International Journal of Africa Nursing Sciences最新文献

{"title":"Practice of evidence-based intrapartum care and its determinants in Gedeo Zone, Ethiopia","authors":"Nigatu Tilahun ,&nbsp;Berhan Tsegaye ,&nbsp;Yitateku Alelign ,&nbsp;Muluken Demeke ,&nbsp;Mesay Milkias ,&nbsp;Ashenafi Assefa ,&nbsp;Worku Getachew ,&nbsp;Zerihun Figa ,&nbsp;Medhanit Woldesenbet ,&nbsp;Anteneh Gashaw","doi":"10.1016/j.ijans.2026.101000","DOIUrl":"10.1016/j.ijans.2026.101000","url":null,"abstract":"<div><h3>Background</h3><div>Evidence-based intrapartum practice involves using the best available research to guide clinical decisions during labor and delivery, from the onset of true labor until one to two hours after the placenta is delivered. This approach aims to enhance the quality of obstetric care by ensuring that the interventions and care strategies used are backed by solid scientific evidence.</div></div><div><h3>Objective</h3><div>This study aims to assess the extent to which evidence-based care is practiced and its associated factors among obstetric care providers in the public health facilities of the Gedeo zone in 2023.</div></div><div><h3>Method</h3><div>Analytical cross-sectional study design was conducted from June 23 to August 23, 2023 among 361 obstetric care providers by using census method in Gedeo Zone, Southern Ethiopia. Data were collected using a self-administered questionnaire and an observational checklist adapted from the World Health Organization. The study included all obstetric care providers in public health facilities. The collected data and coding were entered into Epi Data version 4.6 and analyzed using SPSS version 25. Both bivariate and multivariable logistic regressions were employed to identify associated factors, with statistical significance set at p ≤ 0.05. The results were presented using text, tables, and graphs.</div></div><div><h3>Result</h3><div>The study included 349 participants with a response rate of 97%. The prevalence of evidence-based intrapartum care practices was 45% (95% CI: 40.9, 50.6). Several factors were positively associated with these practices: in-service training related to intrapartum practice (AOR = 2.4, 95% CI: 1.095–5.155), having good knowledge of intrapartum care (AOR = 1.8, 95% CI: 1.086–2.910), access to intrapartum guidelines (AOR = 2.7, 95% CI: 1.557–4.525), and public hospitals (AOR = 3.4, 95% CI: 1.887–6.015) were factors positively associated with evidence-based intrapartum care practices.</div></div><div><h3>Conclusion</h3><div>The magnitude of evidence-based intrapartum practice was lower than WHO recommendations. The findings highlight a need for continuous professional training and the optimization of staffing to ensure providers are dedicated to intrapartum care without competing duties. Furthermore, the results suggest that improving workplace access to updated clinical guidelines is critical for aligning practice with evidence-based standards and enhancing the quality of obstetric care.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 101000"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146090546","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":"Comparing the evolution of the advanced practice nurse role: Insights from Switzerland and Kenya","authors":"Carole Mackavey ,&nbsp;Sara Kohler ,&nbsp;Eunice Ndirangu-Mugo ,&nbsp;Rachel W. Kimani ,&nbsp;Constance S. Shumba ,&nbsp;Benard Daniel Mutwiri ,&nbsp;Colette Henderson ,&nbsp;Anna Jones","doi":"10.1016/j.ijans.2026.100999","DOIUrl":"10.1016/j.ijans.2026.100999","url":null,"abstract":"<div><div>The article explores the evolution of Advanced Practice Nurse (APN) roles in Switzerland and Kenya, highlighting their development, challenges, and influence on healthcare delivery. Despite notable differences in income levels and healthcare infrastructure, both countries are committed to strengthening primary care through the deployment of APNs. Switzerland uses APNs to address provider shortages and improve chronic disease management, whereas Kenya uses them to increase access in underserved areas.</div><div>A comparative analysis explores how regulatory frameworks, educational models, scope of practice, and health system priorities influence the adoption of advanced practice nursing (APN). Switzerland’s established healthcare system supports the integration of APNs, whereas Kenya faces distinct challenges, including workforce shortages and limited public awareness. Despite economic differences, both countries face similar challenges, including regulatory hurdles and cultural barriers.</div><div>The study uses policy documents, regulatory guidelines, and academic literature to analyze key factors, including educational pathways, licensure, prescriptive authority, and healthcare integration. Findings emphasize the importance of strong regulatory frameworks, standardized education, and cultural competence in maximizing the effectiveness of APNs. Embedding Advanced Practice Nurses (APNs) in primary care can help reduce healthcare disparities, improve access, and improve patient outcomes.