International Journal of Africa Nursing Sciences最新文献

{"title":"Bottle feeding practices and associated factors among mothers of 6–23 months old children attending public health centers in Addis Ababa, Ethiopia. A cross-sectional study","authors":"Simenesh Mekonnen ,&nbsp;Melsew Getnet ,&nbsp;Zerihun Adraro ,&nbsp;Adugna Cherkos","doi":"10.1016/j.ijans.2025.100886","DOIUrl":"10.1016/j.ijans.2025.100886","url":null,"abstract":"<div><h3>Background</h3><div>Approximately 40% of deaths in children under two years of age worldwide are related to improper feeding practices for infants and young children. Appropriate complementary feeding and optimal breastfeeding could prevent 6% and 13% of deaths under five years of age, respectively. This study investigated bottle feeding practices and associated factors among mothers of 6–23 −month-old children.</div></div><div><h3>Methods and findings</h3><div>A facility-based cross-sectional study was conducted among mothers of 6–23 months old children attending public health centers in Addis Ababa, Ethiopia, 2023. A total of 826 mothers of children under 2 years old were selected using a systematic random sampling.</div><div>Among the mothers sampled, 66 % (95 % CI: 62, 69) bottle-fed their children. Mothers who were daily laborers were 3 times more likely, government employees were 3 times more likely, and private employees were 3 times more likely to bottle feed than housewives; [AOR = 2.651; 95 % CI: (1.174, 5.985)], [AOR = 2.71; 95 % CI: (1.554, 4.726)] and [AOR = 2.534; 95 % CI: (1.366, 4.703) respectively. Mothers who had seen infant formula advertisements were 2 times more likely to bottle feed than those who did not see [AOR = 1.813; 95 %CI: (1.263, 2.601)], mothers who used social media were more likely to practice bottle feeding [AOR = 1.426; 95 % CI: (1.001, 2.030)]. Children in the 12–23 months age group were more likely to be bottle feed compared to younger infants (6–11 months) [AOR = 1.409; 95 % CI: (1.022, 1.944)]. In contrast, mothers whose husbands lacked formal education were significantly less likely to practice bottle feeding [AOR = 0.210; 95 % CI: (0.058, 0.753)].</div></div><div><h3>Conclusion</h3><div>The high prevalence of bottle feeding and its association with maternal employment, media exposure, and sociodemographic factors highlight the need for comprehensive intervention. Policy efforts should prioritize breast feeding-friendly workplace initiatives, regulate formula marketing, and enhance counseling on infant feeding during antenatal and post-natal care visits. Tailored educational interventions that consider socioeconomic and cultural factors are essential to promote safer and more optimal feeding practices.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"23 ","pages":"Article 100886"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144895449","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":"Developing utility of eRegister data framework for evidence based midwifery practice in Lesotho: A Delphi Study","authors":"Tabeta Seeiso ,&nbsp;Euphemia Mbali Mhlongo","doi":"10.1016/j.ijans.2025.100890","DOIUrl":"10.1016/j.ijans.2025.100890","url":null,"abstract":"<div><h3>Background</h3><div>Electronic health records (eRegisters) are crucial in modern healthcare, especially for midwives. The use of eRegister data is relatively low in midwifery practice as most midwives continue to provide care that is not supported by local evidence.</div></div><div><h3>Objective</h3><div>To develop a framework for enhancing the use of the eRegister data for evidence-based midwifery practice with the aim of improving midwifery care in Lesotho.</div></div><div><h3>Methods</h3><div>e-Delphi technique was conducted in three rounds to establish a final consensus regarding the domains to be included in the utility of the eRegister data framework. Purposive sampling was used to recruit the expert members.</div></div><div><h3>Results</h3><div>The members agreed on three categories of constructs for the utility of the eRegister data framework. At the individual level, the domains included a positive attitude, appreciation of change, focused competency based capacitation and reflective practice. The domains at the facility level are role modelling from management, adequate staffing and motivation, integration of the eRegister and data use in performance standards, contextualised technical infrastructure as well as instituting the eRegister and data use ambassadors and pioneers. Lastly, members agreed on policy development, eRegister financing, quality assurance, a monitoring and evaluation system, continued inter-professional education and pre-service learning related to the health information system.</div></div><div><h3>Conclusion</h3><div>The study highlights that there are several linked domains that influence the use of the eRegister data that could practically inform future initiatives to promote and sustain the use of the eRegister data at the individual, facility and governance levels.