International Journal of Africa Nursing Sciences最新文献

{"title":"Exploring the relationship between ethical sensitivity and cultural competence in intensive care nursing","authors":"Fatemeh Bita,&nbsp;Bahman Aghaei,&nbsp;Reza Norouzadeh,&nbsp;Azita Kiani Asiabar","doi":"10.1016/j.ijans.2026.101141","DOIUrl":"10.1016/j.ijans.2026.101141","url":null,"abstract":"<div><h3>Background</h3><div>Ethical sensitivity and cultural competence are essential components of high-quality nursing care, particularly in intensive care units (ICUs), where nurses face complex ethical situations and culturally diverse patient populations. However, the relationship between these two constructs has been insufficiently explored in critical care settings.</div></div><div><h3>Methods</h3><div>This cross-sectional study was conducted in 2024 among 178 ICU and CCU nurses working in hospitals affiliated with Qom University of Medical Sciences, Iran. Participants were selected using multistage cluster sampling. Data were collected using demographic questionnaires, the Moral sensitivity questionnaire, and the cultural competence scale for clinical nurses. Pearson correlation and multiple linear regression analyses with HC3 robust standard errors were performed.</div></div><div><h3>Results</h3><div>Ethical sensitivity was positively and significantly associated with cultural competence (β = 0.406, <em>P</em> &lt; 0.001). Nurses aged 45 years and older demonstrated higher cultural competence, while those with 10–20 years of nursing experience showed lower scores. Marital status was not a significant predictor.</div></div><div><h3>Conclusion</h3><div>Ethical sensitivity is a key predictor of cultural competence among ICU nurses. Educational interventions aimed at enhancing ethical sensitivity may improve culturally competent nursing care in critical care settings.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"26 ","pages":"Article 101141"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148737773","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 mothers' perceived enablers and barriers to antenatal care contacts at Salima district hospital: A convergent study","authors":"Sylvia Kumatso Kandiyesa,&nbsp;Ferestas Mpasa,&nbsp;Florence Lungu","doi":"10.1016/j.ijans.2026.101128","DOIUrl":"10.1016/j.ijans.2026.101128","url":null,"abstract":"<div><h3>Background</h3><div>Underutilization of antenatal care (ANC) remains a challenge despite the recent World Health Organization (WHO) recommendation for pregnant women to attain a minimum of 8 ANC contacts, yet the associated factors remain underexplored in Malawi.</div></div><div><h3>Aim</h3><div>This study assessed postnatal mothers' perceived enablers and barriers to ANC contacts at Salima District Hospital, Malawi.</div></div><div><h3>Methods</h3><div>A mixed convergent study design was used among postnatal mothers within one week of delivery. A quantitative study randomly sampled 68 participants from the stratified case files, while purposive sampling was used to select 24 participants for the focus group discussions. Quantitative data were collected using a questionnaire, whereas qualitative data collection used an interview guide. Quantitative data analysis was conducted using descriptive and inferential statistics in the Statistical Package for the Social Sciences (SPSS) version 20. A <em>p</em>-value of 0.05 was used to determine the significance of the association between variables. Qualitative data were analyzed manually using thematic analysis.</div></div><div><h3>Results</h3><div>Quantitative findings revealed frequent ANC schedules and individual decisions as statistically significant enablers and barriers to ANC contacts (<em>p</em> = 0.001 and 0.000), respectively, whereas qualitative analysis showed that healthcare-related factors and traditional beliefs were the main enablers, while poor socioeconomic status, hospital system, and individual negligence emerged as the main barriers to ANC contacts.</div></div><div><h3>Conclusions</h3><div>Clients' frequent schedules are perceived as the primary enabler of ANC contacts, while individual negligence, poor socioeconomic status, and the hospital system are the main barriers to ANC contacts.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"26 ","pages":"Article 101128"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148452430","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":"Conservatism in nursing: a conceptual distinction between constructive and inhibitory forms","authors":"Ali Asghar Ghods,&nbsp;Ali Safdari","doi":"10.1016/j.ijans.2026.101163","DOIUrl":"10.1016/j.ijans.2026.101163","url":null,"abstract":"<div><div>Conservatism in nursing is frequently referenced in discussions of clinical practice and professional culture, yet it remains conceptually underexamined. This commentary proposes an analytical distinction between two forms of conservatism in nursing: constructive conservatism, which reflects context-sensitive clinical caution that supports patient safety and professional responsibility, and inhibitory conservatism, which manifests as inertia, silence, or resistance that may constrain evidence-based practice and professional development. Rather than treating conservatism as an inherently positive or negative attribute, the paper situates its different forms across clinical, organizational-cultural, and professional levels. By clarifying these conceptual boundaries, this commentary aims to stimulate more precise scholarly dialogue and guide future empirical research on conservatism in nursing.