International Journal of Africa Nursing Sciences最新文献

{"title":"Bundle for catheter insertion and prevention of primary bloodstream infection in peripherally inserted central catheters","authors":"Juliana Almeida de Oliveira ,&nbsp;Helena Ferraz Gomes ,&nbsp;Dayana Carvalho Leite ,&nbsp;Bruna Maiara Ferreira Barreto Pires ,&nbsp;Cristiene Faria ,&nbsp;Carolina Cabral Pereira da Costa ,&nbsp;Priscila Cristina da Silva Thiengo de Andrade ,&nbsp;Rafael Pires Silva ,&nbsp;Antonio Marcos Tosoli Gomes ,&nbsp;Alexandrina de Aguiar Ciríaco ,&nbsp;Lívia Fajin de Mello ,&nbsp;Luciana Guimarães Assad ,&nbsp;Vanessa Galdino de Paula ,&nbsp;Luana Ferreira de Almeida ,&nbsp;Danuza Gomes de Jesus Ferreira ,&nbsp;Laura Queiroz dos Anjos ,&nbsp;Carlos Eduardo Peres Sampaio ,&nbsp;Jaynne Gleyce dos Santos Silva ,&nbsp;Renata de Oliveira Maciel ,&nbsp;Larihssa Mendes Torres Correa ,&nbsp;Ellen Marcia Peres","doi":"10.1016/j.ijans.2025.100872","DOIUrl":"10.1016/j.ijans.2025.100872","url":null,"abstract":"<div><h3>Objective</h3><div>To develop and validate the content of a nursing care Bundle for the insertion and management of peripherally inserted central catheters, based on the scientific literature, with the aim of preventing bloodstream infections.</div></div><div><h3>Methods</h3><div>A methodological study was conducted in three stages: integrative literature review, bundle construction, and content validation by expert judges. The Bundle submitted for validation consisted of 21 nursing care items derived from the literature review. A content validity index above 80% was used to assess agreement.</div></div><div><h3>Results</h3><div>Out of the 27 items evaluated by the expert judges, two were excluded due to a content validity index lower than 0.80, one item was consolidated, and another item was revised. The final version of the Bundle comprised 24 items. The nursing care included, following validation, pertained to the insertion, handling, and maintenance of the catheter in the context of preventing primary bloodstream infections associated with its use, as well as patient safety.</div></div><div><h3>Conclusion</h3><div>This research serves as a starting point for the development of implementation and management tools for nursing care, and as a resource to support training and education processes. Consequently, it yields results that contribute to improving the quality of care and indicators related to bloodstream infections.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"23 ","pages":"Article 100872"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144679587","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":"Effectiveness of Basic Trauma Nursing Management Course (BTNMC) in the level of knowledge among staff nurses","authors":"Alfred Dahbi ,&nbsp;Benjamin Joel L. Breboneria ,&nbsp;Soheir Mohammed Ahmed Ali ,&nbsp;Paulo Carl G. Mejia ,&nbsp;Rock P. Cordero ,&nbsp;Annie Rosita","doi":"10.1016/j.ijans.2025.100839","DOIUrl":"10.1016/j.ijans.2025.100839","url":null,"abstract":"<div><h3>Introduction</h3><div>It has been reported that nurses lack necessary training, skills and knowledge when caring for trauma patients.</div></div><div><h3>Objective</h3><div>The researcher, being a Trauma Life Support Specialist developed “Basic Trauma Nursing Management Course” that aims to determine the effectiveness of the said training program in enhancing the knowledge level to trauma care among staff nurses.</div></div><div><h3>Methods</h3><div>The study utilized one- group, quasi-experimental. The study included 50- emergency room staff nurses in United Arab Emirates.</div></div><div><h3>Results</h3><div>The findings of the study revealed that most of the participants have a moderate knowledge (x̅ = 26.18) before the implementation of the Basic Trauma Nursing Management Course. Most of the participants developed a high knowledge (x̅ = 36.56) after the training program.<!--> <!-->T-test of dependent sample<!--> <!-->revealed that there is a statistically significant difference in the knowledge scores of staff nurses to trauma nursing care before and after the training program.</div></div><div><h3>Conclusion</h3><div>The study concluded that the basic trauma nursing management course is effective in improving the knowledge among staff nurses.