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"23 ","pages":"Article 100890"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145018597","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":"Mother’s lived experiences of preterm birth and neonatal care in the Eastern Province of Saudi Arabia: A qualitative study","authors":"Alhanouf Abdulrahman Alghamdi,&nbsp;Ather Yousef Althekrallah,&nbsp;Fatimah Abduljalil M. Sulayyil,&nbsp;Deema Saad Al Shawan","doi":"10.1016/j.ijans.2025.100843","DOIUrl":"10.1016/j.ijans.2025.100843","url":null,"abstract":"<div><h3>Background</h3><div>Preterm birth, which is a birth occurring before thirty-seven weeks of gestation, is a global health concern with medical, psychological, and social challenges. It often requires neonatal intensive care (NICU), impacting maternal well-being and healthcare systems.</div></div><div><h3>Objectives</h3><div>This study explored the experiences of mothers who have had premature births. More specifically, the study investigated the perceptions of mothers regarding Healthcare services, emotional experiences, and coping mechanisms.</div></div><div><h3>Methods</h3><div>This study utilized a qualitative hybrid thematic analysis approach. The sample included five mothers in the Eastern Province of Saudi Arabia who had premature infants who were under one year old at the time of data collection.</div></div><div><h3>Results</h3><div>Mothers often experience stress, fear, shock, and guilt. They struggled the most with denial and difficulty accepting premature delivery. Surprisingly, some mothers suffered from a lack of knowledge regarding their situation. High-quality healthcare, careful monitoring, peer and social support, and empathetic healthcare providers were identified as factors that improved the experience.</div></div><div><h3>Conclusion</h3><div>This study examines the challenges encountered by mothers delivering premature babies, emphasizing healthcare needs, mental well-being, and coping strategies. We suggest involving midwives in prenatal care and incorporating mental health services into postnatal care. Additionally, cultural competency training should be a requirement for nurses to ensure they understand the diverse needs of families during this critical period.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"22 ","pages":"Article 100843"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143747247","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 pregnant women regarding the use of traditional medicine (isihlambezo) at King Cetshwayo District in KwaZulu-Natal","authors":"Siphiwe Themba Madlala,&nbsp;Mpilo Shange","doi":"10.1016/j.ijans.2025.100840","DOIUrl":"10.1016/j.ijans.2025.100840","url":null,"abstract":"<div><h3>Problem</h3><div>The prevalence of herbal medicine (isihlambezo) use is on the rise worldwide, especially amongst pregnant women. Most women believe that traditional medicine use has significance and advantages to them and their unborn babies during pregnancy. There are few scientific studies about its safety for pregnant women and their babes, regardless of possible teratogenic effects that may result in fatalities amongst pregnant women, who continue to consume isihlambezo.</div></div><div><h3>Aim</h3><div>The study aimed to explore and describe experiences of pregnant women regarding the use of traditional herbal medicine (isihlambezo).</div></div><div><h3>Methodology</h3><div>Qualitative descriptive phenomenology research design was employed in this study. Twelve participants who were purposefully selected to collect data were interviewed until data saturation was reached using unstructured interviews as data collecting strategy. Data was analysed by using Colaizzi steps of phenomenological data analysis.</div></div><div><h3>Results</h3><div>Several themes and sub-themes emerged from the study which included myths about isihlambezo, traditional and cultural beliefs, indication and effects of isihlambezo. Most participants expressed strong beliefs regarding the use of traditional herbal medicine (isihlambezo). Therefore, it is evident that isihlambezo continues to gain momentum among pregnant women despite not being scientifically tested for its safety use during pregnancy<strong>.</strong></div></div><div><h3>Conclusion</h3><div>The study’s findings revealed that factors such as unemployment, poverty, lack of education and beliefs contribute to the high uptake of traditional herbal medicine (isihlambezo) among pregnant women. Hence, its consumption during pregnancy is on the rise despite its unknown safety.</div></div><div><h3>Contribution</h3><div>Maternal healthcare institutions should consider reviewing the safety use traditional herbal medicine (isihlambezo).