International Journal of Africa Nursing Sciences最新文献

{"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}

{"title":"Perceptions of incivility in a nursing school at a university in South Africa – Cross-sectional study. “Incivility in nursing education – Is it a problem?”","authors":"Laetitia Fürst ,&nbsp;Zenobia Heradien ,&nbsp;Janiere Abubu ,&nbsp;Jennifer Chipps","doi":"10.1016/j.ijans.2024.100745","DOIUrl":"10.1016/j.ijans.2024.100745","url":null,"abstract":"<div><h3>Background</h3><p>Respectful civil behaviour of nurses is key to nursing practice and can directly affect quality of patient care. Reports of international studies on incivility in nursing schools is well documented, however little is known about incivility in nursing schools in South Africa. This study aimed to describe the nursing students’ perception of the level and occurrence of incivility in nursing students and faculty at a nursing school at a university in South Africa.</p></div><div><h3>Methods</h3><p>A quantitative descriptive cross-sectional survey was conducted. A self-administered questionnaire was used to determine the student nurses’ perceptions of levels and occurrence of incivility among nursing students and faculty. The questionnaire included the Incivility in Nursing Education-Revised (INE-R) scale. A sample of 277 was calculated, and an all-inclusive sampling method was used to target all undergraduate nursing students. Data was analysed using IBM Statistical Package for Social Sciences (SPSS) version 27 and descriptive statistics, 95% confidence intervals were used to describe the data and Independent Samples Mann-Whitney U tests were used to compare gender differences.</p></div><div><h3>Results</h3><p>The questionnaire was completed by 540 (77 %) undergraduate nursing student respondents, between 12 March 2021 and 20 April 2021. Respondents reported low levels of perceived student incivility behaviours (2.07 ± 0.7 [95 %CI 2.0–2.1]), with <em>using a computer, phone, or other media device during class, meetings, activities for unrelated purposes</em> being the highest rated perceived low-level student incivility behaviour (2.52 [95 %CI 2.43–2.62]. Low levels of perceived levels and occurrence of low faculty incivility were reported with respondents rating <em>arriving late for class or other scheduled activities</em> as the highest rated perceived level of low incivility behaviour (1.91 [95 %CI 1.82–1.99]). The highest perceived occurrence for low faculty incivility was <em>being unavailable outside of class (not returning calls or emails, not maintaining office hours)</em> (1.82 [95 %CI 1.74–1.9]).</p></div><div><h3>Conclusion</h3><p>Though some perceived incivility amongst students and faculty in the selected nursing school exist, the occurrence is perceived to be low. Further investigations should explore the impact of uncivil behaviours in academic theory environments, and the impact on individuals in practice.</p></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"20 ","pages":"Article 100745"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214139124000908/pdfft?md5=73141275c7457b2eb5b0dcb10a2fff56&pid=1-s2.0-S2214139124000908-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142151869","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":"Missed nursing care and associated factors among nurses working in public hospitals of Wolaita Zone, 2023: Mixed-method study design","authors":"Christian Kebede ,&nbsp;Temesgen Geta ,&nbsp;Eyasu Bikamo ,&nbsp;Getachew Nigussie ,&nbsp;Eshetu Elfios ,&nbsp;Merid Merkine ,&nbsp;Tefera Adamu","doi":"10.1016/j.ijans.2024.100748","DOIUrl":"10.1016/j.ijans.2024.100748","url":null,"abstract":"<div><h3>Background</h3><p>Missed nursing care encompasses any aspect of care that is either partially or entirely omitted, delayed, or inadequately carried out. This acknowledged concealed issue poses a serious risk to patients, potentially leading to adverse consequences. So, identifying magnitude of missed nursing care is important to enhancement of nursing care quality and patient safety. The main focus of the study was to assess the extent of missed nursing care and examine into the factors that contribute to it.</p></div><div><h3>Method</h3><p>From June 10 to July 10, 2023, a mixed study design was implemented among nurses working in public hospitals of Wolaita Zone. Participants were randomly selected using computer-generated random numbers from each working unit and purposive sampling was used for in-depth interview. The results are presented in frequencies, means, and medians. A binary logistic regression model was utilized to evaluate the effects of independent variables on the outcome variables and content thematic analysis were done using the four-step approach of thematic analysis.</p></div><div><h3>Result</h3><p>The level of missed nursing care was 54.9%. It was significantly associated with availability of resource, nursing teamwork, and job satisfaction. In qualitative analysis, Nurse related factor, Institution related factor, and patient related factors were emerged from the thematic analysis.</p></div><div><h3>Conclusion</h3><p>The prevalence of missed nursing care was notably high, Nurses are encouraged to engage in effective communication and collaborate closely with fellow nurses and healthcare professionals to reduce instances of missed care.