International Journal of Africa Nursing Sciences最新文献

{"title":"Barriers to delivery of culturally competent care among nurses: A multi-center cross-sectional study in a resource-limited setting","authors":"Abdul-Karim Abubakari ,&nbsp;Janet Gross ,&nbsp;Eric Asamoah","doi":"10.1016/j.ijans.2024.100705","DOIUrl":"https://doi.org/10.1016/j.ijans.2024.100705","url":null,"abstract":"<div><h3>Background</h3><p>In a growing multicultural society like Ghana, the cultural competence (CC) of nurses is imperative. Despite the importance of CC within the healthcare environment, factors that hinder nurses’ ability to render culturally competent care (CCC) to patients in the clinical unit have not been adequately explored.</p></div><div><h3>Purpose</h3><p>To examine the barriers nurses encounter in the delivery of CCC across two regions of Ghana.</p></div><div><h3>Methods</h3><p>From October to December 2022, an institutional-based cross-sectional study in eight hospitals involving nurses was conducted in the Western and Ashanti regions. A probability sampling method was employed to select 759 participants. Data was entered into a spreadsheet and exported to S.P.S.S version 23. Binary and multivariable logistic regressions were used to establish the associations between dependent and independent variables. The odds ratio with a 95 % confidence interval was computed. Outcome variables with a P-value &lt; 0.05 were deemed statistically significant.</p></div><div><h3>Results</h3><p>The majority of the respondents were females (61.4 %; n = 466). The three-factor structure of the instrument was validated using an exploratory factor analysis. The study revealed that barriers that hindered nurses were the lack of CCC policies (β = 0.150, 95 % CI = 0.120, 0.180), nurse staffing-related factors (β = 0.120, 95 %; CI = 0.090, 0.150), and the lack of training related factors (β = 0.084, 95 % CI = 0.054, 0.114). Nurses’ age, marital status, and experience were significant at a p-value of &lt; 0.05.</p></div><div><h3>Conclusion</h3><p>The lack of culturally appropriate policies, lack of training-related factors, and nurse staffing-related challenges hindered respondents’ efforts to render CCC. Interventions aimed at improving CCC should target these barriers.</p></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"20 ","pages":"Article 100705"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214139124000507/pdfft?md5=41898850775176c81d88d8f8cccc69ac&pid=1-s2.0-S2214139124000507-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140557849","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":"Birth stories of South African mothers of children with albinism: A critical human rights analysis","authors":"Sheryl Reimer-Kirkham ,&nbsp;Barbara Astle ,&nbsp;Jennifer Kromberg ,&nbsp;Innocentia Mgijima-Konopi ,&nbsp;Ramadimetja Shirley Mooa ,&nbsp;Maretha de Waal ,&nbsp;Meghann Buyco ,&nbsp;Ikponwosa Ero ,&nbsp;Dianah Msipa ,&nbsp;Tintswalo Victoria Nesengani ,&nbsp;Nomasonto Mazibuko ,&nbsp;Ronell Leech ,&nbsp;Mpho Tjope","doi":"10.1016/j.ijans.2023.100650","DOIUrl":"10.1016/j.ijans.2023.100650","url":null,"abstract":"<div><h3>Background</h3><p>The genetic condition of oculocutaneous albinism is disproportionately present in Africa. Little research has addressed the experiences of mothers impacted by albinism, even though they are more likely to be impacted by human rights violations.</p></div><div><h3>Methods</h3><p>A qualitative study was designed to examine the resilience of mothers affected by albinism in South Africa. Virtual and in-person fieldwork was conducted with the facilitation of community-based researchers and local cultural liaisons.</p></div><div><h3>Findings</h3><p>Giving birth to a child with albinism in South Africa, as in many parts of sub-Saharan Africa, was a life-defining moment for mothers and their families, setting them on a trajectory of health-related stigma, gender inequalities, reduced access to social determinants of health, and other human rights violations. Mothers engaged in sense-making processes shaped by the responses of birth attendants and families, and that reflected social discourses. Their resilience was impacted by access to health teaching, genetic counselling, and health and social services, which were often incomplete or absent all together. Civil society organizations, peer groups, and faith communities were vital in filling these gaps.</p></div><div><h3>Conclusions</h3><p>The experience giving birth to a child with albinism was both the same and different compared to mothers forty years earlier. What varied was the digital availability of health information; progressive health and social policies and resourcing; and human rights instruments. These transformations point to best practices to support mothers’ resilience.</p></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"20 ","pages":"Article 100650"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214139123001257/pdfft?md5=6539ffa7c6c33459de161296f6dc0023&pid=1-s2.0-S2214139123001257-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139013168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors influencing clinical competence of new graduate nurses employed in selected public hospitals of North West Province: Operational Managers’ perspectives","authors":"Kholofelo L. Matlhaba ,&nbsp;Naomi L. Nkoane","doi":"10.1016/j.ijans.2024.100683","DOIUrl":"https://doi.org/10.1016/j.ijans.2024.100683","url":null,"abstract":"<div><h3>Background</h3><p>Nurses have always been regarded as the backbone of the healthcare system, hence the need for a competent workforce in provision of quality care.