</div><div>International collaboration is vital for advancing APN development globally. By exchanging insights and best practices, countries can enhance APN education and deployment strategies to address global healthcare challenges, ultimately improving primary care systems and healthcare delivery.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 100999"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146090545","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":"Preoperative anxiety and coping strategies among adult surgical patients at St. Martins De Porres Hospital, Eikwe","authors":"Stephen Aboagye ,&nbsp;Betty Araba Pearce ,&nbsp;Desmond Kofi Ntem ,&nbsp;Esther Amoah ,&nbsp;Riddick Michael Adjei ,&nbsp;Andrew Adjei Druye","doi":"10.1016/j.ijans.2026.101023","DOIUrl":"10.1016/j.ijans.2026.101023","url":null,"abstract":"<div><div>Preoperative anxiety is common among surgical patients and has significant implications for recovery, including increased postoperative complications, longer hospital stays, and reduced patient satisfaction. In Ghana and similar low- and middle-income countries, little is known about patients’ preoperative experiences and coping mechanisms. This study explored the lived experiences of preoperative anxiety and coping strategies employed by adult surgical patients at St. Martin’s De Porres Hospital, Eikwe, Ghana.</div><div>A descriptive phenomenological qualitative design was adopted for this study, with 15 adult surgical patients comprising of 12 females and 3 males within the ages of 19–54 years<strong>.</strong> These participants were sampled purposiv<strong>e</strong>ly and recruited within four weeks after their surgery. Semi-structured interviews were carried out and analyzed thematically using Colaizzi’s seven-step framework with NVivo 12.</div><div>Three overarching themes were identified: manifestations of preoperative anxiety, characterized by fear, sadness, sleep disturbances, and restlessness; triggers of anxiety, including concerns about postoperative pain, fear of complications or death, and lack of prior surgical experience; forms of preparation, comprising physical, physiological, and psychological preparation; and coping strategies, which encompassed problem-focused approaches (hope and faith), emotion-focused strategies (music therapy), and person–environment interactions through family support.</div><div>The study highlights the need for healthcare providers to recognize preoperative anxiety as a critical component of surgical care. Strengthening psychosocial and spiritual support, alongside clinical interventions, may improve patient outcomes and overall surgical experiences.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 101023"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147419747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The correlation between leadership style and adversity quotient among women managers in the health sector in Morocco","authors":"Sahar Bouadel ,&nbsp;Sakhr Ahizoune ,&nbsp;Kenza Hassouni","doi":"10.1016/j.ijans.2026.101015","DOIUrl":"10.1016/j.ijans.2026.101015","url":null,"abstract":"<div><h3>Objective</h3><div>To describe the correlation of leadership styles and adversity quotient among women managers in the Moroccan healthcare sector.</div></div><div><h3>Method</h3><div>Correlational descriptive study. The descriptive method was used to determine the leadership styles of women healthcare managers (n = 40), their adversity quotient along the four CORE dimensions: Control, Ownership, Reach and Endurance. The correlational method was used to determine the significance of the relationship between adversity quotient and leadership styles.</div></div><div><h3>Results</h3><div>This study showed that women managers adopt a transformational leadership style rather than a transactional one. Women managers focus on motivating their staff to achieve organizational goals.</div><div>The study of the adversity quotient in women managers enabled us to specify the level of each dimension of the CORE and consequently the level of the overall adversity quotient. A low level is determined for women managers in relation to the 3 dimensions of control, ownership and endurance, with consecutive scores of 15, 16 and 19.4. A high level of the scope dimension is illustrated by a score of 40. Finally, an average level of the overall adversity quotient score is determined by a score of 90.4.</div><div>The correlation analysis identified two strong significant correlations between the transactional leadership of women managers and the two CORE dimensions of control and ownership, and a correlation between the reach dimension and the idealized influence-behavior scale of the transformational leadership of women managers.</div></div><div><h3>Conclusion</h3><div>Women managers need to be made aware of their leadership style in order to improve their adversity quotient.