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"22 ","pages":"Article 100839"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143679897","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":"Comparison of nursing students’ experiences of learning nursing in Sierra Leone and Norway","authors":"Rebecca Amara ,&nbsp;Donald Santigie Conteh ,&nbsp;Joseph Edem-Hotah ,&nbsp;Mohamed James Koroma ,&nbsp;Anneline Røssland ,&nbsp;Ragnhild Johanne Tveit Sekse ,&nbsp;Tove Giske","doi":"10.1016/j.ijans.2025.100834","DOIUrl":"10.1016/j.ijans.2025.100834","url":null,"abstract":"<div><h3>Background</h3><div>Nursing is the backbone of health care systems world-wide however, the entry levels and the level of nursing education varies in different countries. A combination of classroom teaching and skills laboratory, and clinical placements in different parts of health care is the standard of nursing education. With a growing number of nursing students in each class, there are challenges in providing suitable physical structures, availability of placements, and human resources to facilitate good quality education in nursing.</div></div><div><h3>Aim</h3><div>To explore the similarities and differences between how nursing students experience learning nursing in Sierra Leone and Norway.</div></div><div><h3>Method</h3><div>A qualitative research design, using thematic analysis was chosen to analyse focus group interviews of students. Nineteen students from Sierra Leone took part in four focus group interviews and six students from Norway took part in two focus groups. Data were collected from November 2022 to January 2023. Lecturers from Sierra Leone and Norway analysed the transcribed interviews together.</div><div><em>Findings:</em> Four main themes evolved through the analysis: 1) culture as the backdrop of the study and how it impacted the learning process, 2) the importance of a conducive learning environment, 3) how students take ownership of their learning, and 4) students longing for inclusion.</div></div><div><h3>Conclusion</h3><div>Nursing students encountered positive and negative experiences that were similar or different in relation to the country and institution. At VID (V: Vitenskapelig = Scientific, I: International, D: Diaconal) Specialized University, Norway, students owned their learning whilst at COMAHS (College of Medicine and Allied Health Sciences), University of Sierra Leone, students depended on lectures for their learning. Students in both institutions longed to be included in their learning both theoretically and in the clinical settings.</div></div><div><h3>Recommendation</h3><div>Provide continuing education programmes for faculties on student-centred learning, preceptorship and simulation practices.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"22 ","pages":"Article 100834"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143697676","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":"Oncology healthcare professionals’ awareness and understanding of compassion fatigue and its manifestation in public healthcare facilities, KwaZulu-Natal, South Africa","authors":"Phindile Mlaba ,&nbsp;Themba Ginindza ,&nbsp;Khumbulani Hlongwana","doi":"10.1016/j.ijans.2025.100848","DOIUrl":"10.1016/j.ijans.2025.100848","url":null,"abstract":"<div><h3>Background</h3><div>Oncology healthcare professionals (OHPs) are continuously exposed to the pain, suffering and demise of patients in their care, which render them vulnerable to compassion fatigue (CF) and other related conditions. CF is described as ‘the cost of caring’ and is an inevitable occurrence in the healthcare profession.</div></div><div><h3>Aim</h3><div>This study explored the OHPs’ awareness and understanding of CF, including its manifestation in public healthcare facilities.</div></div><div><h3>Setting</h3><div>This research study was conducted in three public healthcare facilities that offer full oncology services in KwaZulu-Natal, South Africa.</div></div><div><h3>Methods</h3><div>This qualitative study was rooted in the exploratory descriptive design which was ideal for deepening our understanding of OHPs’ awareness of CF and its manifestations as experienced by the OHPs. In-depth interviews were conducted among 31 OHPs.</div></div><div><h3>Results</h3><div>Three main themes and seven sub-themes emerged from the data analysis. The main themes were (a) OHPs’ awareness, understanding and manifestation of CF, (b) CF mitigation activities, and (c) The pros and cons of a high-pressure work environment. The themes were centred round the OHPs’ understanding of CF and their workplace experiences that contributed to CF.