{"title":"Midwives’ competence in interpretation of the intrapartum cardiotocograph at public hospitals in Gauteng: An explanatory sequential mixed-methods study","authors":"Sanele Lukhele , Fhumulani Mavis Mulaudzi , 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}
Joseph Odhiambo , Lucy W Kivuti-Bitok , Solomon Omare , Irene Ngune
{"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 , Lucy W Kivuti-Bitok , Solomon Omare , 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 < 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>X<sup>2</sup> =</em> 7.113 (df = 1, n = 80), p = 0.008<strong>)</strong> and experience administering oxygen to a covid-19 patient (<em>X<sup>2</sup> =</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>X<sup>2</sup> =</em> 6.851 (df = 1, n = 80), p = 0.018<strong>)</strong> and having reviewed or used any guidelines on oxygen therapy (<em>X<sup>2</sup> =</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":"Technology-mediated education: The lived experiences of nurse educators","authors":"A. Sunnasy , M.M. van der Heever","doi":"10.1016/j.ijans.2025.100885","DOIUrl":"10.1016/j.ijans.2025.100885","url":null,"abstract":"<div><h3>Aim</h3><div>The aim of the article was to report the lived experiences of nurse educators on the use of technology-mediated education to facilitate teaching and learning in private nursing colleges in Gauteng, South Africa.</div></div><div><h3>Method</h3><div>Descriptive phenomenology underpinned by the views of Edmund Husserl was used to explore the experiences of nurse educators regarding technology-mediated education. Eleven nurse educators were purposively sampled. Data were collected using a semi-structured interview guide and analysed according to the steps described by Colaizzi. Trustworthiness was ensured by using the principles of credibility, confirmability, dependability, and transferability.</div></div><div><h3>Findings</h3><div>Four themes emerged from the data. These are related to the decision to use technology, accessibility of technology, educator-related aspects, and support.</div></div><div><h3>Conclusion</h3><div>The use of technology in teaching and learning has become more pronounced, forcing educators and students to use it despite their various difficulties.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"23 ","pages":"Article 100885"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144890533","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}
Firouz Nouri Kalkhoran , Pegah Arman , Iraj salehi , Ali Khalafi , Mohammad Reza Safari
{"title":"Identifying and determining the weight of personality indicators effective in establishing educational and training interaction between Iranian paramedical instructors and students in clinical training situations using the Analytic Hierarchy process (AHP) method","authors":"Firouz Nouri Kalkhoran , Pegah Arman , Iraj salehi , Ali Khalafi , Mohammad Reza Safari","doi":"10.1016/j.ijans.2025.100852","DOIUrl":"10.1016/j.ijans.2025.100852","url":null,"abstract":"<div><h3>Introduction</h3><div>Clinical education is one of the most important goals in medical science education. Various factors affect the quality of clinical education for students. One of the most significant factors is the personality traits of students, which can aid them in the learning process and lead to more effective education.</div></div><div><h3>Methods</h3><div>This research was organized using a mixed-methods approach. In the qualitative section, aimed at identifying and determining the dimensions of applied personality traits for creating more effective interactions, two methods—exploratory and document analysis—were used. First, with a purposive sampling method, 20 experts were selected for interviews, which were organized using a semi-structured method and categorized using Cohen’s kappa test. In the second part, a questionnaire was organized based on the census method to determine the weight of each personality dimension and sent to 15 instructors. The quantitative data were analyzed using the Analytical Hierarchy Process (AHP) method and Expert Choice software.</div><div><strong>Data:</strong> The results showed that the weight of personality dimensions in establishing teaching and educational interactions between instructors and paramedical students in clinical educational settings indicates that traits such as empathy, interpersonal sensitivity, ambition, anxiety, etc., can be beneficial in the students’ learning process.</div></div><div><h3>Conclusion</h3><div>By identifying the effective traits of students in clinical education, it is possible to better recognize the strengths and weaknesses of each student and design more precise educational programs to enhance student learning.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"22 ","pages":"Article 100852"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143882129","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}