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"26 ","pages":"Article 101163"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148950948","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-management behaviours and perceived barriers among patients with totally implantable venous access ports: Nursing study through patients' perspective","authors":"Wafaa Hassan Ali Awad,&nbsp;Mervat Abd Elhamed Elsayed Hawash,&nbsp;Nadia Hassan Ali Awad,&nbsp;Mona Saeed Ali Naga,&nbsp;Mahmoud Mohamed Khedr,&nbsp;Eshrak Salama Hashem","doi":"10.1016/j.ijans.2026.101164","DOIUrl":"10.1016/j.ijans.2026.101164","url":null,"abstract":"<div><h3>Background</h3><div>Self-management is essential for cancer patients, especially those with Totally Implantable Venous Access Ports (TIVAP), as they must independently manage symptoms and maintain device hygiene. However, various barriers can impede effective self-care.</div></div><div><h3>Aim</h3><div>To assess self-management behaviours and explore perceived barriers associated with TIVAP self-management among colorectal cancer patients. Additionally, to examine the relationship between these barriers and self-management behaviours and identify significant predictors of poor self-management.</div></div><div><h3>Methods</h3><div>A descriptive cross-sectional study was conducted among 250 colorectal cancer patients using TIVAP at Ayadi-Almostakbal Oncology Centre in Alexandria, Egypt. Data were collected through validated self-report tools assessing self-management behaviours and perceived barriers. Descriptive statistics, Pearson correlation, and binary logistic regression were employed for data analysis.</div></div><div><h3>Results</h3><div>Findings indicated that 68.8% of participants exhibited unsatisfactory self-management, particularly in the planning, emotional adjustment, and knowledge domains. Physical limitations due to chemotherapy (88%) and lack of knowledge (80%) were the most frequently reported barriers. Statistically significant negative correlations were observed between perceived barriers and self-management behaviours, with physical limitations showing the strongest correlation (<em>r</em> = −0.61). Multiple regression analysis identified factors independently associated with poorer self-management behaviours, explaining 58% of the variance in self-management.</div></div><div><h3>Conclusion</h3><div>Colorectal cancer patients with TIVAP displayed generally poor self-management behaviours, significantly associated with physical, psychological, and informational barriers. The findings support the need for targeted nursing interventions to address these barriers.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"26 ","pages":"Article 101164"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148950949","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":"Occupational risk exposure to HIV among nurses at a mission hospital in Ghana: A descriptive cross-sectional study","authors":"Dorothy Serwaa Boakye ,&nbsp;Emmanuel Konadu ,&nbsp;Emmanuel Kumah ,&nbsp;Richard Osei Agjei ,&nbsp;Azwihangwisi Helena Mavhandu-Mudzusi","doi":"10.1016/j.ijans.2025.100953","DOIUrl":"10.1016/j.ijans.2025.100953","url":null,"abstract":"<div><h3>Introduction</h3><div>Nurses have been clinically involved in HIV/AIDS since the start of the epidemic. Before anti-retroviral therapy was available, nurses mobilised in various cities to care for patients in hospital units and community settings. Due to their multiple contributions to the care and management of patients infected with HIV, they are exposed to multiple risks while performing their duties. However, little is known on the rate of exposure to HIV infections among nurses in Ghana. Thus, this study aimed to ascertain the prevalence of occupational risk exposure to HIV among nurses, determine the medium of the exposures and the immediate measures taken following exposure to a suspected source.</div></div><div><h3>Methods</h3><div>A cross-sectional descriptive study design was conducted among registered nurses at Seventh Day Adventist Hospital, Asamang, Ashanti Region from February to March 2021. An all- inclusive sampling approach was used to invite 235 participants who satisfied the inclusion criteria and were willing to participate. Two hundred and thirty participants completed a self-administered structured questionnaire. Data was analyzed with SPSS version 20.