International Journal of Africa Nursing Sciences最新文献

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Inpatient satisfaction with nursing care at the selected public hospitals in the Mopani District, Limpopo Province: Cross-sectional study 林波波省莫帕尼区选定公立医院住院病人护理满意度:横断面研究
International Journal of Africa Nursing Sciences Pub Date : 2026-01-01 Epub Date: 2025-12-24 DOI: 10.1016/j.ijans.2025.100963
M.B. Mathoto , R.N. Malema , L. Muthelo , T.A. Ntho , P.M. Mphekgwana , T.A. Phukubye , M.O. Mbombi , L. Tladi
{"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}
引用次数: 0
The effects of nursing care planning through concept mapping on nursing students’ critical thinking skills 概念图护理计划对护生批判性思维能力的影响
International Journal of Africa Nursing Sciences Pub Date : 2026-01-01 Epub Date: 2025-12-23 DOI: 10.1016/j.ijans.2025.100945
Shadi Dehghanzadeh , Fatemeh Moaddab
{"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}
引用次数: 0
Adherence to intrapartum evidence-based practice and factors associated with it among midwives; a multi-center study 助产士对产时循证实践的依从性及其相关因素;多中心研究
International Journal of Africa Nursing Sciences Pub Date : 2026-01-01 Epub Date: 2025-12-23 DOI: 10.1016/j.ijans.2025.100959
Eden Bishaw Taye , Zewdu Wasie Taye , Tsion Tadesse Haile , Banchlay Addis , Mihretie Kibret Awoke , Melkie Mekonnen Bekele , Marta Berta Abadi , Haymanot Alem Muche
{"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}
引用次数: 0
The relationship between spiritual health and depression and anxiety among COVID-19 patients: a cross-sectional study COVID-19患者精神健康与抑郁、焦虑关系的横断面研究
International Journal of Africa Nursing Sciences Pub Date : 2026-01-01 Epub Date: 2025-12-18 DOI: 10.1016/j.ijans.2025.100941
Razieh Mokhtari , Kamel Abdi , Mohamad Golitaleb , Ali Safdari
{"title":"The relationship between spiritual health and depression and anxiety among COVID-19 patients: a cross-sectional study","authors":"Razieh Mokhtari ,&nbsp;Kamel Abdi ,&nbsp;Mohamad Golitaleb ,&nbsp;Ali Safdari","doi":"10.1016/j.ijans.2025.100941","DOIUrl":"10.1016/j.ijans.2025.100941","url":null,"abstract":"<div><h3>Background</h3><div>The COVID-19 pandemic has significantly affected mental health worldwide, particularly among patients with the disease. Spiritual health may influence psychological resilience and adaptation. This study examined the relationship between spiritual health, depression, and anxiety in hospitalized COVID-19 patients in Iran.</div></div><div><h3>Materials &amp; Methods</h3><div>A cross-sectional study was conducted on 200 patients admitted to Amiralmomenin Hospital, Arak, Iran, using convenience sampling between June and December 2022. Data were collected using a demographic questionnaire, the Ellison &amp; Paloutzian Spiritual Health Questionnaire, the COVID-19 Anxiety Scale (CDAS), and the Beck Depression Inventory. Data were analyzed using SPSS version 25, applying descriptive and inferential statistical methods.</div></div><div><h3>Results</h3><div>More than half of the participants reported minimal levels of depression and COVID-19–related anxiety. Depression was significantly and positively correlated with mental anxiety (r<sub>s</sub> = 0.250, p &lt; 0.001) and physical anxiety (r<sub>s</sub> = 0.292, p &lt; 0.001). Religious well-being showed a statistically significant positive correlation with physical anxiety (r<sub>s</sub> = 0.143, p = 0.043), while no significant correlations were observed between religious or existential well-being and depression. Existential well-being was significantly correlated with religious well-being (r<sub>s</sub> = 0.401, p &lt; 0.001). No significant differences in depression, anxiety, or spiritual health scores were observed according to sex or marital status.</div></div><div><h3>Conclusion</h3><div>Depression was associated with COVID-19–related anxiety, while spiritual health showed no significant link with depression. These findings highlight the importance of addressing mental health in hospitalized COVID-19 patients.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 100941"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145938564","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}