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 101015"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147420447","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 nurses’ resilience and caregiving experiences in juvenile correctional facilities: A qualitative study","authors":"Hardiyati ,&nbsp;Iyus Yosep ,&nbsp;Meita Dhamayanti ,&nbsp;Veranita Pandia","doi":"10.1016/j.ijans.2026.101033","DOIUrl":"10.1016/j.ijans.2026.101033","url":null,"abstract":"<div><h3>Background &amp; aim</h3><div>Nurses working in juvenile correctional facilities face complex emotional, behavioural, and institutional challenges as they support adolescents in conflict with the law. Resilience is essential for sustaining therapeutic engagement and professional functioning in these high-stress environments, yet little is known about how correctional nurses in Southeast Asia develop and maintain resilience. This study explored the lived experiences of nurses working in juvenile correctional facilities in Indonesia to identify the core dimensions of resilience that shape caregiving practice.</div></div><div><h3>Methods</h3><div>A descriptive qualitative design with a phenomenological approach was used. Ten nurses from two juvenile correctional facilities (LPKA Maros and Mamuju) participated in semi-structured interviews conducted between January and April 2025. Data were analysed using reflexive thematic analysis, supported by member checking, peer debriefing, and NVivo 12. Ethical approval was obtained prior to data collection.</div></div><div><h3>Results</h3><div>Five interrelated themes emerged: (1) emotional regulation, (2) impulse control, (3) causal analysis and problem-solving, (4) empathy, and (5) self-efficacy. These themes illustrate resilience as a dynamic emotional, cognitive, and relational process that enables nurses to manage stress, maintain professional boundaries, and provide stabilising therapeutic guidance to adolescents. The findings extend existing resilience theory by demonstrating how resilience is shaped not only by individual capacity but also by the demands and constraints of correctional settings.</div></div><div><h3>Conclusion</h3><div>This study offers a resilience-based framework with practical relevance for correctional nursing in low-resource settings, including Southeast Asia and Africa. Integrating resilience training, reflective supervision, and organisational support may strengthen nurse well-being and enhance the quality of adolescent rehabilitation services. Further research is recommended to validate these dimensions across diverse correctional contexts.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 101033"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147420859","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 Simulation-Based Instruction in Advancing Nursing Proficiency within Continuing Professional Development: systematic Review","authors":"Samer H. Sharkiya,&nbsp;Ohana Irit","doi":"10.1016/j.ijans.2026.100984","DOIUrl":"10.1016/j.ijans.2026.100984","url":null,"abstract":"<div><h3>Background</h3><div>Simulation-based instruction has become a central strategy in nursing education for strengthening clinical judgment, technical skills, and decision-making. While its effectiveness is well established in undergraduate training, less is known about its impact on post-registration nurses engaged in continuing professional development. Advancing nursing proficiency—defined as the enhancement of knowledge, psychomotor skills, confidence, leadership attributes, and teamwork performance—is essential for maintaining high-quality patient care in rapidly evolving clinical environments.</div></div><div><h3>Aim</h3><div>This rapid review examined the effectiveness of simulation-based instruction in advancing nursing proficiency within the context of continuing professional development.</div></div><div><h3>Methods</h3><div>Four databases (MEDLINE, EMBASE, Web of Science, Google Scholar) were searched for quantitative studies published between 2000 and 2023. Eligible studies included post-registration nurses exposed to simulation-based instructional interventions. The TAPUPAS tool guided quality appraisal, and only studies scoring ≥65 % were included. Given methodological heterogeneity, findings were synthesized narratively following PRISMA guidelines.</div></div><div><h3>Results</h3><div>Fourteen studies involving 1,204 nurses met inclusion criteria. Simulation-based instruction consistently improved knowledge and clinical skills across diverse specialties (e.g., critical care, NICU, emergency, geriatric care). Evidence for affective and behavioral outcomes—including confidence, self-efficacy, teamwork, and leadership—was mixed, largely due to limited study numbers and variations in simulation design, fidelity, and scenario emphasis.</div></div><div><h3>Conclusion</h3><div>Simulation-based instruction is effective in strengthening key domains of nursing proficiency within continuing professional development. Tailoring simulation scenarios to the targeted competency domain may optimize outcomes.