</p></div><div><h3>Purpose</h3><p>To report on factors influencing clinical competence of new graduate nurses as perceived by operational managers and to make recommendations for the mitigation of those perceived factors.</p></div><div><h3>Methods</h3><p>An exploratory and descriptive qualitative research was conducted in specific public hospitals of the North West Province, South Africa. A purposive sampling technique was used to select operational managers from different nursing units. Semi-structured in-depth interviews were used for data collection during four focus group discussions and eight in-depth interviews. The six steps of thematic analysis were then used to analyse the transcribed data.</p></div><div><h3>Results</h3><p>The research participants described identified determinants that influence clinical competencies of new graduate nurses during the early years in their nursing careers. The identified factors were related to: 1) Nursing education and training system; 2) Health care system and institutional systems.</p></div><div><h3>Conclusion</h3><p>The study concluded that, it is imperative for nursing education and training as well as the health policy makers to take the responsibility of strengthening endorsements on clinical competence of new graduate nurses to improve on quality nursing care rendered in South Africa.</p></div><div><h3>Implications for practice</h3><p>Nursing Practice and Nursing Education and Training Directorates should begin to re-imagine innovative ways of integrating theory with practice in an effort to assist the new graduate nurses to fortify their clinical competence early in their professional voyage of rendering quality nursing care in South Africa.</p></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"20 ","pages":"Article 100683"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214139124000283/pdfft?md5=edec66db54baa4f61bd5f64148be412d&pid=1-s2.0-S2214139124000283-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140123319","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 psychometric evaluation of the perceived perioperative competence scale-revised for Malawian student nurses","authors":"Richard K. Bwanali ,&nbsp;Gladys Msiska ,&nbsp;Kristin H. Urstad ,&nbsp;Bodil Bø ,&nbsp;Angela Chimwaza","doi":"10.1016/j.ijans.2024.100731","DOIUrl":"https://doi.org/10.1016/j.ijans.2024.100731","url":null,"abstract":"<div><h3>Background</h3><p>Perioperative nursing plays an important role in the success of any surgery. In Malawi, pre-service training is the only source of perioperative knowledge for nurses. In order to ensure that nurses are adequately prepared with perioperative knowledge and skills, an effective assessment of perioperative competence is required. The Perceived Perioperative Competence Scale-Revised (PPCS-R) is a scientifically developed and psychometrically validated tool for assessing perioperative nurses’ competence. Therefore, this study aimed to adapt and evaluate the psychometric properties of the Perioperative Competence Scale-Revised (PPCS-R) for use on undergraduate student nurses in Malawi.</p></div><div><h3>Methods</h3><p>The adaptation of the PPCS-R involved a review by a panel of experts for content validity followed by an evaluation of Psychometric properties through a confirmatory factor analysis. The confirmatory factor analysis evaluated the reliability coefficient and factor loading for the scale based on data from 100 former nursing students.</p></div><div><h3>Results</h3><p>Content analysis led to the exclusion of six items while twelve items were revised. The confirmatory Factor Analysis yielded 6 factors with Cronbach’s alpha ranging between 0.811 to 0.879.</p></div><div><h3>Conclusion</h3><p>The Malawian student version of the PPCS-R has good reliability, validity, and psychometric properties. This will enable nurse educators, preceptors, clinical nurses, and even student nurses to assess perioperative nursing competency for undergraduate student nurses in Malawi.</p></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"20 ","pages":"Article 100731"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214139124000763/pdfft?md5=7c542da538bde7332549dda02323a77c&pid=1-s2.0-S2214139124000763-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141326087","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":"Pregnant mothers intention to use postpartum intrauterine contraceptive device and its associated factors in Arba Minch Town, Southern Ethiopia, 2022","authors":"Melkam Andargie ,&nbsp;Megbaru Debalkie ,&nbsp;Serawit Lakew ,&nbsp;Asmare Getie ,&nbsp;Zerihun Solomon","doi":"10.1016/j.ijans.2024.100718","DOIUrl":"https://doi.org/10.1016/j.ijans.2024.100718","url":null,"abstract":"<div><h3>Introduction</h3><p>Postpartum intra-uterine device use contributes to the happiness and health of women, children, and families who are of reproductive age. Out of the 210 million pregnancies that happen worldwide each year, about 80 million are unintended. Increasing postpartum intrauterine contraceptive device intention can help reduce unplanned pregnancies and the incidence of abortion.