International Journal of Africa Nursing Sciences最新文献

{"title":"Satisfaction towards clinical learning environment and its associated factors among undergraduate nursing students at public universities in Northwest Ethiopia, 2022. A multi-center cross-sectional study","authors":"Alamirew Enyew Belay ,&nbsp;Eleni Tesfaye Tegegne ,&nbsp;Asemarie Kebede Shitu ,&nbsp;Kibret Enyew Belay ,&nbsp;Asnake Gashaw Belayneh","doi":"10.1016/j.ijans.2024.100666","DOIUrl":"https://doi.org/10.1016/j.ijans.2024.100666","url":null,"abstract":"<div><h3>Background</h3><p>The clinical learning environment is a multidimensional entity that affects the clinical learning outcomes of nursing students. Most studies in Ethiopia showed that nursing students' clinical competency was below half and their satisfaction with clinical practice is crucial to enhance their competency. However, in Ethiopia satisfaction of nursing students with their clinical learning environment is unknown.</p></div><div><h3>Objective</h3><p>This study aimed to assess satisfaction with the clinical learning environment and associated factors among undergraduate nursing students.</p></div><div><h3>Methods</h3><p>Institution-based cross-sectional study was conducted in public universities, in northwest Ethiopia. A total of 416 undergraduate nursing students were selected by a simple random sampling technique. Data were collected by a structured, pre-tested, self-administered questionnaire, entered into Epi-Info and exported to SPSS for analysis. Bivariable and multivariable binary logistic regression analyses were done to test the association. The odds ratio at 95 % CI and P-value &lt; 0.05 was used to ascertain statistical significance.</p></div><div><h3>Results</h3><p>Of the study participants, one hundred seventy-three (41.6 %) were satisfied with their Clinical learning environment. Third-year students (AOR = 0.41, 95 % CI: 0.22, 0.74), having pre-clinical orientation (AOR = 7.17, 95 % C.I: 3.33, 15.4) comfort on ward rotation (AOR = 2.01, 95 % CI: 1.06, 3.77), less frequent supervision (AOR 0.44, 95 % C.I: 0.24, 0.81), practice at primary hospital (AOR = 3.40, 95 % C.I: 1.20, 9.62), and clinical staff support (AOR = 2.59, 95 % C.I: 1.29, 5.17) were factors significantly associated with their satisfaction.</p></div><div><h3>Conclusion</h3><p>The nursing students’ satisfaction with their clinical learning environment was low. Thus, it would be better if nursing students have clinical practice in primary hospitals with pre-clinical orientation, and frequent supervision. In addition, it would be better if hospital staff provided support for nursing students while doing procedures.</p></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"20 ","pages":"Article 100666"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214139124000118/pdfft?md5=57a68b4269f603ee474b0bc0f1298757&pid=1-s2.0-S2214139124000118-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139675958","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":"Burden of care and its relationship with sleep quality of cancer patients’ caregivers: A descriptive-correlational study","authors":"Mohammadreza Boostaneh ,&nbsp;Ebrahim Aliafsari Mamaghani ,&nbsp;Mohammad Zirak ,&nbsp;Robab Abbasdost ,&nbsp;Ramezan Fallah","doi":"10.1016/j.ijans.2024.100670","DOIUrl":"https://doi.org/10.1016/j.ijans.2024.100670","url":null,"abstract":"<div><h3>Background</h3><p>Nowadays, transferring care plans to the home, shifts the burden of care from medical staff to informal care providers that include family members, spouses, friends, or relatives.</p></div><div><h3>Aims</h3><p>This study aimed to assess the burden of care and its relationship with the sleep quality of cancer patients' caregivers.</p></div><div><h3>Design</h3><p>A descriptive-correlational study.</p></div><div><h3>Methods</h3><p>This study was conducted in a referral center for cancer in Zanjan province, northwest of Iran. 135 caregivers of cancer patients participated. The data were collected using a demographic characteristics questionnaire, Novak and Guest's caregiver burden inventory, and Pittsburgh sleep quality index (PSQI).</p></div><div><h3>Results</h3><p>The mean (±SD) burden of care and sleep quality of the participants was 45.22 (±17.75) and 8.88 (±4.21), respectively. A significant positive relationship between the burden of care and quality of sleep scores was detected.