</div></div><div><h3>Relevance to clinical practice</h3><div>Policymakers and educators should integrate structured simulation programs into ongoing professional development and support further research to refine best practices.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 100984"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147420862","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 experiences associated with anticipated nursing Care: A qualitative study","authors":"Ali Safdari ,&nbsp;Amirhossein Sharifi Kelarijani ,&nbsp;Maryam Maddineshat","doi":"10.1016/j.ijans.2025.100971","DOIUrl":"10.1016/j.ijans.2025.100971","url":null,"abstract":"<div><h3>Introduction and Objective</h3><div>Anticipated Nursing Care (ANC) is a fundamental element of contemporary nursing practice, vital for enhancing patient outcomes by proactively recognizing and addressing potential care needs. Despite its acknowledged importance, implementation is often challenged by systemic and contextual barriers. This study examines Iranian nurses’ experiences and perspectives on ANC, highlighting their strategies, obstacles, and adaptive approaches.</div></div><div><h3>Methods</h3><div>Using a conventional content analysis framework, this qualitative study purposively recruited twenty nurses from diverse clinical units across three major hospitals in Hamadan, Iran, to capture rich, varied insights. In-depth, semi-structured interviews were conducted from February to May 2024, allowing participants to share reflections on ANC.</div></div><div><h3>Results</h3><div>Two main categories emerged: “Future-Focused Clinical Intelligence” and “Dynamics in Clinical Transformation”. The first category illustrated proactive strategies through the subcategory of “Pre-Emptive Nursing Responses”, “Forecasting Missed Nursing Care”, and “Defensive Strategies in Nursing Practice”. The second category highlighted nurses’ adaptability in resource-limited settings, through subcategories of “Custom Anticipatory Responses” and “Resource-Based Care Coordination”. Participants’ narratives emphasized how clinical experience, foresight, and strategic planning shape anticipatory nursing actions in everyday practice.</div></div><div><h3>Conclusion</h3><div>Nurses’ anticipatory and conservative practices contribute to patient safety and continuity of care, yet may occasionally impose limitations on care delivery. These findings highlight the need for supportive policies, targeted training, and further research to optimize nursing practice in complex clinical environments.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 100971"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145938409","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":"Risk factors of cesarean delivery among women in Somalia: evidence from the countrywide demographic and health survey","authors":"Abdisalam Mahdi Hassan ,&nbsp;Muhyadin Yusuf Dahir ,&nbsp;Abdirahman Omer Ali ,&nbsp;Hamda Abdirashid Ali ,&nbsp;Yusuf Abdi Hared ,&nbsp;Md. Moyazzem Hossain","doi":"10.1016/j.ijans.2026.100980","DOIUrl":"10.1016/j.ijans.2026.100980","url":null,"abstract":"<div><h3>Background</h3><div>Cesarean section (CS) rates are rising globally; however, disparities exist, especially in low- and middle-income countries (LMICs) like Somalia, where healthcare access is limited. Therefore, this study aims to identify the risk factors associated with CS delivery in Somalia, with the goal of informing targeted interventions to improve maternal and child health.</div></div><div><h3>Methods</h3><div>This study utilized data extracted from the 2020 Somalia Demographic and Health Survey (SDHS-2020), which is a countrywide, cross-sectional study. The study comprised a total of 1208 women. The association between CS delivery and various socioeconomic and demographic factors was explored by logistic regression.</div></div><div><h3>Results</h3><div>The CS rate in Somalia was found to be 9.35%. Mothers aged 23–28 years (AOR: 1.20, 95% CI: 0.49, 2.92) and 29–34 years (AOR: 1.29, 95% CI: 0.29, 5.77) were approximately 1.2 times more likely to have a cesarean delivery than mothers aged 11–16 years. According to the level of education, a mother with higher education (AOR: 0.48, 95% CI: 0.21, 1.11) had fewer odds of having a cesarean delivery than illiterate mothers. Mothers from the rich families have 0.39 times less odds (AOR: 0.39, 95% CI: 0.12,1.23) of undergoing CS deliveries than mothers from the poor families (0.12,1.23). Higher parity (3 + ) is associated with increased odds of CS delivery, though there is some debate in the literature about the effect of parity on CS delivery. Regional variations existed, with women in certain regions less likely to undergo CS compared to others.</div></div><div><h3>Conclusion</h3><div>Regional disparities in CS utilization in Somalia suggest the need for targeted interventions to improve maternal healthcare access and address regional inequalities, thereby ensuring appropriate and equitable CS utilization and ultimately improving maternal and child health outcomes. Mothers’ education should be increased to increase awareness of the negative health consequences of CS deliveries and to lessen the burden of CS deliveries.