引用次数: 0
SAPS II or APACHE II is better to predict mortality in patients admitted at ICU SAPS II或APACHE II预测ICU住院患者死亡率较好
International Journal of Africa Nursing Sciences Pub Date : 2026-01-01 Epub Date: 2026-01-07 DOI: 10.1016/j.ijans.2026.100979
Seksan Chaisuksant , Pavinee Noinard , Watchara Boonsawat , Kittisak Sawanyawisuth
{"title":"SAPS II or APACHE II is better to predict mortality in patients admitted at ICU","authors":"Seksan Chaisuksant ,&nbsp;Pavinee Noinard ,&nbsp;Watchara Boonsawat ,&nbsp;Kittisak Sawanyawisuth","doi":"10.1016/j.ijans.2026.100979","DOIUrl":"10.1016/j.ijans.2026.100979","url":null,"abstract":"<div><h3>Introduction</h3><div>Selecting patients to admit at the ICU is crucial. The SAPS II and APACHE II scores have been used to choose appropriate patients to the ICU particularly in resource limited setting. However, which score is the best predictor is still debating.</div></div><div><h3>Objective</h3><div>To compare both scores in regards of ICU mortality prediction.</div></div><div><h3>Methods</h3><div>This was a retrospective cohort study at xx Hospital between Jan 1, 2016 to Jan 1, 2017. The inclusion criteria were consecutive adult patients who admitted and treated at the ICU. Those patients who admitted at the ICU for procedures such as hemodialysis were excluded. Clinical factors including SAPS II and APACHE II were studied. The primary outcome was death at the ICU. Independent factors associated with mortality were analyzed by multivariate logistic regression analysis. For significant scores to predict mortality, a receiver operating characteristic (ROC) curve was executed to calculate diagnostic properties of each cut off points.</div></div><div><h3>Results</h3><div>During the study period, there were 201 eligible patients. Of those, 98 patients (48.76 %) died. Those who died had higher average SAPS II score and APACHE score than those who were survived significantly (49.76 vs 30.61; p value &lt; 0.001; 23.88 vs 20.62; p value 0.016). There were three independent factors associated with mortality including SAPS II score, male sex, and sepsis with adjusted odds ratio (95 % CI) of 1.04 (1.02, 1.07), 2.10 (1.08, 4.06), and 2.33 (1.09, 4.97), respectively. The SAPS II score of more than 27 gave sensitivity of 90.82 %, specificity of 16.50 %, and the area under ROC curve of 73.18 %.</div></div><div><h3>Conclusion</h3><div>SAPS II showed better performance than APACHE II in this population. Further studies are needed to confirm the results of this study.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 100979"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145938648","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}
引用次数: 0
The effect of social media use on nursing students’ general fatigue: The mediating roles of academic engagement and academic procrastination 社交媒体使用对护生一般疲劳的影响:学业投入和学业拖延的中介作用
International Journal of Africa Nursing Sciences Pub Date : 2026-01-01 Epub Date: 2026-03-10 DOI: 10.1016/j.ijans.2026.101035
Rashidatu Monne , Mudasir Mohammed Ibrahim , Abubakari Wuni , Barratu Issah , Flavia A. Atirekpere , Munira Abdul-Razak , Abdul Latif Abdul Rahaman , Iddrisu Mohammed Sisala
{"title":"The effect of social media use on nursing students’ general fatigue: The mediating roles of academic engagement and academic procrastination","authors":"Rashidatu Monne ,&nbsp;Mudasir Mohammed Ibrahim ,&nbsp;Abubakari Wuni ,&nbsp;Barratu Issah ,&nbsp;Flavia A. Atirekpere ,&nbsp;Munira Abdul-Razak ,&nbsp;Abdul Latif Abdul Rahaman ,&nbsp;Iddrisu Mohammed Sisala","doi":"10.1016/j.ijans.2026.101035","DOIUrl":"10.1016/j.ijans.2026.101035","url":null,"abstract":"<div><h3>Background</h3><div>Social media addiction is increasingly prevalent among students and has been linked to negative academic and psychological outcomes. Understanding the mechanisms through which SMA impacts student well-being, particularly fatigue, remains limited in the nursing education context.</div></div><div><h3>Aim</h3><div>This study investigated the mediating roles of academic engagement and academic procrastination in the relationship between social media addiction and general fatigue among college nursing students in Northern Ghana.