</div></div><div><h3>Results</h3><div>Fifty-six percent (56%) of the nurses have been exposed to HIV at the time of the study. Needle stick injury (60.8%) was the most common mechanism for exposure. The cannular (57.85%) represented the commonest type of needle and setting up an intravenous line (IV cannulation) (33.59%) and dealing with uncooperative patients (23.44%) were the commonest procedure through which an exposure occurred. The measures taken immediately after exposure were washing the affected part under running water (97.39%), identifying the source person and their status, and reporting to the immediate supervisor or the appropriate body (90.8%). Majority adhered to the right practices of universal precaution. Injection safety was the least practiced precaution (54.9%). Of the 56% exposed to HIV sources, 61% took Post Exposure Prophylaxis and 39% did not.</div></div><div><h3>Conclusion</h3><div>The prevalence of occupational risk exposure to HIV was high and was mostly through needle stick injury. The high proportion of the nurses who recapped needles after use indicate the need for interventions that focuses on the provision of resources for sustained training on safe handling and disposable of needles.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 100953"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145977120","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":"Minimum dietary diversity and associated factors among breastfeeding mothers in Yirgalem town, Southeast Ethiopia, 2024: a community-based study","authors":"Fikremariam Endeshaw ,&nbsp;Getnet Kassahun Azene ,&nbsp;Haimanote Abebe Geletie ,&nbsp;Mulugeta Animaw Kahali ,&nbsp;Mebratu Demissie ,&nbsp;Alex Yeshaneh ,&nbsp;Aberash Beyene Derribow ,&nbsp;Aynalem Belay ,&nbsp;Daniel Tsega ,&nbsp;Abdulaziz Assefa ,&nbsp;Mangistu Abera ,&nbsp;Esuyawukal Mislu ,&nbsp;Dubale Dulla Koboto","doi":"10.1016/j.ijans.2026.101005","DOIUrl":"10.1016/j.ijans.2026.101005","url":null,"abstract":"<div><h3>Introduction</h3><div>During lactation, consuming a diversified food is essential for the health of mothers and infants. However, most breastfeeding mothers in low-income countries rely on a monotonous staple diet, which can lead to undernutrition, micronutrient deficiencies, and reduced productivity in future generations. Breastfeeding mothers should have a diversified diet. Despite this understanding, there is limited information on the minimum dietary diversity of breastfeeding mothers and its associated factors in the study area.</div></div><div><h3>Methods</h3><div>A community-based cross-sectional study was conducted among 632 breastfeeding mothers from March 02, 2024, to July 30, 2024. Participants were selected using simple random sampling techniques, and data were collected through a structured interviewer-administered questionnaire. Bivariable and multivariable binary logistic regression analyses were performed to identify factors associated with minimum dietary diversity, and statistical significance was declared at a p-value of &lt; 0.05.</div></div><div><h3>Results</h3><div>The prevalence of minimum dietary diversity among breastfeeding mothers was 50.4%. Good nutritional knowledge (AOR = 3.3; 95% CI: 1.9–5.5), decision-making autonomy (AOR = 2.2; 95% CI: 1.3–3.9), consuming three or more meals per day (AOR = 3.3; 95% CI: 1.3–8.0), having home gardening practices (AOR = 2.8; 95% CI: 1.6–4.9), household food security (AOR = 2.6; 95% CI: 1.1–5.9), and belonging to a higher wealth index (AOR = 3.3; 95% CI: 1.6–6.8) were independently associated with achieving minimum dietary diversity.</div></div><div><h3>Conclusion and recommendation</h3><div>The prevalence of minimum dietary diversity among breastfeeding mothers in southeast Ethiopia was low. Higher household wealth index, maternal decision-making autonomy, consumption of three or more meals per day, household food security, home gardening practices, and good nutritional knowledge were significantly associated with achieving minimum dietary diversity. These findings highlight the need for integrated, nurse-led interventions that strengthen maternal nutrition education, promote women’s empowerment in household decision-making, and encourage regular consumption of diversified diets during pregnancy and lactation. In addition, supporting home gardening practices and improving household food security through community-based and multi-sectorial approaches may contribute to improving dietary diversity and overall maternal nutritional status among breastfeeding mothers.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 101005"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146090547","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":"The effect of the ROOTS Program on empathy and bullying behavior in high school students in Bandung","authors":"Iyus Yosep ,&nbsp;Shelly Iskandar ,&nbsp;Ai Mardhiyah ,&nbsp;Muhammad Rasyid Ramdhani ,&nbsp;Rohman Hikmat","doi":"10.1016/j.ijans.2026.100995","DOIUrl":"10.1016/j.ijans.2026.100995","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the effect of the ROOTS Program on improving empathy and reducing bullying perpetration among Grade XI high school students in Bandung City, Indonesia.