</p></div><div><h3>Conclusions</h3><p>Cancer patients' caregivers endure a remarkable burden of care and their quality of sleep is undesirable. Results indicated that an increase in the burden of care reduces the caregivers' quality of sleep. Reducing the burden of care is an effective strategy for improving the caregivers' quality of sleep.</p></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"20 ","pages":"Article 100670"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214139124000155/pdfft?md5=9f25896bab65caaa666e506a177fe7b3&pid=1-s2.0-S2214139124000155-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139726929","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":"Discontinuation of implants and associated factors among women in health facilities of Bahir Dar city, Northwest Ethiopia: A cross-sectional study","authors":"Yilkal Dagnaw Melesse ,&nbsp;Melkamu Addis Adamu ,&nbsp;Mastewal Yechale Mihret ,&nbsp;Zelalem Feleke Wudu","doi":"10.1016/j.ijans.2024.100746","DOIUrl":"https://doi.org/10.1016/j.ijans.2024.100746","url":null,"abstract":"<div><h3>Introduction</h3><p>Discontinuation of implants is the removal or switch to other methods before duration completion. Despite the improvement in the utilization of implants, discontinuation is high. There are limited studies conducted on implant discontinuation and factors in Bahir Dar City. This research aimed to evaluate the proportion and explanatory variables of discontinuation of implants among users in health facilities in Bahir Dar City, Ethiopia.</p></div><div><h3>Methods</h3><p>A health facility-based cross-sectional design was conducted on 415 respondents from April 1 to May 30, 2021. Data were collected through face-to-face interview questionnaires using a systematic random sampling method. Epi Data version 3.1 and Statistical Package for Social Sciences were used for data entry and formal analysis, respectively. Logistic regression analyses were used, and a P value less than 0.05 was considered a statistically significant factor for discontinuation.</p></div><div><h3>Results</h3><p>The overall proportion of discontinuation of implants was 55.3 % (95 % CI: 61.42–69.13). In bivariate logistic regression analysis, sociocultural factors like maternal religion and occupation, were factors for discontinuation of implants. After adjusting other variables in multivariate regression analysis, no formal education (AOR = 0.49; 95 % CI: 0.30–0.82), primary education (AOR = 0.39; 95 % CI: 0.18–0.81), wish to become pregnant (AOR = 2.57; 95 % CI: 1.64 to 4.02), no history of contraceptive use (AOR = 2.01; 95 % CI: 1.19 to 3.38), no counselling on benefits (AOR = 1.68; 95 % CI: 1.08–2.62), and side effects (AOR = 1.95; 95 % CI: 1.21–3.16) were the factors associated with discontinuation.</p></div><div><h3>Conclusion</h3><p>The overall discontinuation of implants was low compared to the 2016 Ethiopian Demographic Health Survey. Education, desire for pregnancy, no history of contraceptives, lack of counselling on benefits, and side effects were factors for discontinuation.</p></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"20 ","pages":"Article 100746"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S221413912400091X/pdfft?md5=5a7bdadab8747107e8efaa33af885762&pid=1-s2.0-S221413912400091X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141542900","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":"Examining the enabling and barrier factors to nursing staff involvement of children in care activities","authors":"Kwaku Richard Bawah ,&nbsp;Wahab Osman ,&nbsp;Diana Pireh ,&nbsp;Millicent Kala ,&nbsp;Vivian Afoko ,&nbsp;Feruza Abdulai","doi":"10.1016/j.ijans.2024.100714","DOIUrl":"https://doi.org/10.1016/j.ijans.2024.100714","url":null,"abstract":"<div><h3>Background</h3><p>Children’s rights to participate in decisions and activities of their lives have been well documented. Due to varied challenges, the implementation of children’s rights to healthcare involvement has not been fully achieved. The unsuccessful implementation could be attributed to factors originating from parents/caregivers, health professionals, children, policymakers, and the healthcare system. Therefore, investigating the barriers and enabling factors to the implementation of children’s rights to healthcare involvement is critical.</p></div><div><h3>Objective</h3><p>This study therefore examined the enabling and barrier factors to nursing staff involvement of children in care activities.