International Journal of Africa Nursing Sciences最新文献

{"title":"Serious games in nursing education: A systematic review of current evidence","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.2025.100838","DOIUrl":"10.1016/j.ijans.2025.100838","url":null,"abstract":"<div><h3>Introduction</h3><div>Serious games (SGs) are a new concept in education that focuses on improving the effectiveness of teaching methods to provide a digital area for learning. We aimed to review current evidence of using SGs applications in nursing education.</div></div><div><h3>Methods</h3><div>Data extraction was performed following two steps of screening/selection and then applying inclusion/ exclusion criteria. PRISMA checklist and the Newcastle-Ottawa Scale were utilized in the review.</div></div><div><h3>Results</h3><div>A total of 41 articles from 2015 to 2024 were included in this study. Results showed that nurse educators have attempted to use innovative game-based approaches to improve students’ knowledge, decision-making, practical skills, and teamwork. The nurses who participated and played these games often demonstrated a meaningful increase in their knowledge or exam scores when compared to a control group of peer nurses who underwent a routine traditional education or other modalities of digital platforms like online webinars.</div></div><div><h3>Conclusion</h3><div>Serious games have the potential to transform nursing education by providing an engaging and interactive learning experience. By immersing learners in realistic clinical scenarios, these games can enhance critical thinking, problem-solving, and decision-making skills.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"22 ","pages":"Article 100838"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143679793","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":"The benefits of artificial intelligence for nursing operational managers in South African public hospitals","authors":"Sanele E. Nene","doi":"10.1016/j.ijans.2025.100869","DOIUrl":"10.1016/j.ijans.2025.100869","url":null,"abstract":"<div><h3>Background</h3><div>Artificial intelligence is the greatest technological revolution of the 21st century with enormous benefits. Nursing operational managers of South African public hospitals are expected to implement artificial intelligence in their nursing units, they however have limited understanding of its actual benefits.</div></div><div><h3>Purpose</h3><div>This study aims to explore and describe the actual benefits of artificial intelligence for nursing operational managers in South African public hospitals.</div></div><div><h3>Design and methods</h3><div>A qualitative, exploratory, descriptive, and contextual research design was adopted in this study. Data was collected from the nursing operational managers of a public hospital in Gauteng, South Africa, using 12 in-depth individual interviews and two focus groups interviews. Field notes were collected, and a method of Giorgi and Colaizzi thematic analysis was employed to analyse data. The findings of the study were confirmed by the independent coder.</div></div><div><h3>Results</h3><div>The findings of the study culminated into four themes: 1) improved healthcare system, 2) mitigation of healthcare costs, 3) workload reduction for healthcare professionals, and 4) excited world-class healthcare professionals.</div></div><div><h3>Discussion and conclusions</h3><div>AI is improving the quality of healthcare system in public hospitals and nursing operational managers should be well informed of the actual benefits of AI for them to advocate for its uptake.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"23 ","pages":"Article 100869"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144522420","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":"Nurses’ perspectives of newborn cord management and susceptibility to cord sepsis at a Regional Hospital in Ghana during COVID pandemic","authors":"Magdalene Boamah,&nbsp;Emma Annan,&nbsp;Mary Ani - Amponsah","doi":"10.1016/j.ijans.2025.100875","DOIUrl":"10.1016/j.ijans.2025.100875","url":null,"abstract":"<div><h3>Background</h3><div>The global impact of the COVID-19 pandemic has been significant, affecting health systems around the world, including in Ghana. Of concern is cord sepsis, which has become a significant problem, especially in developing countries. Given the importance of preventing and treating cord sepsis, nurses play a critical role in early detection, timely intervention, and prevention.</div></div><div><h3>Aim</h3><div>The study explored nurses’ perspectives of newborn cord management and susceptibility to cord sepsis at a Regional Hospital in Ghana.</div></div><div><h3>Method</h3><div>A qualitative descriptive research approach was used, involving semi-structured interviews with fifteen nurses working at a Regional Hospital in Ghana. Nurses were recruited by purposive sampling method. Thematic analysis was employed to analyse data.