</p></div><div><h3>Methods</h3><p>a cross-sectional study was conducted in pregnant mother’s home from March to April 2022 to assess the intension to use PPIUCD and to identify factors. Through simple random selection, 482 pregnant women were surveyed using a pretested, structured questionnaire and in-person interviews. Four randomly selected Kebeles were involved in the study by using simple random sampling. The data was imported into Epi-data version 4.6.0.2 and then analysed using Stata version 14. Bivariate and multivariable logistic regressions were used to identify associated factors.</p></div><div><h3>Results</h3><p>482 pregnant women have participated in the study, and 98.5 % of them responded. 13.7 % (95 % CI: 11.0–17.0) of the participants stated that they planned to use an intra-uterine devices after giving birth. The intention to use a postpartum intrauterine contraceptive device had a significant association with the participants' educational level (AOR = 4.69; 95 % CI: 1.31–16.81), moderate level (AOR = 3.77; 95 % CI: 1.90–7.50), high knowledge (AOR = 4.82; 95 % CI: 1.96–11.87), and favorable attitude (AOR = 7.26; 95 % CI: 3.39–15.52), according to the results of the multivariable analysis.</p></div><div><h3>Conclusion</h3><p>In Ethiopia, compared to earlier research, there was a decreased intention to use postpartum intrauterine contraceptive devices. Encouraging the use of postpartum intrauterine contraceptives for social and behavioural changes can be more effective.</p></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"20 ","pages":"Article 100718"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214139124000635/pdfft?md5=110490a3d7ad3073b3e92a683b091221&pid=1-s2.0-S2214139124000635-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140825438","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":"Personnel perceptions of a positive practice environment in public nursing education institutions in South Africa: A descriptive qualitative study","authors":"Anna F. Bence ,&nbsp;Hester C. Klopper ,&nbsp;Siedine K. Coetzee","doi":"10.1016/j.ijans.2024.100726","DOIUrl":"https://doi.org/10.1016/j.ijans.2024.100726","url":null,"abstract":"<div><h3>Background</h3><p>While much is known about aspects of the practice environment and its influence on staff outcomes and quality of education, less is known about creating positive practice environments in public nursing education institutions, especially in developing countries.</p></div><div><h3>Aim</h3><p>To describe the perceptions of the personnel of a public nursing education institution identified as having the most positive practice environment and nurse educator outcomes.</p></div><div><h3>Design</h3><p>A qualitative descriptive research design was used.</p></div><div><h3>Methods</h3><p>All-inclusive voluntary sampling was applied at one public nursing education institution in the Gauteng Province with the principal, vice-principal, heads of departments (N = 11; n = 6), nurse educators (N = 93; n = 17), and administrative staff (N = 42; n = 11). Semi-structured individual and focus group interviews were conducted and inductive thematic analysis was used. Data was collected from November 2019 until March 2020.</p></div><div><h3>Results</h3><p>Personnel indicated interpersonal relationships, effective communication and enhancing team dynamics as the main theme of the study, with seven specific sub-themes as raised by managers, nurse educators and administrative staff.</p></div><div><h3>Conclusion</h3><p>Interpersonal relationships, communication and enhancing team dynamics is the main drive for a positive practice environment. The most significant responsibility in creating such an environment is the managers' ability to lead and support personnel. In addition to intentionally fostering collegial and collaborative relationships, managers need to be approachable. In addition to upholding fundamental human rights values and fostering active participation in decision-making, managers should exercise sensitive leadership. and encourage staff wellness support measures.</p></div><div><h3>Twitter abstract</h3><p>Interpersonal relationships, effective communication and enhancing team dynamics are the most crucial tactics for promoting positive practice environments at public nursing education institutions in a province of South Africa.</p></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"20 ","pages":"Article 100726"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214139124000714/pdfft?md5=1e2cf8964e1cef5dc33c7f966bc8b6f8&pid=1-s2.0-S2214139124000714-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141072541","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":"Nursing colleges in higher education: Determinants of organisational readiness for implementing change","authors":"Patricia Y. Mudzi,&nbsp;Judith Bruce","doi":"10.1016/j.ijans.2024.100794","DOIUrl":"10.1016/j.ijans.2024.100794","url":null,"abstract":"<div><h3>Background</h3><div>Transitioning to higher education is a significant and ongoing change for nursing education, globally. Understanding organisational readiness for implementing change is crucial for the successful transitioning of nursing colleges to higher education.