</div></div><div><h3>Conclusion</h3><div>OHP’s conceptual understanding of CF was superficial, hence educational interventions are required to improve their awareness. OHPs continue to face many workplace challenges that contribute to CF. The findings of this study provide evidence of the need for interventions that are dedicated to the management of CF.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"22 ","pages":"Article 100848"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143777674","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":"Determining the correlation between emotional intelligence and job motivation among nursing staff in public hospitals in Ilam City, Iran","authors":"Rostam Menati ,&nbsp;Mohammad Reza Omidi ,&nbsp;Nabi Omidi","doi":"10.1016/j.ijans.2025.100857","DOIUrl":"10.1016/j.ijans.2025.100857","url":null,"abstract":"<div><h3>Background and aim</h3><div>Emotional intelligence (EI) is a critical factor in enhancing human resource management and organizational performance. It serves as a modern tool for managers to guide individuals effectively. Job motivation reflects employees’ willingness to overcome workplace challenges and adapt to their roles. This study examines the impact of EI on the job motivation of nurses in public hospitals in Ilam, Iran.</div></div><div><h3>Methods</h3><div>A cross-sectional descriptive study was conducted in 2024 among nurses working in public hospitals in Ilam. Using Cochran’s formula, a sample size of 178 was determined, with 142 participants completing the questionnaires. Data were collected using the Bar-On Emotional Intelligence Questionnaire and the Hackman and Oldham Job Motivation Questionnaire. Pearson’s correlation test was employed to analyze the relationship between EI and job motivation using SPSS software (version 20).</div></div><div><h3>Results</h3><div>A significant positive correlation was found between EI and job motivation among nurses. The Pearson correlation coefficients for EI components were as follows: self-awareness (r = 0.542, p = 0.021), self-respect (r = 0.782, p = 0.033), social skills (r = 0.757, p = 0.037), empathy (r = 0.615, p = 0.015), and flexibility (r = 0.631, p = 0.010). These findings indicate a strong, positive, and significant relationship between EI components and job motivation.</div></div><div><h3>Conclusion</h3><div>The study highlights the importance of EI in enhancing job motivation among nurses. Hospital managers can improve motivation by implementing EI training programs, which may lead to increased job satisfaction and better hospital performance.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"22 ","pages":"Article 100857"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144088853","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":"Corrigendum to “Serious games in nursing education: A systematic review of current evidence” [Int. J. Afr. Nurs. Sci. 22 (2025) 100838]","authors":"Esmaeil Mehraeen ,&nbsp;Mohsen Dashti ,&nbsp;Pegah Mirzapour ,&nbsp;Afsaneh Ghasemzadeh ,&nbsp;Shima Jahani ,&nbsp;Amir Masoud Afsahi ,&nbsp;Sina Mohammadi ,&nbsp;Fatemeh Khajeh Akhtaran ,&nbsp;Mohammad Mehrtak ,&nbsp;SeyedAhmad SeyedAlinaghi","doi":"10.1016/j.ijans.2025.100845","DOIUrl":"10.1016/j.ijans.2025.100845","url":null,"abstract":"","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"22 ","pages":"Article 100845"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144222727","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":"Exploring the views of nurse managers on research utilization in clinical nursing and midwifery practice","authors":"Lydia Boampong Owusu ,&nbsp;Nicholin Scheepers ,&nbsp;Immaculate Sabelile Tenza","doi":"10.1016/j.ijans.2025.100859","DOIUrl":"10.1016/j.ijans.2025.100859","url":null,"abstract":"<div><h3>Context</h3><div>Globally, there is growing emphasis on research utilization in healthcare. Nurse managers, as key figures in healthcare management, play a crucial role in research utilization in clinical nursing and midwifery practice through coordinating nursing and midwifery activities and implementing organizational policies. However, their perspectives on research utilization have not been fully explored, especially in the African context.</div></div><div><h3>Aim</h3><div>The study aimed to explore the views of nurse managers on research utilization in clinical nursing and midwifery practice applying the Rogers’ theory of diffusion of innovation.