</p></div><div><h3>Methods</h3><p>An institutional-based cross-sectional design was used to conduct the study at the Evangelical Church of Ghana Hospital, Kpandai. With a total census sampling technique, all nursing staff members providing care to paediatric patients were invited to participate in the study due to the relatively small number of nursing staff. A total of 97 nursing staff members finally participated. An adapted Patient Participation Questionnaire was used for the data collection. Descriptive and inferential analyses were done at <em>p</em> &lt; 0.05 and considered statistically significant.</p></div><div><h3>Results</h3><p>Out of 116 nursing staff, 97 (83.6% response rate) participated. The frequently reported barrier factors to nurses' involvement of children in care activities were staff uncertainty about children’s competence (78.4%), nurses’ limited knowledge about children’s rights (66%), and children’s age and maturity (65%). On the other hand, regular sensitization of nurses about children’s rights recorded more than 90% of responses as an enabling factor. Nurses who perceived children not to be mature were -1.175 (AOR = 0.309; 95% CI: 0.145–0.658) times less likely to involve children in their care. Nurses who frequently communicated with children were 0.660 (AOR = 1.935; 95% CI: 1.098–3.411) times more likely to involve children in their care.</p></div><div><h3>Conclusion</h3><p>Nurses' involvement of children in care is largely influenced by their limited knowledge about children’s rights and policies. Therefore, training modules involving children’s rights should be included in the curricula of students in the medical field, while in-service training seminars organized regularly for practicing nurses.</p></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"20 ","pages":"Article 100714"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214139124000593/pdfft?md5=ecc2d852705557d64e9ba9183da4dd31&pid=1-s2.0-S2214139124000593-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140638036","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":"Effect of Monkeypox Nano-Teaching Sessions versus Self-Learning on Nurses’ Knowledge, Attitude, and Confidence in Disease Diagnosis and Management","authors":"Ateya Megahed Ibrahim ,&nbsp;Rabab Gad Abd El-kader ,&nbsp;Amel Ahmed Elsayed Ibrahim ,&nbsp;Dalia Mohamed Abdelkhalik Kishk","doi":"10.1016/j.ijans.2024.100713","DOIUrl":"https://doi.org/10.1016/j.ijans.2024.100713","url":null,"abstract":"<div><h3>Background</h3><p>Infectious diseases pose a constant threat to public health, necessitating a robust and continually evolving response from healthcare professionals. Despite advancements in medical education, there remains a persistent deficiency in disease-related knowledge among nurses. This study addresses this gap by investigating the impact of nano-teaching sessions compared to self-directed learning on enhancing nurses' knowledge, attitude, and confidence in the diagnosis and management of Monkeypox.</p></div><div><h3>Aim</h3><p>This study aims to assess and compare the effectiveness of nano-teaching sessions and self-learning in improving nurses' knowledge, attitude, and confidence levels regarding mpox diagnosis and management.</p></div><div><h3>Methods</h3><p>In the Quasi experimental study, 50 nurses from clinics at both the Students' University Hospital and Mansoura University colleges, Egypt, were randomly assigned to nano-teaching or self-learning groups. Nano-teaching involved interactive sessions over three months, while the self-learning group received study materials. Pre- and post-intervention assessments measured changes using various tools. Statistical analyses were performed using SPSS for Windows version 20.0 (SPSS, Chicago, IL). Approval was obtained from the Research Ethics Committee at the Faculty of Nursing, Mansoura University, under reference number P.0287.</p></div><div><h3>Results</h3><p>The study involved participants with diverse backgrounds. They primarily relied on the internet for mpox information. Pre-intervention, both study and control groups had low knowledge and confidence levels. Post-intervention, the study group showed significant improvements in knowledge, confidence, attitude, and practice compared to the control. For instance, 88 % of the study group demonstrated high knowledge post-intervention, contrasting with only 22 % in the control (p &lt; 0.001). Correlation analysis revealed strong connections among knowledge, confidence, attitude, and practice, especially post-intervention within the intervention group. Regression analysis highlighted the significant impact of educational level and years of experience on knowledge, confidence, attitude, and practice, underscoring their pivotal role in shaping understanding and behavior concerning mpox.