</div></div><div><h3>Methods</h3><div>A cross-sectional analytical survey was conducted among 373 nursing students. The hypothesized relationships among the variables were tested using structural equation modeling (SEM) in R, with the <em>lavaan</em> package.</div></div><div><h3>Results</h3><div>The average SMA score was 16.36 ± 4.54. The mean scores for academic engagement, procrastination, and general fatigue were 4.25 ± 1.29, 3.06 ± 0.60, and 2.53 ± 0.64, respectively. SMA significantly predicted lower academic engagement (β = -0.29, <em>p</em> &lt; 0.001) and higher academic procrastination (β = 0.32, <em>p</em> &lt; 0.001). Academic engagement negatively predicted both academic procrastination (β = -0.20, <em>p</em> &lt; 0.001) and general fatigue (β = -0.16, <em>p</em> = 0.003), while academic procrastination positively predicted general fatigue (β = 0.14, <em>p</em> = 0.012). The direct effect of SMA on general fatigue was not statistically significant (β = 0.02, <em>p</em> = 0.801). However, significant indirect effects were found through academic engagement (β = 0.06, <em>p</em> &lt; 0.001), and academic procrastination (β = 0.07, <em>p</em> = 0.004).</div></div><div><h3>Conclusion</h3><div>Social media addiction does not directly increase general fatigue among nursing students; rather, its effect occurs indirectly through reduced academic engagement and increased academic procrastination.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"25 ","pages":"Article 101035"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147419263","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}
引用次数: 0
Global research trends on case managers in chronic disease management: A bibliometric analysis (2005–2025) 慢性病管理中病例管理人员的全球研究趋势:文献计量学分析(2005-2025)
International Journal of Africa Nursing Sciences Pub Date : 2026-01-01 Epub Date: 2026-03-10 DOI: 10.1016/j.ijans.2026.101038
Muhammad Rizky Asfarada , Ati Surya Mediawati , Maria Komariah , Mohd Khairul Zul Hasymi Firdaus , Sidik Maulana , Musmulyono
{"title":"Global research trends on case managers in chronic disease management: A bibliometric analysis (2005–2025)","authors":"Muhammad Rizky Asfarada ,&nbsp;Ati Surya Mediawati ,&nbsp;Maria Komariah ,&nbsp;Mohd Khairul Zul Hasymi Firdaus ,&nbsp;Sidik Maulana ,&nbsp;Musmulyono","doi":"10.1016/j.ijans.2026.101038","DOIUrl":"10.1016/j.ijans.2026.101038","url":null,"abstract":"<div><h3>Background</h3><div>Chronic diseases are the leading global cause of mortality, and fragmented care can worsen outcomes, especially in health systems with workforce and coordination constraints. Case management-related roles (case managers, care coordinators, patient navigators) are increasingly used to support continuous, integrated, people-centered care. However, prior reviews mainly assess effectiveness in specific diseases or settings and rarely map global publication trends, geographic disparities, collaboration patterns, or thematic evolution.</div></div><div><h3>Aim</h3><div>To map the global research landscape on case management-related roles in chronic disease management (2005–2025), including publication trends, geographic contributions, influential documents, and thematic structures.</div></div><div><h3>Methods</h3><div>A bibliometric analysis was conducted using Scopus and PubMed. English-language articles, reviews, and conference papers (2005–2025) were included. Records were deduplicated and analyzed in VOSviewer using keyword and title/abstract term co-occurrence mapping; screening followed PRISMA 2020.</div></div><div><h3>Results</h3><div>After screening, 574 publications were included. Output increased markedly after the mid-2010 s and was concentrated in high-income countries, with limited representation from low- and middle-income countries. Co-occurrence mapping showed interconnected themes spanning integrated care models, community/navigation approaches, role development, and evaluation/implementation, with recent emphasis on multimorbidity, self-management, and technology-enabled coordination.</div></div><div><h3>Conclusion</h3><div>Research on case management-related roles in chronic disease care has expanded and diversified toward integrated, people-centered, longitudinal care. Future work should strengthen implementation-focused evidence (including outcomes and costs), reduce geographic inequities, and clarify how digital tools are embedded within redesigned care pathways to support scalable and equitable chronic care.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"25 ","pages":"Article 101038"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147419265","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}