</div></div><div><h3>Methods</h3><div>A qualitative descriptive study design was employed. Heads of nursing and midwifery services in six hospitals were engaged in in-depth interviews. The recorded interviews were transcribed and thematically analyzed.</div></div><div><h3>Results</h3><div>Four themes emerged from the analysed data: Positive views about research utilization; Reflection on readiness for research utilization; Barriers to implementing research utilization in clinical practice; and Solutions for creating research utilization-friendly environments. The nurse managers perceive research utilization as enabling awareness of new trends, and that it is evidence-based and has real-world applications.</div></div><div><h3>Conclusion</h3><div>Nurse managers view research utilization as a vehicle for staying abreast with emerging trends, grounded in evidence, and with tangible real-world applications. Nurse managers can enhance research utilization in clinical practice by fostering a culture of evidence-based decision-making among their staff. They play a key role in identifying and mitigating barriers to research utilization, such as lengthy organizational processes, and promoting a research culture by actively endorsing and facilitating policies and regulations on research activities.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"23 ","pages":"Article 100859"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144263931","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":"Midwives’ competence in interpretation of the intrapartum cardiotocograph at public hospitals in Gauteng: An explanatory sequential mixed-methods study","authors":"Sanele Lukhele ,&nbsp;Fhumulani Mavis Mulaudzi ,&nbsp;Rodwell Gundo","doi":"10.1016/j.ijans.2025.100825","DOIUrl":"10.1016/j.ijans.2025.100825","url":null,"abstract":"<div><h3>Background</h3><div>Cardiotocograph (CTG) tracing is a routine intrapartum care procedure for women who have been diagnosed with high-risk pregnancy. The aim of the CTG is to identify fetuses that are at risk in order to expedite delivery.</div></div><div><h3>Purpose</h3><div>To asssess midwives’ competence in the interpretation of the intrapartum cardiotocograph at public hospitals in Gauteng.</div></div><div><h3>Methods</h3><div>An explanatory sequential mixed-methods approach was used. During phase one, 122 midwives in Johannesburg and Tshwane District filled in self-administered questionnaires, and during phase two, 30 midwives took part in semi-structured qualitative interviews. The data from both phases was analyzed separately and then integrated using the Pillar Integration Process.</div></div><div><h3>Results</h3><div>The Pillar Integration Process led to the identification of six pillars: 1) substandard CTG interpretation training leads to a lack of understanding of key concepts; 2) absence of norms and standards pertaining to CTG interpretation training; 3) Essential Steps in Managing Obstetric Emergencies (ESMOE) training does not result in improved CTG interpretation scores; 4) lack of standardization of CTG interpretation guidelines causes confusion among interpreters; 5) level of knowledge of foundational concepts of CTG interpretation affects clinical judgment; and 6) CTG interpretation skill is a combination of understanding of CTG characteristics, fetal heart rate pattern, fetal physiology and clinical context.</div></div><div><h3>Conclusion</h3><div>The results highlighted a knowledge deficit in CTG interpretation and shortfalls in the current CTG training programs. This can be remediated by the development of a CTG training program which is benchmarked with existing programs which have demonstrated good knowledge scores of participants over a long period.