</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"22 ","pages":"Article 100840"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143679898","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":"Psychosocial-cultural care for couples experiencing infertility: An integrative review","authors":"Anthony Kolsabilik Kuug ,&nbsp;Sindiwe James ,&nbsp;Jardien-Baboo Sihaam","doi":"10.1016/j.ijans.2025.100823","DOIUrl":"10.1016/j.ijans.2025.100823","url":null,"abstract":"<div><h3>Background</h3><div>Infertility remains a major reproductive health issue across the globe which often leads to a myriad of psychosocial concerns. For societies where childbearing is considered a social prestige, the emergence of infertility can be devastating to affected persons and their families. Management strategies for infertility are still evolving albeit what remains poorly articulated is the guidelines to underpin the provision of culturally sensitive psychosocial care. To resolve this gap, this review sought to identify and integrate existing literature to formulate a conceptual understanding of culturally sensitive psychosocial care.</div></div><div><h3>Methods</h3><div><span><span>Whittemore and Knafl’s, 2009</span></span> integrative review approach was employed and reported based on the PRISMA checklist. A systematic search using relevant key terms or keywords for all relevant guidelines was carried out in relevant electronic databases, namely BioMed Central, Science Direct, CINAHL, Medline, Sabinet, Academic Search Ultimate, Nursing/Academic Edition, Emerald, PubMed Central, and Google Scholar. The guideline databases that were searched included: the Guideline International Network (G-I-N); the National Institute for Health and Clinical Excellence (NICE); and the National Guideline Clearing House (NGCH). Thematic analysis was employed to analyse the extracted data.</div></div><div><h3>Results</h3><div>Six (6) studies including three (3) systematic reviews of infertility care and three (3) guidelines for infertility management met the criteria for inclusion. Two themes and five subthemes emerged from the extracted data which encapsulate the need for patient-centered care and the availability of psychological, emotional, and social support.</div></div><div><h3>Conclusions</h3><div>The review concludes that healthcare providers need to adopt infertility interventions that are culturally sensitive and very supportive based on the provision of effective and efficient information and communication.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"22 ","pages":"Article 100823"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143436961","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":"Caregivers’ understanding of mental illness and their experience in caring for mentally ill individuals: A qualitative study among caregivers in Tanzania","authors":"Olav Johannes Hovland ,&nbsp;Neema Napeya Kininga ,&nbsp;Berit Johannessen","doi":"10.1016/j.ijans.2025.100850","DOIUrl":"10.1016/j.ijans.2025.100850","url":null,"abstract":"<div><h3>Introduction</h3><div>Prevalence of mental illness is rising in low- and middle-income countries, including Tanzania, with implications at individual, societal, and systemic levels. Tanzania faces challenges such as limited mental health literacy and restricted access to healthcare. Family members often serve as primary caregivers, shouldering substantial community responsibility for supporting individuals with mental illness.</div></div><div><h3>Objectives</h3><div>Given that a significant portion of mental healthcare occurs in informal settings, the aim of this study was to determine caregivers understanding of mental illness and their experience in caring for mentally ill individuals.</div></div><div><h3>Method</h3><div>We used focused ethnography including observations and semi-structured interviews of 12 caregivers followed by content analysis.</div></div><div><h3>Results</h3><div>Participants included parents, siblings, and extended family members, each with varied perceptions of mental illness, commonly referred to as “kichaa” (insanity). Caregivers experienced violence, lack of understanding of the needs of the mentally ill, lack of support, and challenges in access to resources. Caregivers sought help from sources such as religious prayers, traditional healers, professional facilities, and biomedical medication.</div></div><div><h3>Conclusion</h3><div>Caregivers’ experiences with mental illness in Tanzania are heavily influenced by cultural, societal, and religious traditions. This traditional perspective, coupled with lack of support, resources, and income, results in varied approaches to mental health treatment. Stigma surrounding mental illness is strong. Providing education about the nature of mental illness and professional treatment may help reshape societal perceptions and lighten the burden on caregivers. Given the strong cultural influence on healthcare decisions and treatment choices, any guidance should respect and incorporate family and community culture.