</p></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"20 ","pages":"Article 100748"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214139124000933/pdfft?md5=46696ed69481fa2b8d3cc606714fbad4&pid=1-s2.0-S2214139124000933-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142151870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors associated with adverse neonatal outcomes of premature babies within their first week of life at the Central Hospital Yaounde","authors":"Grace Tadzong-Awasum,&nbsp;Nkengafac Priscilla Kungang","doi":"10.1016/j.ijans.2024.100772","DOIUrl":"10.1016/j.ijans.2024.100772","url":null,"abstract":"<div><h3>Background</h3><p>Globally, an estimated 15 million premature babies are born yearly with over one million complications-related deaths. In Cameroon, nearly 90,000 premature babies are born yearly, However, with affordable care, about 75 percent of these could survive. The objective of this study was to determine factors associated with the adverse neonatal outcome of premature babies within their first week of life in the Yaoundé Central Hospital (YCH).</p></div><div><h3>Methods</h3><p>A quantitative cross-sectional analytical study was carried out on a sample of 113 women whose premature babies were admitted into the newborn intensive care unit (NICU).</p><p>A structured self-administered questionnaire was used and data was analyzed by SPSS version 21 software.</p></div><div><h3>Findings</h3><p>Three research questions guided the study and were tested at a 0.05 significance level using simple percentages and multiple regression analysis (95 % confidence interval, p-value &lt; 0.05)<strong>.</strong> Premature membrane rupture 81.1 %, amniotic fluid color (green/bloody amniotic fluid) 95.7 % was <strong>7.36</strong> [(95 %, 2.08–10.54; P = 0.030)] and 4.24 [95 %, 3.09–5.69; P = 0.018)] times more likely lead to adverse neonatal outcome. The percentage of prematurity factors such as breech presentation, no colostrum, and no use of kangaroo mother care were (86.4 %), (100.0 %) and (86.4 %) respectively. No intake of colostrum [(RR = 2.52; 95 %, 1.08–5.54; P = 0.004)] no kangaroo mother care [(RR = 0.71; 95 %, 0.28–1.18; P = 0.015)] increase the risk of adverse neonatal outcome in premature babies. For institutional factors, the percentages were placing baby in an incubator 70.0 %, reanimating baby 87.5 %, and baby placed on oxygen 87.7 % with the risk of the event occurring being 10.35 [95 %, 3.99–26.82; P = 0.018)] and 11.04 [95 %, 4.24–15.70; P = 0.047)], respectively.</p></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"21 ","pages":"Article 100772"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214139124001185/pdfft?md5=15bfcec705e62c3a11e222b10266a133&pid=1-s2.0-S2214139124001185-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142272401","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":"Lived experiences of nurses working in the clinical setting during Covid-19, in Ekurhuleni, Gauteng Province, South Africa","authors":"Sinethemba Nyandeni,&nbsp;Fhumulani Mavis Mulaudzi,&nbsp;Rafiat Ajoke Anokwuru","doi":"10.1016/j.ijans.2023.100653","DOIUrl":"https://doi.org/10.1016/j.ijans.2023.100653","url":null,"abstract":"<div><h3>Background</h3><p>The Coronavirus 2019 (COVID-19) outbreak rose rapidly and had a strenuous impact on the healthcare systems. As the health system responded to the pandemic, there was a change in the care rendered. Additionally, as more people became infected with the virus, the number of nurses reduced resulting in prolonged working hours and increased burden of care for the remaining few nurses. This study aimed to gain an in-depth understanding of the lived experiences of nurses working in the clinical setting during the COVID-19 pandemic in Ekurhuleni, Gauteng Province.</p></div><div><h3>Methods</h3><p>The study followed a descriptive phenomenological approach. In-depth interviews were conducted face-to-face and telephonically with thirteen professional nurses who were purposively sampled as they had nursed COVID-19 positive patients in a hospital in Ekurhuleni District, Gauteng Province, South Africa. The audio-recorded interviews were transcribed and inductively analysed using descriptive phenomenological analysis with the aid of the ATLASti Version 9 program.</p></div><div><h3>Findings</h3><p>Four themes emerged: (1) Nurse’s social life during COVID-19 pandemic. (2) Challenges in the clinical setting during COVID-19 pandemic. (3) COVID-19 pandemic impact on patient care. (4) Nurse’s future recommendations for pandemic management.</p></div><div><h3>Conclusion</h3><p>The results of this study indicated that professional nurses who nursed COVID-19 patients suffered psychological distress and physical burnout. Having insufficient resources, which included Personal Protective Equipment (PPE) and other equipment exposed the nurses to the possibility of contracting COVID-19. Lack of managerial support worsened poor patient care. Therefore, further studies are needed to improve the procurement of resources and disaster preparedness. Therefore, it is recommended that managerial support which includes offering of professional counselling be done routinely, regular in-service training, and nurses should be involved in decisions affecting patient care.</p></div><div><h3>Implications for nursing management</h3><p>Managerial support to offer professional routine counselling for improvement of mental wellbeing of the nurses and acknowledge nurses’ input.</p></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"20 ","pages":"Article 100653"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214139123001282/pdfft?md5=00ffa5061d4d3b029c32fac1ae687276&pid=1-s2.0-S2214139123001282-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139100944","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}