>This <em>meta</em>-analysis and systematic review was carried out in a time period from 1989 to 2022. To find articles pertinent to the topic of the study, Google Scholar, SID, MagIran, WoS, Scopus, and Embase databases were searched using keywords validated in MeSh/Emtree. Heterogeneity of studies was examined using the <em>I²</em> index.</p></div><div><h3>Results</h3><p>The search yielded 14,999 articles and eventually, 44 articles with a total sample size of 127,978 participants met the inclusion criteria of the study. The prevalence of anemia in older adults was estimated equal to 24.6 % (CI = 95 %; 19.1–31.1 %). The highest prevalence of anemia in older adults was in Africa (45.5 %; CI = 95 %; 3.9–94.5 %) and older adults living in nursing homes (53.7 %; CI = 95 %; 27.9–77.9 %). There was no significant difference between women and men in terms of the prevalence of anemia (P &gt; 0.05).</p></div><div><h3>Conclusion</h3><p>The findings indicated that the prevalence of anemia in older adults was high mostly in Africa. This finding requires more attention from experts, officials, and health policy makers.</p></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"20 ","pages":"Article 100739"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214139124000842/pdfft?md5=61488d30eb347d8a9f82ba07e494ea46&pid=1-s2.0-S2214139124000842-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141415172","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 influence of social media on nursing practice among nurses in a nigerian south westen tertiary health institution","authors":"Olufemi Oyebanji Oyediran ,&nbsp;Jacob Adeyemi Adeniran ,&nbsp;Matthew Idowu Olatubi ,&nbsp;Oreofe Iyanuoluwa Ojo ,&nbsp;Emmanuel Olufemi Ayandiran","doi":"10.1016/j.ijans.2024.100735","DOIUrl":"https://doi.org/10.1016/j.ijans.2024.100735","url":null,"abstract":"<div><p>Social networking sites and the use of social media have got popularity among health professionals in recent times. This study assessed perceived influence of social media on nursing practice among clinical nurses working in a University Teaching Hospital in Nigeria.</p><p>This study adopted a descriptive cross-sectional design, and stratified random sampling was adopted to select 205 respondents. Data were collected with the aid of a structured questionnaire and were analyzed with Statistical Package for Social Sciences (SPSS) version 25. Descriptive (frequency table, figures, mean and standard deviation) and inferential statistics (spearman rho Pearson correlation and Logistics regression) were used to present the data.</p><p>Findings showed that the mean age of the respondents was 34.65 ± 8.49 years. Commonly used social media by the respondents were WhatsApp (94.6 %) and Facebook (92.7 %). A little above half (52.2 %) perceived social media benefits as high, 47.4 % perceived risks of social media to nursing practice as high and 63.9 % of the respondents spent at least 4 h on social media daily. Also, majority of the respondents identified knowledge about social media applications; accessibility to information; and availability of evidence-based information on social media. Single respondents were 8 times likely to use social media more than other marital status counterparts (P &lt; 0.05, Odd ratio- 8.62, CI: 70.41 – 1.05), There was significant relationship between perceived benefits &amp; disadvantage of social media and extent of usage {r = 0.740, df = 203p = 0.001}.</p><p>This study concluded that nurses are using social media and majority of them are using WhatsApp and Facebook and they also believe that social media help to foster communication among nurses and other health care providers irrespective of the distance.</p></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"20 ","pages":"Article 100735"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214139124000805/pdfft?md5=698e36e5d5dd696eeffa691af3d49e11&pid=1-s2.0-S2214139124000805-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141444237","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":"Poor adherence to the option B+ care and associated factors for the prevention of mother-to-child transmission among pregnant and lactating mothers attending ART clinics of Southwestern Ethiopia: A facility based cross-sectional study","authors":"Nuredin Mohammed Guta ,&nbsp;Miresa Guteta ,&nbsp;Ashanafi Asefa ,&nbsp;Sisay Tulu ,&nbsp;Biruk Bogale ,&nbsp;Gachana Midaksa ,&nbsp;Abinet Abebe","doi":"10.1016/j.ijans.2024.100780","DOIUrl":"10.1016/j.ijans.2024.100780","url":null,"abstract":"<div><h3>Introduction</h3><p>Globally, over 90 % of newborns’ HIV infections occur through mother-to-child transmission. However, only 50 % of pregnant women living with HIV received effective antiretroviral regimens. So, this study aimed to assess poor adherence to option B+ care and associated factors for the prevention of mother-to-child transmission among pregnant and lactating mothers attending ART clinics in Southwestern Ethiopia.