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"22 ","pages":"Article 100850"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143848197","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":"Anticipated nursing care: an emerging concept in healthcare practice","authors":"Amirhossein Sharifi Kelarijani ,&nbsp;Mohamad Golitaleb ,&nbsp;Ali Safdari","doi":"10.1016/j.ijans.2025.100871","DOIUrl":"10.1016/j.ijans.2025.100871","url":null,"abstract":"<div><div>In recent years, the quality and safety of nursing care have been recognized as fundamental principles in healthcare systems. The timely and accurate execution of nursing interventions is essential to ensuring high-quality and safe patient outcomes. However, nurses face various challenges that can affect the timing of care. Some of these challenges include high workload, resource shortages, and job pressures. Consequently, some aspects of patient care may be delayed, performed later than planned, or missed altogether. As a result, missed nursing care is recognized as one of the major challenges in achieving high-quality and safe healthcare. This phenomenon can lead to several adverse outcomes for patients, including an increased risk of pressure ulcers, infections, medication errors, and hospital readmissions. In contrast to this phenomenon, a new concept called “anticipated nursing care” has emerged in nursing literature in recent years. Anticipated nursing care is defined as the intentional delivery of nursing interventions before their scheduled time or before a patient explicitly requests them, usually aimed at preventing problems and ensuring patient comfort. Examples of this phenomenon include administering medication before the scheduled time to prevent pain or symptoms of illness and waking patients early for scheduled interventions. This concept differs fundamentally from missed nursing care; while missed nursing care refers to delays or incomplete delivery of care, anticipated nursing care emphasizes early provision of care.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"23 ","pages":"Article 100871"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144663352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the conceptualization of strengthening the quality of midwifery education: A constructivist grounded theory study","authors":"Waleola Bukola Ige,&nbsp;Winnie Baphumelele Ngcobo","doi":"10.1016/j.ijans.2025.100881","DOIUrl":"10.1016/j.ijans.2025.100881","url":null,"abstract":"<div><h3>Background</h3><div> <!-->Strengthening the quality of midwifery education to international standards is necessary to prepare the midwifery workforce that can improve poor maternal and neonatal health. Unfortunately, Nigeria, with 1 047 deaths per 100 000 live births, is among the three countries identified as contributing extremely highly to maternal mortality rates, after South Sudan and Chad.</div></div><div><h3>Aim</h3><div>This study’s aim was to explore the conceptualisation of strengthening midwifery education quality in Nigeria.</div></div><div><h3>Methodology</h3><div>A Grounded Theory (GT) methodology following social constructivism paradigm was utilised to explore the conceptualisation of strengthening midwifery education quality in Nigeria. Purposive and theoretical sampling were implemented to select key informants with a focus on theoretical saturation. The participants were twenty-two midwifery educators, eighteen clinical preceptors, eighteen newly graduated midwives and seventy-two midwifery students.</div></div><div><h3>Findings</h3><div>Strengthening the quality of midwifery education emerged as the core phenomenon within the context of midwifery education in Nigeria. The categories that make up the core phenomenon are curriculum reform, effective leadership and good governance, capacity building, an enabling environment, and the creation of a midwifery association.</div></div><div><h3>Conclusion</h3><div>Based on the study’s findings, it is evident that strengthening the quality of midwifery education is critical to improve maternal and child health, especially in poorly resourced countries like Nigeria. Strengthening the quality of midwifery education will be realized by strengthening the capacity for each of the identified categories of the core phenomenon. This highlights the need for urgent attention and action from policymakers, administrators, midwifery educators, and other relevant stakeholders.