</div></div><div><h3>Methods</h3><div>A quasi-experimental pretest–posttest control group design was conducted with 120 students (intervention n = 60; control n = 60) purposively recruited from two public high schools in Bandung City. The intervention consisted of eight weekly sessions (60–90 min each) delivered using a structured peer-led approach with trained peer leaders under school supervision. Empathy was measured using the Basic Empathy Scale (BES) and bullying perpetration using the Adolescent Peer Relations Instrument (APRI). Intervention effects were examined using ANCOVA (posttest as the dependent variable; group as the independent variable; pretest as covariate), supported by within-group analyses and effect size estimates.</div></div><div><h3>Results</h3><div>Empathy increased significantly in the intervention group (BES: 2.81 ± 0.41 to 3.83 ± 0.39; p &lt; 0.001; Cohen’s d = 2.55), while no significant change occurred in the control group (2.79 ± 0.44 to 2.85 ± 0.42; p = 0.214). Bullying perpetration decreased significantly in the intervention group (APRI: 45.2 ± 7.6 to 32.6 ± 6.9; p &lt; 0.001; Cohen’s d = 1.72) but not in the control group (44.7 ± 7.2 to 43.5 ± 7.0; p = 0.112). ANCOVA showed significant between-group differences at posttest for empathy (F = 34.8; p &lt; 0.001; partial η2 = 0.22) and bullying perpetration (F = 28.6; p &lt; 0.001; partial η2 = 0.19).</div></div><div><h3>Conclusion</h3><div>In this Bandung City school setting, the ROOTS Program was associated with improved empathy and reduced bullying perpetration. A structured peer-led model may be considered as a feasible school-based strategy to strengthen a safe, inclusive, and prosocial learning climate.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 100995"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146090537","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":"Inpatient satisfaction with nursing care at the selected public hospitals in the Mopani District, Limpopo Province: Cross-sectional study","authors":"M.B. Mathoto ,&nbsp;R.N. Malema ,&nbsp;L. Muthelo ,&nbsp;T.A. Ntho ,&nbsp;P.M. Mphekgwana ,&nbsp;T.A. Phukubye ,&nbsp;M.O. Mbombi ,&nbsp;L. Tladi","doi":"10.1016/j.ijans.2025.100963","DOIUrl":"10.1016/j.ijans.2025.100963","url":null,"abstract":"<div><h3>Aim</h3><div>This study aimed to determine factors associated with patients’ satisfaction regarding nursing care provided at the selected public hospitals in the Mopani District, Limpopo Province.</div></div><div><h3>Method</h3><div>A quantitative cross-sectional survey of 201 inpatients, chosen by simple random sampling, was conducted using an adapted questionnaire with a Cronbach’s alpha of 0.85. Data were analysed using SPSS. Descriptive statistics and the Chi-Square Test of Independence were used to determine the relationship between socio-demographic and patient satisfaction. Patient satisfaction was compared among marital status using a one-way Analysis of Variance (ANOVA).</div></div><div><h3>Results</h3><div>The study found that 77 % of the respondents were satisfied with the nursing care. Greater satisfaction was observed in the aspects of nurses’ respect for patients’ rights (89 %); I have been given privacy by nurses (88 %), nurses deliver care competently (87 %), and nurses are skilful in performing procedures (86 %). Participants’ marital status (<em>p</em> = 0.043*) and patients’ satisfaction in the decisional control domain were significantly associated.</div></div><div><h3>Conclusion</h3><div>The results of this study indicate that the predominant factor contributing to the respondents’ satisfaction was affective support, followed by professional technical competencies. The majority of the respondents were least satisfied with the health information provided to them and the decisional control given to them, particularly on the aspects of nurses’ involvement of the family in care.</div></div><div><h3>Public contribution</h3><div>The findings of this study provide valuable empirical evidence on the factors influencing patient satisfaction with nursing care and may assist the Limpopo Provincial Department of Health and policymakers in developing targeted strategies to improve the quality of nursing services and enhance patient experiences.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 100963"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145938363","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":"The effects of nursing care planning through concept mapping on nursing students’ critical thinking skills","authors":"Shadi Dehghanzadeh ,&nbsp;Fatemeh Moaddab","doi":"10.1016/j.ijans.2025.100945","DOIUrl":"10.1016/j.ijans.2025.100945","url":null,"abstract":"<div><h3>Background</h3><div>Critical thinking (CT) is essential for nursing students to make sound clinical decisions and manage actual and potential problems in nursing. Concept mapping (CM), as an active learning strategy and teaching method, can enhance CT by helping students visually organize and connect clinical concepts during nursing care planning.</div></div><div><h3>Aim</h3><div>This study was conducted to assess the effects of nursing care planning through CM on nursing students’ CT skills.