</div></div><div><h3>Objective</h3><div>To determine the perspectives of nursing education leaders on organisational readiness for change to higher education.</div></div><div><h3>Methods</h3><div>The Organisational Readiness for Implementing Change scale was used to survey the collective commitment of nursing education leaders to change efficacy and change commitment. Seventy-five participants (n = 75) from a target population of 88 nursing college managers and nursing education directors, completed the survey. The survey was conducted in public nursing colleges across three provinces in South Africa: rural, urban, and mixed urban and rural. Descriptive statistics were used to analyse data. Mann-Whitney and Kruskal-Wallis tests were used to compare differences between variables.</div></div><div><h3>Results</h3><div>Statistically significant differences in readiness levels were found among nursing colleges (p = 0.04). The nursing college in the rural province had the highest readiness (median: 48, IQR: 44–52). Participants with more than 20 years education experience reported higher readiness for change (median: 48, IQR: 42–49). No significant differences were found in readiness based on gender (p = 0.13), qualification level (p = 0.88), and employee designation (p = 0.32).</div></div><div><h3>Conclusion</h3><div>Change commitment and efficacy varied across the nursing colleges but were generally positive. Marginally high readiness for change implementation requires strategic support that goes beyond resources, staff qualifications and position. Members’ collective commitment and confidence are important determinants for change readiness.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"21 ","pages":"Article 100794"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142531224","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":"Exploring facilitators and barriers to healthcare professionals’ use of clinical guidelines to prevent surgical site infection in Rwandan hospitals","authors":"Aloys Niyomugabo ,&nbsp;Madeleine Mukeshimana ,&nbsp;Anita Collins ,&nbsp;Geldine Chironda","doi":"10.1016/j.ijans.2024.100792","DOIUrl":"10.1016/j.ijans.2024.100792","url":null,"abstract":"<div><h3>Background</h3><div>Surgical site infection (SSI) is a significant clinical problem with detrimental effects on the quality of life coupled with prolonged hospital stays, additional costs for patients. There are clinical guidelines for prevention of surgical site infections. However, little is known about the facilitators; and barriers against healthcare professionals’ use of clinical guidelines in the prevention of SSI in Rwandan hospitals.</div></div><div><h3>Aim</h3><div>This study aims to explore facilitators and barriers to healthcare professionals’ use of clinical guidelines for Surgical Site Infection Prevention in Rwanda.</div></div><div><h3>Methods</h3><div>A qualitative, exploratory and descriptive study that involved 28 health professionals was carried out. Participants were selected using purpose sampling approach. The data collection process involved the use of a focused group discussion using interview guide to gather relevant information. Subsequently, the collected data was analyzed using the software Atlas TI, along with content analysis techniques to derive meaningful insights from the data.</div></div><div><h3>Results</h3><div>The barriers faced by health care professionals included a lack of official guidelines for the prevention of SSIs, shortage of health care professionals, an inappropriate monitoring system due to work overload, limited knowledge on the subject among them, limited resources in terms of facilities and hospital monetary. The identified facilitators were self-motivation, teamwork, peer support, and support from the management committee of the hospital.</div></div><div><h3>Conclusion</h3><div>This study identified lack of official guideline for prevention of SSIs as one of main barriers encountered by health care professionals to the prevention of surgical site infections. Despite the positive efforts made by healthcare professionals toward the prevention and management of SSIs, several challenges impede the process. Recommendations should be tailored to availing official clinical guidelines for prevent SSI, increased training for healthcare professionals, provision of more healthcare staff, and improved surveillance and monitoring of surgical site infection.