</div></div><div><h3>Result</h3><div>Analysis of the data revealed three themes including awareness and knowledge of cord sepsis, management of cord sepsis and prevention of cord sepsis. While nurses had a good understanding of umbilical cord sepsis and its clinical manifestations, their attitudes toward prevention and management were suboptimal.</div></div><div><h3>Conclusion</h3><div>Ongoing educational programs are needed to increase the knowledge and understanding of nurses, mothers and caregivers about the management of cord sepsis. This includes staying current on best practices and WHO guidelines for cord care. It is important to implement comprehensive infection control protocols. Nurses should provide all caregivers, including grandmothers, with clear instructions and guidance on infection control measures. These measures are critical to keeping newborns safe and preventing cord sepsis, especially during and after COVID-19 pandemic.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"23 ","pages":"Article 100875"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144724743","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’ views regarding implementation on prevention of vertical transmission HIV programme at Tshwane antenatal clinics","authors":"Reamogetswe Lisbeth Aphane,&nbsp;Kwanele Mazibuko,&nbsp;Yandiswa Dlamini,&nbsp;Thobeka Mndebele,&nbsp;Angela Beza,&nbsp;Maurine Rofhiwa Musie","doi":"10.1016/j.ijans.2025.100846","DOIUrl":"10.1016/j.ijans.2025.100846","url":null,"abstract":"<div><h3>Background</h3><div>The prevention of vertical transmission of Human Immunodeficiency Virus (HIV) is critical in reducing mother-to-child transmission rates and improving health outcomes for both mothers and infants. Midwives and accoucheurs, as frontline healthcare providers at antenatal clinics, play a vital role in implementing HIV prevention programmes through testing, initiating antiretroviral therapy, and counselling, yet their views on this process remain underexplored.</div></div><div><h3>Objectives</h3><div>To explore and describe the midwives’ views on implementation of the prevention of vertical transmission (PVT) of HIV program at selected antenatal clinics in Tshwane, South Africa.</div></div><div><h3>Methods</h3><div><em>T</em>his study followed a Qualitative, exploratory, and descriptive research design. 13 Midwives/Accoucheurs were purposive sampled. Data were collected by conducting individual semi-structured interviews with the midwives. Data analysis was done through thematic analysis. Guba’s model of trustworthiness was implemented.</div></div><div><h3>Results</h3><div>Five themes emerged from the data analysis. 1 − Procedure to implement prevention of vertical transmission of HIV, 2 − Role of midwives in implementation of prevention of vertical transmission program, 3 −Benefits of the vertical transmission programme, 4 −Barriers to programme implementation and 5 −Strategies for implementation of the prevention of vertical transmission.</div></div><div><h3>Conclusion</h3><div>Overall the study highlighted the role of midwives in delivering effective HIV prevention care. The findings reveal that midwives are committed to the program’s implementation but face challenges such as negative attitudes of midwives who provide HIV services, lack of partner involvement and the Tier system not nationally interlinked. Moreover, they expressed a need for linkage to support groups, and integration of HIV mentors at each clinic to enhance program implementation.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"22 ","pages":"Article 100846"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143815036","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":"Retraction notice to “Silent struggles: Unveiling the unspoken epidemic of domestic violence against infertile women in Egypt” [Int. J. Afr. Nurs. Sci. 20 (2024) 100663]","authors":"Elsayeda Hamdy Nasr Abdelhalim ,&nbsp;Ateya Megahed Ibrahim ,&nbsp;Hanan Elzeblawy Hassan ,&nbsp;Nadia Mohamed Wahba ,&nbsp;Samah Alsaid Ahmed Moawd","doi":"10.1016/j.ijans.2025.100829","DOIUrl":"10.1016/j.ijans.2025.100829","url":null,"abstract":"","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"22 ","pages":"Article 100829"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144222728","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":"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":"Comparison of Nurses’ and Families’ beliefs and attitudes regarding visiting policy in selected intensive care units of Ghana","authors":"Yakubu H. Yakubu ,&nbsp;Navab Elham ,&nbsp;Maryam Esmaeili","doi":"10.1016/j.ijans.2025.100879","DOIUrl":"10.1016/j.ijans.2025.100879","url":null,"abstract":"<div><h3>Background</h3><div>The intensive care unit (ICU) is a challenging environment for patients, families, and healthcare professionals. Nurses often seek a calm and controlled work setting, while families prioritize proximity to their loved ones due to an increased feeling of anxiety. Existing literature suggests that liberalized visiting hours may offer benefits, such as reducing patient anxiety and improving communication between patients and families. However, there are also conflicting viewpoints on this matter.