</p></div><div><h3>Conclusion</h3><p>Nano-teaching sessions emerged as a more effective intervention for enhancing nurses' knowledge, attitude, and confidence in Monkeypox diagnosis and management compared to self-learning. The results underscore the importance of innovative educational strategies tailored to the specific needs of healthcare professionals.</p><p>Recommendations:</p><p>Based on the study findings, it is recommended that healthcare institutions integrate nano-teaching methodologies into their ongoing education programs. Additionally, further research is warranted to explore the long-term impact of nano-teaching on nurses' clinical practi","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"20 ","pages":"Article 100713"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214139124000581/pdfft?md5=8995b6a8a7a3838662b26a59c4b0607a&pid=1-s2.0-S2214139124000581-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140646741","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":"Women’s expectations of infertility care in Ghana: A qualitative study","authors":"Deborah Armah ,&nbsp;Anna van der Wath ,&nbsp;Mariatha Yazbek ,&nbsp;Florence Naab","doi":"10.1016/j.ijans.2024.100802","DOIUrl":"10.1016/j.ijans.2024.100802","url":null,"abstract":"<div><h3>Background</h3><div>Despite the evidence in favour of holistic fertility treatment, barriers to ensuring access to dedicated, comprehensive care, based on women’s needs, still exist, specifically observed in Ghana, the context of this study.</div></div><div><h3>Objectives</h3><div>This study explored and described the healthcare expectations of women diagnosed with infertility in Ghana.</div></div><div><h3>Method</h3><div>An exploratory qualitative design with a purposive sampling technique was used. Participants were recruited from a hospital in Ghana within the Weija-Gbawe constituency and 20 women diagnosed with infertility within their reproductive age participated in the study. Focus group discussions were used to collect data. Data was analyzed through thematic analysis.</div></div><div><h3>Results</h3><div>Women diagnosed with infertility expect to receive holistic healthcare that will foster their well-being and treatment satisfaction. They expect health assessments to be done regularly and outline various healthcare expectations which include psychological, educational, spiritual, social, and financial expectations. Participants expected treatment at dedicated infertility clinics where providers involve their partners in the treatment program.</div></div><div><h3>Conclusion</h3><div>The care of women diagnosed with infertility did not fulfil their expectations as most of their needs were overlooked. Holistic care, based on a bio-psychosocial model is recommended to enhance positive fertility treatment experiences and optimal healthcare for women with infertility.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"21 ","pages":"Article 100802"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142697784","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":"Lived experiences of mothers with peripartum cardiomyopathy","authors":"Doreen Macherera Mukona,&nbsp;Barbra Tsiko,&nbsp;Mathilda Zvinavashe","doi":"10.1016/j.ijans.2024.100812","DOIUrl":"10.1016/j.ijans.2024.100812","url":null,"abstract":"<div><div>Peripartum cardiomyopathy is known to occur more commonly in African women or those of African descent, with potentially devastating consequences. The purpose of this study was to explore the lived experiences of women with post-partum cardiomyopathy. A phenomenological approach was used. The study was conducted with 6 women with a confirmed diagnosis of peri-partum cardiomyopathy who were registered with the Parirenyatwa Group of Hospitals Cardiac clinic. Excluded from the study, due to compromised autonomy, were the mentally ill, critically ill, and the institutionalized. Participants were selected as they came for routine management. In-depth interviews, following semi structured