Eric Abugre , Francis K Wuni , Anita Ohenewa Yawson , Paschalina Anupio Ayirezang
{"title":"Improving critical care competencies of nurses through simulation: A study at upper east regional hospital, Ghana","authors":"Eric Abugre , Francis K Wuni , Anita Ohenewa Yawson , Paschalina Anupio Ayirezang","doi":"10.1016/j.ijans.2025.100854","DOIUrl":"10.1016/j.ijans.2025.100854","url":null,"abstract":"<div><h3>Background</h3><div>Intensive care nursing is focused on severely ill patients who benefit from the attention of competent and skilled personnel. The purpose of this study was to use simulation to enhance the critical care skills of nurses working in the intensive care unit at the Upper East Regional Hospital in Ghana.</div></div><div><h3>Method</h3><div>A cross-sectional study design was used, the primary objective was to evaluate, and potentially enhance the critical care competencies of general nurses working in the intensive Care Unit (ICU). The study participants were purposively selected, and were specifically involved in a participatory clinical simulation exercise. To evaluate and gather the data, a low-fidelity manikin simulation aided by a checklist and paper-based, researcher-administered questionnaire was employed. To gather the necessary and representative sample for the investigation, Yamane’s sample size formula was utilized to select 19 participants for the study. The data collection last for one month, the first two weeks for the pre-training exercise and the last two weeks for post evaluation, however data collection lasted for a month.</div></div><div><h3>Results</h3><div>The findings of the study indicate that the simulation conducted for the nurses improved their CPR, communication, and drug administration competencies. Their competency score ranged between “competent” and “outstanding” after the training. Generally, the findings of the current study indicate that the ICU nurses demonstrated excellent and acceptable skillsets for delivering their services at the ICU. This reflected their good communication skills towards their colleagues, clinicians, patients, and patients’ relatives.</div></div><div><h3>Conclusion</h3><div>Though the nurses had poor competency in performing CPR and administering essential medicines in the ICU, training interventions significantly improved their competencies.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"22 ","pages":"Article 100854"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143948794","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}
Justice Mensah, Comfort Binipom Mpuan, Eric Nanteer-Oteng
{"title":"Work intensification and bullying among Ghanaian Nurses: Do psychological capital and life satisfaction matter?","authors":"Justice Mensah, Comfort Binipom Mpuan, Eric Nanteer-Oteng","doi":"10.1016/j.ijans.2025.100868","DOIUrl":"10.1016/j.ijans.2025.100868","url":null,"abstract":"<div><div>The current study examined the effect of intensified job demands (IJDs) on workplace bullying among nurses in Ghana and explored the moderating role of psychological capital and life satisfaction. This study was a cross-sectional survey carried out with 406 nurses being sampled conveniently via the administration of an online survey. The results of the study showed that experiences of intensified job demands (IJDs) were associated positively with bullying behaviours among nurses. Furthermore, the results from Structural Equation Modeling (SEM) in IBM’s AMOS showed that life satisfaction and psychological capital (PsyCap) mitigated the extent to which nurses engaged in workplace bullying behaviours in the face of intensified job demands. Thus, the influence of IJDs on workplace bullying behaviours was significantly diminished in the presence of life satisfaction and PsyCap. It is therefore suggested that as organisations work towards the eradication of workplace bullying, they must pay attention to work intensification, develop the PsyCap of employees, and deploy measures that enhance the life satisfaction of employees.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"23 ","pages":"Article 100868"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144517141","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}
Irene Torshie Attachie , Ilo-Katryn Maimets , F. Beryl Pilkington