</div></div><div><h3>Objective</h3><div>This study aims to compare the beliefs and attitudes of nurses and families regarding ICU visiting policies in selected hospitals in Ghana.</div></div><div><h3>Design</h3><div>A comparative descriptive cross-sectional quantitative design was employed for this study.</div></div><div><h3>Methods</h3><div>Participants were recruited from four public hospitals in Ghana, using consensus sampling for nurses and convenient sampling for family members. A self-administered questionnaire, the <em>Beliefs and Attitudes Towards Visiting in ICU Questionnaire (BAVIQ)</em>, was utilized as the primary data collection tool. Data were analyzed using the Statistical Package for the Social Sciences (SPSS), version 16.</div></div><div><h3>Results</h3><div>The study found a significant difference in the beliefs of nurses and families, but no significant difference in their attitudes towards ICU visitation. An independent <em>t</em>-test revealed that nurses favoured a restricted visiting policy, whereas families preferred an open visiting policy, although their attitudes remained somewhat skeptical. Nurses preferred that only three or fewer persons visit a patient in 24 h. Family members preferred 3–4 visitors within 24 h, with one visitor allowed at a time.</div></div><div><h3>Conclusion</h3><div>A significant relationship was identified between nurses’ beliefs, attitudes, and demographic variables, except for age. Family members supported visitation but expressed concerns that unrestricted visiting could disrupt patient rest, cause psychological stress, and infringe on privacy. They favoured a slightly restrictive visiting policy, allowing 3–4 visitors within 24 h, with one visitor allowed at a time. To enhance patient-centered care, a balanced approach that considers the needs of patients, families, and healthcare professionals should be adopted when developing ICU visitation policies.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"23 ","pages":"Article 100879"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144841794","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":"Maintaining harmony despite the agony; how Sundanese men and Javanese women with sexual dysfunction due to diabetes mellitus establish sexual relationship with the couples","authors":"Iman Permana ,&nbsp;Rafika Sulastri ,&nbsp;Nova Maulana ,&nbsp;Shaiful Bahari Ismail","doi":"10.1016/j.ijans.2025.100883","DOIUrl":"10.1016/j.ijans.2025.100883","url":null,"abstract":"<div><h3>Introduction</h3><div>Diabetes-related sexual dysfunction presents complex challenges, including reduced sexual desire, painful intercourse, and emotional distress. In Indonesia, cultural taboos around discussing sexuality exacerbate these issues, despite growing evidence that sexual health plays a vital role in overall quality of life.</div></div><div><h3>Aim</h3><div>This study explores the experiences of Sundanese men and Javanese women with type 2 diabetes who suffer from erectile dysfunction (ED), focusing on the impact on their sexual relationships.</div></div><div><h3>Methods</h3><div>A phenomenological approach was employed, involving in-depth interviews with 11 married respondents from Subang and Yogyakarta, regions representing distinct cultural backgrounds. Interviews conducted in Bahasa Indonesia were recorded, transcribed, translated into English, and analyzed using Colaizzi’s method.</div></div><div><h3>Results</h3><div>Four central themes emerged: “the dysfunction,” highlighting physical challenges in sexual activity; “psychological impact,” revealing feelings of guilt, shame, and emotional strain; “keep on trying,” capturing couples’ efforts to maintain intimacy and seek treatment; and “wife’s support,” underscoring the significant role of spousal support amid prevailing cultural silence on sexual matters.</div></div><div><h3>Conclusions</h3><div>The findings underscore the interplay of physical, emotional, and relational dimensions in managing ED, and call for culturally sensitive strategies to support diabetic individuals and their partners. Further research should include spouses’ perspectives and examine cultural influences more deeply.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"23 ","pages":"Article 100883"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144858027","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":"Experiences of skilled birth attendants with dissemination strategies and use of maternal clinical guidelines: A qualitative synthesis","authors":"Eunice Nyasiri Atsali ,&nbsp;Doreen Kaura ,&nbsp;Mark Tomlinson","doi":"10.1016/j.ijans.2025.100895","DOIUrl":"10.1016/j.ijans.2025.100895","url":null,"abstract":"<div><h3>Introduction</h3><div>Despite several evidence-based clinical guidelines aimed at improving the quality of maternal care as well as avert maternal mortality, guidelines frequently fail to reach the intended users. This qualitative synthesis explored experiences of Skilled Birth Attendants (SBAs) dissemination strategies and use of Maternal Clinical Guidelines (MCGs) by SBAs within the primary health care settings.