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 100980"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145938474","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":"Workload and work stress association with midwives’ job performance in Ghana: The moderating effect of organisational support","authors":"Roger A. Atinga ,&nbsp;Shahadu Shembla Sayibu ,&nbsp;Alice Ayawine ,&nbsp;John K. Yambah","doi":"10.1016/j.ijans.2025.100954","DOIUrl":"10.1016/j.ijans.2025.100954","url":null,"abstract":"<div><h3>Background</h3><div>Although organisational social support systems have been shown to provide buffering effect on workload and stress association with productivity, this phenomenon remains under-explored in the midwifery profession. Drawing on literature, we hypothesised and tested the moderating effect of organisational social support on the workload, work stress and job performance linkages among Ghanaian midwives.</div></div><div><h3>Methods</h3><div>A cross-sectional survey design using a structured questionnaire to collect data from 219 midwives across referral hospitals in a regional health system. Data were analysed using descriptive statistics, correlations and hierarchical multiple regression models performed from SPSS and backed by simple slope tests.</div></div><div><h3>Results</h3><div>We found that workload is associated with increased stress levels in midwives (<em>β =</em> 0.186; <em>P</em> &lt; 0.01), while job performance is negatively significanlty influenced by both workload (<em>β =</em> -0.436; <em>P</em> &lt; 0.01) and work stress (<em>β =</em> -0.132; <em>P</em> &lt; 0.05). We further found that coworker support might be less helpful to midwives as it strengthens the positive interaction between workload and work stress (<em>β = 0</em>.06; <em>P</em> &lt; 0.05). Both supervisor support and coworker support, however, produced statistically significant moderating effects on work stress interaction with performance (<em>P</em> &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>The findings have practical managerial and policy implications for strengthening midwifery workforce job performance by minimising risk factors of stress and using supervisor support as buffer.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 100954"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145938647","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":"Improving postoperative nursing care in an International Committee of the Red Cross supported hospital in Nigeria: A qualitative study","authors":"Ingrid Tjoflåt ,&nbsp;Bodil Bø ,&nbsp;Hilda Bø Lyng ,&nbsp;Filippo Gatti","doi":"10.1016/j.ijans.2025.100933","DOIUrl":"10.1016/j.ijans.2025.100933","url":null,"abstract":"<div><h3>Background</h3><div>The International Committee of the Red Cross (ICRC) started a surgical project in a hospital in northeast Nigeria in 2015. The project aimed to provide life- and limb-saving surgery to internally displaced people or direct victims of ongoing violence.</div></div><div><h3>Aim</h3><div>To develop knowledge on how nursing teams work to maintain and improve quality postoperative nursing care in an ICRC-supported state hospital in northeast Nigeria.</div></div><div><h3>Methods</h3><div>This study applied an explorative, qualitative research design. The data were collected in an ICRC supported hospital ward in northeast Nigeria in 2024 during a 28-hour overt participant observation period and through 10 individual semi-structured interviews. The data were subjected to qualitative thematic analyses.</div></div><div><h3>Findings</h3><div>The data analysis revealed two main themes. The first theme entailed “the idea of practicing ideal nursing care,” that is, the nurse’s opportunities to conduct quality postoperative nursing care by complying with planned practical tasks related to guidelines and routines. This theme also involved adapting to various changes and challenges to maintain and improve postoperative nursing care. The second theme, “competence development,” highlighted the importance of learning and working together as well as continuously monitoring staff and care provision.</div></div><div><h3>Conclusions</h3><div>Findings provide valuable knowledge about how quality postoperative nursing care is maintained and improved through guidelines, routines, and collaborative learning. Adaptation to challenges was revealed to be an important aspect in building resilient postoperative care. More research is needed to investigate how nurse teams‘ adaptions in an ICRC-supported hospital ward may lead to sustainable postoperative nursing care.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 100933"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145748066","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}