引用次数: 0
The perceived impact of a Student-Led domiciliary midwifery care on Patient-Centered Care: A mixed methods Inquiry into postnatal Mothers’ experiences 以学生为主导的助产护理对以病人为中心的护理的感知影响:产后母亲经验的混合方法调查
International Journal of Africa Nursing Sciences Pub Date : 2026-01-01 Epub Date: 2026-02-09 DOI: 10.1016/j.ijans.2026.101022
Mary Aleni , Joshua Epuitai , Mary Grace Akao , Richard Mangwi Ayiasi , Mildred Edna Assusi , Monicah Andru , Douglas Tonny Otim , Tracy Alexis Kakyo
{"title":"The perceived impact of a Student-Led domiciliary midwifery care on Patient-Centered Care: A mixed methods Inquiry into postnatal Mothers’ experiences","authors":"Mary Aleni ,&nbsp;Joshua Epuitai ,&nbsp;Mary Grace Akao ,&nbsp;Richard Mangwi Ayiasi ,&nbsp;Mildred Edna Assusi ,&nbsp;Monicah Andru ,&nbsp;Douglas Tonny Otim ,&nbsp;Tracy Alexis Kakyo","doi":"10.1016/j.ijans.2026.101022","DOIUrl":"10.1016/j.ijans.2026.101022","url":null,"abstract":"<div><h3>Background</h3><div>Domiciliary midwifery care focuses on providing pregnancy, labor, and postpartum care in women’s homes rather than in health facilities, yet this model of care remains underexplored in Uganda.</div></div><div><h3>Purpose</h3><div>To examine the experiences of postnatal mothers with a student-led domiciliary midwifery care and its influence on patient-centered care.</div></div><div><h3>Materials and Methods</h3><div>We conducted a sequential explanatory mixed-methods design among postnatal mothers who had received student-led domiciliary midwifery care. Quantitative data were collected using a patient-centered care (PCC) scale, while qualitative data were collected using in-depth interview. Qualitative data were analyzed using content analysis based on the PCC constructs, while quantitative data were summarized using descriptive statistics.</div></div><div><h3>Results</h3><div>Mothers experienced moderate levels of PCC after completing the student-led domiciliary midwifery care (Mean 3.46 ± 0.704) and were satisfied with the care provided (Mean 4.19 ± 0.804). Respect for patients’ preferences, values, and needs scored highest among the PCC constructs (Mean 4.03 ± 0.94), whereas continuity and transition of care scored lowest (Mean 2.92 ± 1.06). Client’s experience of domiciliary care was shaped by skepticism toward new model of care, the familiarity of home setting versus hospital settings, and care provided by male students.</div></div><div><h3>Conclusion</h3><div>Student-led domiciliary midwifery care had a moderate effect on PCC, with most postnatal women satisfied with the care. The Findings highlight the need to raise community awareness about domiciliary midwifery and the importance of integrating mothers’ experiences into curriculum design.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 101022"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147419746","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}
引用次数: 0
Medical error and three concealed victims: The patient, healthcare caregivers, and the credibility of the healthcare system 医疗差错和三个隐藏的受害者:病人、医护人员和医疗系统的信誉
International Journal of Africa Nursing Sciences Pub Date : 2026-01-01 Epub Date: 2025-12-13 DOI: 10.1016/j.ijans.2025.100940
Pardis Roumiani , Hadis Roumiani , Ali Safdari