</div></div><div><h3>Inclusion criteria</h3><div>Studies focusing on experiences of dissemination and use of evidence-based MCGs by SBAs were included. Further, it included studies published in English and those conducted between 2010–2023.</div></div><div><h3>Methods</h3><div>A search was conducted using search terms “Maternal clinical guidelines “Dissemination” “Use” “Implementation” “Skilled birth attendants” “experiences or perceptions or attitudes or views or feelings or qualitative or perspective”. The search was done via Hinari and EBSCOhost in; Medline, PubMed, CINAHL. Additionally, searches were conducted using reference lists of the selected papers. Grey literature was searched from library repository and google scholar for further information. Search articles were uploaded in Mendeley, and duplicates removed.</div></div><div><h3>Results</h3><div>We included qualitative studies (10), mixed methods studies (5) and two (2) qualitative systematic syntheses because of paucity in qualitative only articles. Johanna Briggs Institute (JBI) Sumari appraisal tool was used to conduct the appraisal. All the articles included in this study were all imported to ATLAS ti for data management. The articles were code, grouped and themes developed. Three themes emerged: Dissemination strategies of MCGs, Use of MCGs (SBAs health systems factors), Improved utilization of maternal clinical guidelines.</div></div><div><h3>Conclusions</h3><div>The findings of this study show experience in terms of facilitators and barriers to dissemination and use of guidelines. The study found Guidelines factors, Health systems factors, Skilled birth attendants’ factors and Community factors as the main facilitators and barriers for dissemination and use of guidelines. Future primary research may focus on, dissemination methods, actual use, and the outcomes of use. Additionally, the importance of appropriate use of maternal clinical guidelines needs to be emphasized early in midwifery competency education and more emphasis during in-service education.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"23 ","pages":"Article 100895"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145048739","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":"Nurse triage errors and their relationship with patient outcomes in emergency departments","authors":"Mohammad Khajehgoodari ,&nbsp;Babak Najafi ,&nbsp;Ali Sabzi Matanagh ,&nbsp;Mojgan Lotfi ,&nbsp;Reza Shabanloei","doi":"10.1016/j.ijans.2025.100902","DOIUrl":"10.1016/j.ijans.2025.100902","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to evaluate triage error of nurses and its relationship with triage outcomes in patients referred to the emergency departments. It specifically addressed the challenges, obstacles, and problems associated with the triage process.</div></div><div><h3>Materials and methods</h3><div>In this descriptive-correlational study, 323 patient triage records were selected using proportional stratified random sampling. Data were collected via a researcher-developed triage evaluation checklist validated by ten nursing faculty members. The checklist had three sections: factors affecting triage (including nurse characteristics and triage unit conditions), identification of triage errors, and triage outcomes. Additional data were obtained from patient history, physician orders, nursing reports, and case summaries when forms were incomplete. Data were analyzed using descriptive and analytical statistical tests in SPSS software.</div><div>Findings</div><div>The study found that the majority of triage nurses were female, and all had completed annual triage training courses. The overall rate of triage errors was 49 %, with 31.3 % over triage and 17.7 % under triage. Adverse outcomes occurred in 62 % of error cases and a statistically significant association was observed between errors and outcomes.</div></div><div><h3>Conclusion</h3><div>The findings suggest that triage in emergency departments is frequently conducted insufficiently. It is imperative to implement comprehensive measures, including the recruitment of specialized personnel (such as physicians, nurses, and practical nurses), ensuring adequate staffing and equipment, conducting competency assessments, and providing simulation-based training. Furthermore, the adoption of standardized, evidence-based triage policies and procedures is essential to enhance the effectiveness and reliability of the process.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"23 ","pages":"Article 100902"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145227205","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}