{"title":"Motherhood and pregnancy loss in the African context: A scoping review","authors":"Irene Torshie Attachie , Ilo-Katryn Maimets , F. Beryl Pilkington","doi":"10.1016/j.ijans.2025.100863","DOIUrl":"10.1016/j.ijans.2025.100863","url":null,"abstract":"<div><h3>Introduction</h3><div>Pregnancy is associated with a woman’s transition to motherhood; however, pregnancy-loss produces intrapersonal and sociocultural disruption, with existential implications and lowered self-esteem. Motherhood, being culture-sensitive, warrants understanding how societies view motherhood when there is pregnancy-loss<strong>,</strong> to facilitate socioculturally sensitive and supportive services for bereaved women and families. Despite feminist enlightenment, in some societies a woman is seen as “incomplete” until she has a child. In Africa, women who experience pregnancy losses, especially those with no living children, are denied motherhood recognition.</div></div><div><h3>Purpose</h3><div>To understand the extent and type of knowledge available on motherhood when there is pregnancy loss in the African context; identify themes from psycho-social, nursing, and midwifery perspectives; and to provide a map of available knowledge as well as gaps for future for future research.</div></div><div><h3>Review question</h3><div>What is the existing knowledge on motherhood recognition when pregnancy loss occurs in the African context?</div><div>Eligible publications must be in English, it included quantitative, qualitative, and mixed-methods studies, and exclude other languages, on animals, and epidemiological information.</div></div><div><h3>Methods</h3><div>A scoping review was conducted in line with the steps of Arksey and O’Malley, modeled by the Joana Briggs Institute’s <em>Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews</em> Checklist.</div></div><div><h3>Results</h3><div>A descriptive Content analysis of seven articles reported that mothers want acknowledgment, also motherhood recognition diminishes at the level of the individual, society, and health-care-workers.</div></div><div><h3>Conclusion</h3><div>In pregnancy-loss, society must not strip bereaved mothers of their motherhood status, to promote maternal mental health.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"23 ","pages":"Article 100863"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144491124","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}
Julie Zuniga , Margaret Mungai , Moureen Adhiambo , Mary Kwambai , Lorna Obanda , Hellen Jemeli , Bernedicta Chepkorir , O’Brien Kyololo , Mary Kay Foster , Beth Altenburger , Dinah Chelagat , Rodica Muraru , Gregory Westin , Mithun Sinha , Adrian Gardner
{"title":"Wound burden: A point prevalence study at an academic hospital in Western Kenya","authors":"Julie Zuniga , Margaret Mungai , Moureen Adhiambo , Mary Kwambai , Lorna Obanda , Hellen Jemeli , Bernedicta Chepkorir , O’Brien Kyololo , Mary Kay Foster , Beth Altenburger , Dinah Chelagat , Rodica Muraru , Gregory Westin , Mithun Sinha , Adrian Gardner","doi":"10.1016/j.ijans.2025.100841","DOIUrl":"10.1016/j.ijans.2025.100841","url":null,"abstract":"<div><h3>Background</h3><div>Low- and middle-income countries carry a high burden of wounds. In such countries, the prevalence and extent of wound burden are hard to quantify because of systemic barriers associated with limited resources. In this study, we report the prevalence of patients presenting with wounds at a regional hospital in Kenya and describe these patients’ characteristics.</div></div><div><h3>Methods</h3><div>A descriptive study of inpatients and outpatients presenting wounds was conducted in Kenya’s teaching and referral hospital. Data on patient characteristics, wound and wound care characteristics, and social determinants of health were collected.</div></div><div><h3>Findings</h3><div>The data comprise point-in-time information for wound prevalence and wound types. Participants (<em>N</em> = 122) were primarily inpatients (68.9 %); 55 % were male. Traumatic chronic wounds were the most prevalent (35.2 %), followed by burn injuries (18.8 %), diabetic foot ulcers (12.3 %), and pressure injuries (9.8 %). Many of the patients (77.9 %) worried at some point that food for their family would run out before they could obtain enough money to buy more, and 75 % reduced their meal portions because they lacked funds to buy sufficient food; almost half (44.1 %) had felt hungry but did not eat due to lack of money to purchase sufficient food for their families.</div></div><div><h3>Conclusion</h3><div>Patients had extensive and multiple wounds, with a history of wounds that were slow-healing, and a large majority suffered from food insecurity. Without addressing social determinants of health, the burden of wound care will remain high in this region.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"22 ","pages":"Article 100841"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143704799","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":"Spirituality-based palliative care education on quality of life, death anxiety, and resilience of heart failure patients: Randomized controlled clinical trial","authors":"Roghayeh Balaghi Inaloo , Mostafa Bijani , Leila Nikrouz , Azizallah Dehghan , Abdulhakim Alkamel , Ali Taghinezhad , Zahra Khiyali","doi":"10.1016/j.ijans.2025.100818","DOIUrl":"10.1016/j.ijans.2025.100818","url":null,"abstract":"<div><h3>Background</h3><div>Heart failure represents the most severe and prevalent form of chronic cardiac disease, significantly impacting patients’ quality of life. Scientific evidence has established palliative care as a crucial component in the treatment of heart failure patients. However, limited research has examined how spirituality-based palliative care education affects these patients’ quality of life, death anxiety, and resilience.