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"22 ","pages":"Article 100825"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143429434","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":"Assessing the effect of awareness of international oxygen therapy guidelines on oxygen administration practices among nurses during the COVID-19 pandemic: A survey of nurses working in the pediatric and medical departments of a National Teaching and Referral Hospital in low-resource settings","authors":"Joseph Odhiambo ,&nbsp;Lucy W Kivuti-Bitok ,&nbsp;Solomon Omare ,&nbsp;Irene Ngune","doi":"10.1016/j.ijans.2025.100835","DOIUrl":"10.1016/j.ijans.2025.100835","url":null,"abstract":"<div><div>Awareness of International Oxygen Therapy Guidelines (IOTG) may have impacted oxygen therapy experience during the coronavirus (COVID-19) pandemic. This study explored if nurses at Kenyatta National Hospital (KNH) were aware of IOTG and if this awareness influenced their practice of oxygen administration during Covid-19 era. A survey of 80 nurses, from both pediatric and medical departments was carried out. Data collection was done through a self-administered questionnaire. Data were analyzed using descriptive statistics and the association between variables with Chi-square and <em>t</em>-test at p &lt; 0.05.</div><div>The mean age of the respondents was 39.82 ± 9.32, and 66.3 % were females. Respondents had an average of 2.47 years (±2.35) since the last oxygen therapy refresher training. Over 60 % of participants had been administered oxygen less than a month preceding the survey. Lack of awareness of IOTG (<em>X² =</em> 7.113 (df = 1, n = 80), p = 0.008<strong>)</strong> and experience administering oxygen to a covid-19 patient (<em>X² =</em> 6.851 (df = 1, n = 80), p = 0.018<strong>)</strong>, were associated with low awareness of Covid-19 ventilation and oxygenation guidelines.</div><div>Experience of having administered Oxygen to a Covid-19 patient (<em>X² =</em> 6.851 (df = 1, n = 80), p = 0.018<strong>)</strong> and having reviewed or used any guidelines on oxygen therapy (<em>X² =</em> 7.113 (df <strong>=</strong> 1, n = 80), p = 0.008<strong>)</strong> were significantly associated with awareness of covid 19 ventilation and oxygenation guidelines.</div><div>Further regular training in oxygen therapy is needed to ensure good clinical practice.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"22 ","pages":"Article 100835"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143697679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A framework to enhance clinical learning and teaching in undergraduate nursing education in Ghana","authors":"Kafui A. Hobenu ,&nbsp;Anthonio O. Adefuye ,&nbsp;Florence Naab ,&nbsp;Champion N. Nyoni","doi":"10.1016/j.ijans.2025.100830","DOIUrl":"10.1016/j.ijans.2025.100830","url":null,"abstract":"<div><h3>Background</h3><div>Nursing education is intended to produce practice-ready nurses at graduation to render high-quality care to the deserving populace. This expectation is, however, far-fetched amid the numerous challenges confronting clinical education. Although frameworks for nursing education have proved effective in guiding clinical education, nurse educators in low-income contexts acknowledge the difficulty in identifying appropriate frameworks to guide clinical education. Currently, clinical education in Ghana is compromised and fragmented, and the existing frameworks are not aligned with context-specific needs, resulting in undesirable outputs, and are not informed by practice needs or the needs of the broader community involved in clinical education. A need to develop a framework that aligns with the prevailing needs in clinical nursing education, leading to desirable outcomes, was identified.</div></div><div><h3>Purpose</h3><div>The current study, therefore, aimed to develop a theory-informed framework to enhance clinical learning and teaching in undergraduate nursing education in Ghana.</div></div><div><h3>Methods</h3><div>A multi-method research design underpinned by the theory of change logic model guided the development of the framework through a three-phased approach. Preceding the development of the framework, two separate studies were conducted. Triangulated data from the two earlier studies were used to develop a draft framework. Twelve (n = 12) expert stakeholders were purposively invited to participate in a one-day workshop to<!--> <!-->refine<!--> <!-->and validate<!--> <!-->the<!--> <!-->framework.</div></div><div><h3>Result</h3><div>The final framework visualises the six theory of change logic model components, and incorporates the best available evidence and stakeholders’ inputs.</div></div><div><h3>Conclusion</h3><div>The developed framework could enhance clinical learning and teaching in undergraduate nursing education in Ghana.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"22 ","pages":"Article 100830"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143561924","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}