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"23 ","pages":"Article 100881"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144770657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the experiences of family caregivers of older adults with schizophrenia in Southwest Nigeria","authors":"Osuolale John Makanjuola,&nbsp;Winnie Baphumelele Ngcobo","doi":"10.1016/j.ijans.2025.100891","DOIUrl":"10.1016/j.ijans.2025.100891","url":null,"abstract":"<div><h3>Background</h3><div>Caring for older Adults diagnosed with schizophrenia is emotionally and physically demanding, frequently affecting the overall well-being of caregivers.</div></div><div><h3>Purpose</h3><div>This study aimed to describe the caregiving experiences and support mechanisms accessible to family caregivers of older adults with schizophrenia.</div></div><div><h3>Methods</h3><div>This study used a descriptive qualitative design. Face-to-face in-depth interviews were conducted with 20 family caregivers of older adults with schizophrenia. The data were analysed using thematic analysis.</div></div><div><h3>Results</h3><div>Six themes were identified in this study. Caregiving Challenges: Caregivers faced difficulties in ensuring medication adherence and monitoring the health conditions of care recipients. Psychological and Emotional Impact: The responsibilities associated with caregiving result in emotional distress, frustration, and intermittent resilience. Social Isolation: A decline in social interactions and feelings of isolation were prevalent because of the demanding nature of caregiving tasks. Financial Strain and Physical Health Effects: Caregivers reported experiencing financial hardships and negative implications for their physical health, such as disruptions in sleep patterns. Caregiving Satisfaction: Despite the inherent challenges, caregivers expressed a sense of fulfilment when observing improvements in the health status of their older loved ones with schizophrenia.</div></div><div><h3>Conclusion</h3><div>Caregiving for elderly individuals with schizophrenia entails considerable emotional, financial, and social challenges, with a pressing need for more comprehensive support systems, such as healthcare services, training, and financial assistance, to mitigate these burdens. Training programmes on manageing patient behaviour and medication adherence should be intensified to empower caregivers and improve patient outcomes.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"23 ","pages":"Article 100891"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144895452","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 educators’ competence and use of digital education technology at selected nursing education institutions in Nigeria","authors":"Isaiah Dada Owoeye,&nbsp;Jennifer-Anne Chipps,&nbsp;Felicity Daniels","doi":"10.1016/j.ijans.2025.100870","DOIUrl":"10.1016/j.ijans.2025.100870","url":null,"abstract":"<div><h3>Background</h3><div>The use of digital education technology has permeated educational settings and its use has become compelling for educators in nurse training. The competence of educators is however paramount for the appropriate use of the technology in the teaching and learning process.</div></div><div><h3>Aim</h3><div>The study aimed to explore the pedagogical competence and use of digital education technology among nurse educators in Nigerian nursing education institutions.</div></div><div><h3>Methods</h3><div>Qualitative methods were followed and in-depth interviews using one broad question and probing questions. Twelve nurse educators were purposively sampled across five nursing education institutions. Interviews were recorded, transcribed, and imported into Atlas.ti version 23 software for data analysis. Ethical clearance was obtained from the Research Ethics Committee of the University of the Western Cape.</div></div><div><h3>Findings</h3><div>Most participants were female. Participants’ average age was approximately 41 years and their experience approximately 11 years. The data generated seven themes and twenty two categories related to pedagogical, digital and ethical competence as follows: Characteristics, qualities, and or roles of nurse educators; student roles and responsibilities in the learning process; educators’ understanding, philosophy, use and experience, and learning needs related to digital education technology; use of digital education technology in clinical education and administration in the current and future digital era; digital education technology utility; educators and students’ competence and use of digital education technology; and promotors and inhibitors of ethical competence.</div></div><div><h3>Conclusion</h3><div>Students and educators used digital education technology in the teaching and learning process, but educators are lagging with an urgent need for digital literacy, provision of devices, and skills to address ethical issues for users in education.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"23 ","pages":"Article 100870"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144614555","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}