</div></div><div><h3>Objectives</h3><div>This study investigated the effects of spirituality-based palliative care education on quality of life, death anxiety, and resilience among heart failure patients in southern Iran.</div></div><div><h3>Methods</h3><div>This investigation employed a randomized controlled clinical trial design without blinding, incorporating both experimental and control groups. 80 patients who were randomly assigned to intervention and control groups (40 patients per group). Participants were recruited from patients receiving treatment at a teaching hospital in southern Iran between June and October 2022. Participants in the intervention group received spirituality-based palliative care education through six one-hour sessions. Data were collected using three validated instruments; the Minnesota Living with Heart Failure Questionnaire (MLHFQ), the Templer Death Anxiety Scale, and the Connor-Davidson Resilience Scale. Both groups completed these assessments at baseline, immediately post-intervention, and at a three-month follow-up. Data analysis was performed using SPSS version 20, employing descriptive statistics, Chi-square tests, Indipendent sample <em>t</em> test, and Repeated measures ANOVA. Statistical significance was set at P < 0.05.</div></div><div><h3>Results</h3><div>The mean age of participants was 63.11 ± 12.2 years in the intervention group and 62.14 ± 13.1 years in the control group. In the intervention group, 50 % of participants were married, compared to 30 % in the control group. The majority of patients had completed high school education (50 % in the intervention group and 60 % in the control group). The intervention group showed significant improvements in quality of life, death anxiety, and resilience scores both immediately after the intervention and at the three-month follow-up (p < 0.05). No significant changes were observed in the control group.</div></div><div><h3>Conclusion</h3><div>The findings demonstrate that spirituality-based palliative care education effectively reduces death anxiety while enhancing quality of life and resilience among heart failure patients. We recommend that healthcare administrators implement this novel educational approach in the care of heart failure patients.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"22 ","pages":"Article 100818"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143178472","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":"Experiences of student nurses with the booking and use of a multidisciplinary clinical simulation laboratory for self-directed simulation learning at a higher education institution","authors":"Lebogang B. Phehla","doi":"10.1016/j.ijans.2025.100833","DOIUrl":"10.1016/j.ijans.2025.100833","url":null,"abstract":"<div><h3>Background</h3><div>The use of simulation-based learning in nursing education and training has grown in recent years so much that it is nearly impossible for a nurse not to have practiced in simulation environments [with or without the guidance of an instructor] before being credentialed to treat real patients. However, student nurses’ access to a clinical teaching and learning facility like a multidisciplinary clinical simulation laboratory is hindered by several factors that impact negatively on the use of this teaching and learning facility for self-directed simulation-based learning (SSL).</div></div><div><h3>Aim</h3><div>The study aimed to explore and describe the experiences of student nurses with booking and use of a multidisciplinary clinical simulation laboratory for self-directed simulation-based learning (SSL) at a higher education institution (HEI).</div></div><div><h3>Methods</h3><div>A qualitative, exploratory, and descriptive design that is contextual in nature was employed in this study. A purposeful sample (N = 19) of student nurses were interviewed through focus group interviews. Data were analyzed using Tesch’s method of data analysis.</div></div><div><h3>Results</h3><div>Ambiguous booking process of the clinical simulation laboratory for SSL was the main theme with the following subthemes 1) Inadequate information on how student nurses can book simulation laboratory 2) Student nurses not being prioritized 3) Rules for utilizing the clinical simulation laboratory are not clearly defined.</div></div><div><h3>Conclusion</h3><div>The study participants described their experiences with the booking of the clinical simulation laboratory for SSL brought to light that the ambiguous clinical simulation laboratory booking system contributes to the underutilization of SSL by student nurses.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"22 ","pages":"Article 100833"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143550102","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}