questionnaires, were conducted. All participants gave informed consent, and the study was conducted according to the requirements of the Declaration of Helsinki. Interviews were held in a private room and filled in questionnaires and detailed notes were anonymized and kept in a lockable cupboard to which the researchers had sole access. The Roy adaptation model was used as the guiding framework for the study. Manual thematic analysis was used to analyze the data, and it was presented in themes, subthemes, and codes. The stages of thematic analysis followed were data organization, familiarization, transcription, coding, identifying themes, indexing, reviewing themes, displaying, and reporting. Trustworthiness was ensured by observing credibility, dependability, confirmability, and transferability. Three major themes namely: experience on diagnosis, psychosocial tension and supporting factors were identified. Women diagnosed with peripartum cardiomyopathy experience physical, psychological, and emotional stress. Psychosocial support is very vital in the management of peripartum cardiomyopathy.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"21 ","pages":"Article 100812"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143138963","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 state of patient-centered care and associated factors at a large referral hospital in Northwestern Uganda: Perceptions of patients","authors":"Mary Aleni ,&nbsp;Edson Mwebesa ,&nbsp;Deus Twesigye ,&nbsp;Monicah Andru ,&nbsp;Mildred Edna Assusi ,&nbsp;Irene Atuhairwe ,&nbsp;Allan G. Nsubuga ,&nbsp;Helen Ewing ,&nbsp;Abbey Roepke","doi":"10.1016/j.ijans.2024.100800","DOIUrl":"10.1016/j.ijans.2024.100800","url":null,"abstract":"<div><h3>Background</h3><div>A Patient-Centered Care (PCC) approach to health service delivery is considered one of the essential domains of healthcare quality. This has been shown to improve patient satisfaction with health services and patient outcomes, but it has not been fully embraced in many low and middle income countries.</div></div><div><h3>Purpose</h3><div>To evaluate patients’ perceptions of PCC and identify the factors influencing perceived PCC at a large referral hospital in Northwestern Uganda.</div></div><div><h3>Materials and Methods</h3><div>We conducted a descriptive cross-sectional correlational study. Four hundred and eighty (480) patients or their attendants participated in the study. Data was collected using an interviewer administered questionnaire. Statistical analysis was applied at univariate, bivariate and multivariate levels using Stata V.14 to assess the state of PCC, patient perceptions and factors associated with perceived PCC.</div></div><div><h3>Results</h3><div>Sixty five percent (64.8 %) of the participants perceived they received PCC. Most of the dimensions of PCC were rated high on a 5-point Likert scale, with respect for patient’s values and preferences ranked highest; mean score of 3.9 (<em>SD</em> = 0.9) and coordination of care ranked lowest, mean score of 3.5 (<em>SD</em> = 0.9). Being outpatient, single or never in union had a reduced perception score of PCC. Patients who had heard of PCC had a higher perception of PCC.</div></div><div><h3>Conclusion</h3><div>Patient-Centered Care was rated optimally at ARRH. All the PCC dimensions were rated highly except coordination of care and information, education and communication which could be improved by building the capacity of health workers in effective communication and coordination of health care services.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"21 ","pages":"Article 100800"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142659985","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":"A holistic intervention for alleviating anxiety, depression, and fatigue in cervical cancer","authors":"Ahmad Mahmoud Saleh ,&nbsp;Tahani Mohammed ,&nbsp;Hassanat R. Abdel-Aziz","doi":"10.1016/j.ijans.2024.100801","DOIUrl":"10.1016/j.ijans.2024.100801","url":null,"abstract":"<div><h3>Objective</h3><div>Evaluate how well an intervention program reduces anxiety, depression, and fatigue.</div></div><div><h3>Methods</h3><div>The study was carried out at the Postgraduate Institute of Medical Education in a hospital in Lebanon. A randomized controlled trial (RCT) was conducted with 30 patients undergoing radiotherapy or chemotherapy. Participants were randomized into two groups of 15 each using an approach for comprehensive enumeration sampling. The Zung Anxiety Scale, Beck Depression Inventory, and Fatigue Scale were among the research instruments. The study approach involved counseling, home care, and the Progressive Muscle Relaxation technique.