</p></div><div><h3>Methods and materials</h3><p>An institution-based cross-sectional study was conducted with a sample of 284 HIV+ pregnant and lactating mothers who were on the PMTCT follow-up in ART clinics in southwest Ethiopia. The data were entered using EPI Data Version 3.1 and exported to SPSS Version 25 for further analysis. Binary logistic regression models were employed to identify associated factors for poor adherence to option B+ care of PMTCT using AOR with the corresponding 95 % CI.</p></div><div><h3>Result</h3><p>The level of poor adherence to option B+ care in PMTCT was 12.6 %. The study showed that disclosure status [AOR: 0.16 [95 % CI; 0.05, 0.49]], forgetfulness [AOR = 10.5; 95 % CI [3.8, 29.5]], fear of drug side effects [AOR: 3.97 [95 % CI: [1.1, 10.4]], and fear of stigma and discrimination [AOR: 6.7, 95 % CI: [2.5, 17.7]] were significantly associated with adherence to option B+ care.</p></div><div><h3>Conclusions</h3><p>The prevalence of poor adherence to option B+ care in this study was high. Fear of drug side effects, fear of stigma and discrimination, forgetfulness, and disclosure status were factors significantly associated with adherence to option B+ care. Proper counseling and awareness creation on drug adherence were strongly recommended.</p></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"21 ","pages":"Article 100780"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214139124001264/pdfft?md5=71b600d0f14713b039731394e9c85181&pid=1-s2.0-S2214139124001264-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142233026","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":"Postnatal care utilization in the Oshana region of Namibia: Prevalence, associated Factors, and a decision framework","authors":"Enos Moyo ,&nbsp;Perseverance Moyo ,&nbsp;Tafadzwa Dzinamarira ,&nbsp;Grant Murewanhema ,&nbsp;Andrew Ross","doi":"10.1016/j.ijans.2024.100770","DOIUrl":"10.1016/j.ijans.2024.100770","url":null,"abstract":"<div><h3>Background</h3><p>Namibia faces a persistent challenge of high maternal and neonatal mortality, particularly within the postnatal period. This study assessed postnatal care (PNC) utilization prevalence in Namibia’s Oshana region, identified influencing factors, and aimed to develop a decision framework for healthcare providers to predict women who are unlikely to utilize PNC.</p></div><div><h3>Methods</h3><p>A quantitative cross-sectional survey employing a systematic random sample (n = 814) and self-administered questionnaires was conducted. Data analysis employed Chi-squared tests, bivariate and multivariate logistic regression, and classification tree analysis.</p></div><div><h3>Results</h3><p>PNC utilization was 43.8 %, 95 % (CI 40.3 % – 47.3 %). Respondents who stayed in rural areas and the unemployed were less likely to utilize PNC services, AOR = 0.51, 95 % CI (0.35 – 0.74) and AOR = 0.26, 95 % CI (0.17 – 0.40), respectively. Respondents with poor PNC knowledge and poor PNC perception were less likely to utilize PNC services, AOR = 0.63, 95 % CI (0.41 – 0.98) and AOR = 0.32, 95 % CI (0.21 – 0.49), respectively. Classification analysis revealed mode of delivery, employment status, and marital status as significant predictors of PNC utilization.</p></div><div><h3>Conclusion</h3><p>Expanding healthcare facilities in rural areas, empowering women through education and income-generating projects, and utilizing community health workers for PNC education are crucial strategies to improve utilization rates.</p></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"21 ","pages":"Article 100770"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214139124001161/pdfft?md5=d8a2d966eee74b90152991c836d2d725&pid=1-s2.0-S2214139124001161-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142136189","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}