</div></div><div><h3>Methods</h3><div>This study was a quasi-experimental study with a two-group pretest–posttest design. All 84 nursing students who had enrolled on the critical care clinical course, had already been divided into eleven six- to nine-person small groups. Students in these eleven groups were randomly allocated to a control group (n = forty students) and an intervention group (n = 44 students). Clinical education in the control and the intervention groups was provided through routine linear nursing care planning method and CM, respectively. The California Critical Thinking Skills Test Form B and a CM scoring scale were used to assess participants’ CT and care plans, respectively. Data were analyzed using SPSS-V.25 and descriptive and inferential statistical tests (Chi-square test, <em>t-</em>test and ANCOVA), considering a significance level of P &lt; 0.05.</div></div><div><h3>Results</h3><div>The mean age of participants was 21.84 ± 1.16 years. There were no statistically significant differences between the groups respecting participants’ demographic characteristics (P &gt; 0.05). The post-test mean scores of care plans and the inductive reasoning and the analysis dimensions of CT skills in the intervention group were significantly greater than the control group (P &lt; 0.05). Within-group comparisons also showed that the mean scores of CT skills and its inductive reasoning, deductive reasoning, and analysis dimensions significantly increased in the intervention group (P &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>Nursing care planning through CM is effective in significantly improving CT skills among nursing students. Nursing education authorities and policy makers as well as nursing instructors are recommended to use CM for improving nursing students’ CT skills.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 100945"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145938570","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":"Adherence to intrapartum evidence-based practice and factors associated with it among midwives; a multi-center study","authors":"Eden Bishaw Taye ,&nbsp;Zewdu Wasie Taye ,&nbsp;Tsion Tadesse Haile ,&nbsp;Banchlay Addis ,&nbsp;Mihretie Kibret Awoke ,&nbsp;Melkie Mekonnen Bekele ,&nbsp;Marta Berta Abadi ,&nbsp;Haymanot Alem Muche","doi":"10.1016/j.ijans.2025.100959","DOIUrl":"10.1016/j.ijans.2025.100959","url":null,"abstract":"<div><h3>Background</h3><div>To reduce mortalities and improve outcomes for women and babies, every woman and every newborn must get routine, evidence-based care and management of complications during labour, childbirth, and the early postnatal period. This study aimed to assess midwives adherence to intrapartum evidence-based practice and factors associated with it.</div></div><div><h3>Method</h3><div>Institutional based cross-sectional study design was applied. Data was collected on 190 midwives via observational check list and a self-administered structured questionnaire. The collected data was entered into Epi Data version 3.1, and exported to STATA version 17 for analysis. Descriptive statistics was presented in tables and graphs. Bi-variable and multivariable logistic regression was performed to identify statistically significant variables using a cut-off p &lt; 0.2 in the bi-variable analysis to identify candidate variables for multivariable logistic regression. AOR with 95 % confidence interval was used to declare statistically significant variables on the basis of p &lt; 0.05 in the multivariable logistic regression model.</div></div><div><h3>Result</h3><div>The overall proportion of good adherence towards intrapartum evidence-based practice among Midwives was 58.42 % (95 % CI: 51.22, 65.28 %). Work experience of ≥ 5 years [AOR: 6.43; 95 %CI (3.09, 13.42)], availability of intrapartum care related guidelines in the workplace [AOR: 2.55; 95 %CI (1.16, 5.6)], internet accesses in the hospital [AOR: 2.54; 95 %CI (1.26, 5.94)], attend trainings related to intrapartum EBP [AOR: 2.46; 95 % CI (1.06, 5.7)]. Using scientific journals for health information source [AOR: 2.34; 95 % CI (1.02, 5.38)] were significantly associated with good adherence to intrapartum evidence based practice.</div></div><div><h3>Conclusion</h3><div>The findings have indicated that nearly three fifths of the study participants had good adherence to intrapartum evidence-based practice. Work experience, availability of intrapartum guidelines in the work place, internet access in the hospital, gaining trainings related to intrapartum care, and using scientific journals for health information sources were factors significantly associated with adherence to intrpartum evidence-based practice.</div><div>Abbreviations: AOR, Adjusted Odds Ratio; CI, Confidence Interval; COR, Crude Odds Ratio; EBP, Evidence-Based Practice; FHR, Fetal Heart Rate; SD, Standard Deviation; IV, Intra Venous; WHO, World Heath Organizations.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 100959"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145938569","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}