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"21 ","pages":"Article 100792"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142438002","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":"Effectiveness of competency-based training on Nurses’ performance regarding oxygen administration safety for children with respiratory disorders","authors":"Doaa Bahig Anwr Akl ,&nbsp;Donia Elsaid Fathi Zaghamir ,&nbsp;Mohamed Gamal Elsehrawy ,&nbsp;Om Hashim Mahmoud Mahmoud Saadoon ,&nbsp;Amal Abd Elhaleem Farahat ,&nbsp;Maha Mahmoud Mahmoud Saadoon","doi":"10.1016/j.ijans.2024.100754","DOIUrl":"10.1016/j.ijans.2024.100754","url":null,"abstract":"<div><h3>Background</h3><p>Supplemental oxygen therapy is one of the main therapies used to manage respiratory distress; it must be given in a way that is both safe and efficient. To provide standardized care, competency-based training should be designed to prioritize the practical skills and talents of the nurses over the provision of theoretical knowledge. <strong>The study aimed</strong> to evaluate the effectiveness of competency-based training on nurses’ performance regarding oxygen administration safety for infants with respiratory disorders.</p></div><div><h3>The setting</h3><p>The study was conducted at the pediatric critical care units at Mansoura University Hospital. Design: The quasi-experimental study was used. The sample: A convenient sampling technique was used for recruiting pediatric critical care nurses and the infants who were admitted in the previous setting. Data collection: three tools were utilized in this study: the first was a structured interview questionnaire encompassing the socio-demographic characteristics of the studied nurses and infants. The second tool is nurses’ knowledge and an observation checklist to assess nurse practices regarding oxygen administration safety. The third tool, the nurse competence scale (NCS).</p></div><div><h3>Results</h3><p>pediatric critical care nurses’ standardization (knowledge, practice, and knowledge application) through pre- and post-intervention. It showed a marked improvement in mean score and standard deviation in the post compared to pre, and the total mean was in the post (15.9 ± 3.8) compared to pre (33.5 ± 7.2) with a p-value &lt; 0.001.</p></div><div><h3>Conclusion</h3><p>After the implementation of the competency based training program regarding oxygen administration safety.</p><p>Recommendations.</p><p>To increase standardization in nursing care practices and produce the best patient outcomes, competency-based training should be applied to all aspects of health care delivery.</p></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"20 ","pages":"Article 100754"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214139124000994/pdfft?md5=c773609803c1eae5c04cc267b1fe06d1&pid=1-s2.0-S2214139124000994-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141849612","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":"Validation of the Psychometric Properties of the Practice Environment Scale of Nursing Work Index (PES-NWI) Questionnaire in the Context of Kenya’s Nursing Organizational Work Culture","authors":"Evans Kasmai Kiptulon ,&nbsp;Mohammed Elmadani ,&nbsp;Godfrey Mbaabu Limungi ,&nbsp;Anna Szőllősi ,&nbsp;Dahabo Adi Galgalo ,&nbsp;Peter Murage ,&nbsp;Pauline Okari ,&nbsp;Orsolya Maté ,&nbsp;Adrienn Ujváriné Siket","doi":"10.1016/j.ijans.2024.100750","DOIUrl":"10.1016/j.ijans.2024.100750","url":null,"abstract":"<div><h3>Background</h3><p>The global shortage of nurses is posing a significant threat to the provision and sustainability of quality health care services worldwide. The importance of nursing organizational culture and validated tools to accurately measure it, is of paramount importance in mitigation of this shortage, especially in Low- and middle-income-countries like Kenya.</p></div><div><h3>Methodology</h3><p>This was a cross-sectional online validation survey among 212 nursing personnel working in various healthcare facilities across Kenya. The aim of the study was to assess the validity and reliability of the psychometric properties of the Practice Environment Scale of Nursing Work Index within the framework of nursing organizational culture in Kenya and determine how Kenyan nurses rate their organizational culture. Data was analyzed using SPSS version 28. Cronbach’s alpha was used to determine reliability while Exploratory Factor Analysis and Confirmatory Factor Analysis were used to test validity.</p></div><div><h3>Results</h3><p>The 5-structure of Lake’s PES-NWI was unsupported by confirmatory factor analysis and a new 7-Factor Kenyan PES-NWI version was created. The new tool was reliable and with acceptable fit. Participants showed a mixed rating of their organizational culture with overall organizational culture largely rated neutral (M = 2.51, SD = 1.01).</p></div><div><h3>Conclusion</h3><p>The Kenyan PES-NWI is a valid and reliable tool that could be used to assess organizational culture. The study highlighted the critical need to further develop context-specific tools to accurately measure nursing organizational culture work environments particularly in Low and-Middle-Income countries like Kenya facing significant nursing shortages. As nursing becomes increasingly dynamic and complex, it is essential for nursing and healthcare researchers to re-validate research tools to continuously improve them.</p></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"20 ","pages":"Article 100750"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214139124000957/pdfft?md5=76da8f03154c56dcbd4fb3de8f86a9d2&pid=1-s2.0-S2214139124000957-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142151894","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}