{"title":"Medical error and three concealed victims: The patient, healthcare caregivers, and the credibility of the healthcare system","authors":"Pardis Roumiani ,&nbsp;Hadis Roumiani ,&nbsp;Ali Safdari","doi":"10.1016/j.ijans.2025.100940","DOIUrl":"10.1016/j.ijans.2025.100940","url":null,"abstract":"<div><div>Medical errors, including execution and planning failures, remain a critical concern in global healthcare. They are the third leading cause of death in some countries and impose severe consequences not only on patients (first victims) but also on healthcare providers (second victims) and institutions (third victims). Affected professionals often experience emotional distress, while organizations face legal, financial, and reputational damage. Despite limited research on the third victim phenomenon, evidence highlights significant economic impacts, including billions in annual costs. Addressing medical errors requires systemic strategies: fostering a culture of safety, continuous staff education, standardized protocols, improved team communication, and meaningful patient engagement. Non-punitive error reporting and integration of evidence-based technologies and decision-support systems are also crucial. Ultimately, medical errors are not intrinsic to healthcare but reflect systemic weaknesses. Continuous quality improvement, guided by international experience and localized solutions, is essential to reduce errors, support staff well-being, and restore public trust.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 100940"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145797089","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}
引用次数: 0
Male partner support in breastfeeding practices and associated factors among mothers having less than a year of infant in Jimma town 吉马镇男性伴侣对母乳喂养做法的支持及婴儿不足一年的母亲的相关因素
International Journal of Africa Nursing Sciences Pub Date : 2026-01-01 Epub Date: 2026-03-24 DOI: 10.1016/j.ijans.2026.101054
Yemisirach Firetsdk , Ebrahim Yimam , Bayisa Bereka , Lemlem Negussie , Mulatu Abageda
{"title":"Male partner support in breastfeeding practices and associated factors among mothers having less than a year of infant in Jimma town","authors":"Yemisirach Firetsdk ,&nbsp;Ebrahim Yimam ,&nbsp;Bayisa Bereka ,&nbsp;Lemlem Negussie ,&nbsp;Mulatu Abageda","doi":"10.1016/j.ijans.2026.101054","DOIUrl":"10.1016/j.ijans.2026.101054","url":null,"abstract":"<div><h3>Background</h3><div>Breastfeeding is crucial for infant health, but various factors can influence its optimal practices. Male partners play a significant yet often unrecognized role in supporting breastfeeding. Therefore, this study aims to assess the magnitude of male partner support in breast feeding practices and associated factors among mothers having less than a year of infant in Jimma Town, Southwest Ethiopia.</div></div><div><h3>Methods</h3><div>A community-based cross-sectional study was conducted from August 1–September 5,2022, using both quantitative and qualitative approaches. A multistage sampling method selected 483 respondents for the quantitative analysis, while 12 fathers and 6 healthcare providers were purposively chosen for qualitative interviews. A structured questionnaire was used for quantitative and an interview guide for qualitative study. Data were analyzed using SPSS version 23.0, with multivariate logistic regression identifying significant predictors (p &lt; 0.05).</div></div><div><h3>Results</h3><div>The study revealed that 55.9% of male partners provided good breastfeeding support. Key factors associated with good support were among male partners who visited health facilities (AOR = 12.507), have more than one child (AOR = 1.822), social media users (AOR = 3.132), wives’ perceptions towards male partner support (AOR = 2.598), living in urban area (AOR = 2.370).Qualitative data revealed misconceptions about breastfeeding and insufficient counseling during antenatal care as barriers to male partner support.</div></div><div><h3>Conclusions</h3><div>Over half of male partners provide good breastfeeding support, influenced by various factors. Targeted interventions focusing on education and counseling for male partners are recommended to enhance breastfeeding practices.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"25 ","pages":"Article 101054"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147601884","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}
引用次数: 0
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