</div></div><div><h3>Results</h3><div>Both groups had comparable sociodemographic and clinical profiles. The study comprised 30 participants, averaging 32 years in the experimental group and 28 years in the control group. Most of the participants were married (74 % experimental, 60 % control), with a significant proportion identified as housewives (87 % control, 60 % experimental). In addition, many had limited education, with 74 % of the experimental group and 67 % of the control group below the primary level. The intervention group, which received counseling, home care and Progressive Muscle Relaxation, experienced significantly greater reductions in anxiety, depression, and fatigue, with p-values below 0.001 for all variables. Statistical analyzes, including paired and independent t-tests, confirmed these findings.</div></div><div><h3>Conclusions</h3><div>The therapeutic program significantly reduced anxiety, depression, and fatigue in patients undergoing cancer treatment, with p-values less than 0.001. These findings highlight the importance of tailored support, suggesting that integrating such interventions into standard care can improve patients’ mental and emotional well-being.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"21 ","pages":"Article 100801"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142660043","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":"An examination of the prevalence of khat chewing and its contributing factors among high school students in Addis Ababa, Ethiopia, using a cross-sectional survey design","authors":"Alembante Fikadu Lemma ,&nbsp;Urban Robert ,&nbsp;Lajtai Laszlo","doi":"10.1016/j.ijans.2024.100793","DOIUrl":"10.1016/j.ijans.2024.100793","url":null,"abstract":"<div><h3>Background</h3><div>Khat (Catha edulis) is not just a substance but a cultural phenomenon in Ethiopia. This tiny tree induces euphoria by chewing its sensitive leaves and buds. It is grown in several locations in Ethiopia due to its high local and international demand. Khat is widely used for social and religious purposes, with users reporting a rise in spirit, sharper thinking, and vitality. Understanding the prevalence and factors associated with khat chewing among high school students in Addis Ababa is crucial for appreciating the cultural context and addressing the associated health issues.</div></div><div><h3>Methods</h3><div>A rigorous cross-sectional design was employed, ensuring a comprehensive understanding of the current khat chewing situation among high school students in Addis Ababa. The study was conducted in Addis Ababa’s high schools, with 349 out of 529 students participating, a significant sample size. A simple random sampling technique was applied, enhancing the representativeness of the findings. A structured self-administered questionnaire was used, and descriptive and inferential statistics were applied to analyze the collected data, ensuring the reliability and validity of the results.</div></div><div><h3>Results</h3><div>The prevalence of current khat chewing was 56.9 %. The fundamental reasons for current khat chewing were enjoyment, feeling better, overcoming bad moods or feelings, and feeling good while depressed or nervous. After conducting a multivariate logistic regression, the factors associated with current khat chewing behavior were Orthodox Christianity (AOR 0.62, 95 % CI: 0.17, 0.75), and Muslims (AOR 0.61, 95 % CI: 0.01, 0.96), students living with family members (AOR 1.96, 95 % CI: 0.22, 2.12), from urban areas (AOR 3.84, 95 % CI: 1.74, 8.50), with a monthly income of 2000 Ethiopian Birr (AOR 0.32, 95 % CI: 0.20, 0.51), students who study in Temenja Yazh High School (AOR 10.29, 95 % CI: 1.13, 93.29), who are in their 11th grade (AOR 2.62, 95 % CI: 1.25, 5.50), consumes 250 g or less of khat (AOR 7.54, 95 % CI: 2.17, 26.2), daily khat use (AOR 10.09, 95 % CI: 2.16, 47.10), spent 3 to 5 h (AOR 0.21, 95 % CI: 0.79, 0.60), and prefers 12:00–3:00 PM for chewing (AOR 0.09, 95 % CI: 0.02, 0.43).</div></div><div><h3>Conclusion</h3><div>High school students in Addis Ababa, Ethiopia, reported using khat. Further research is needed to better understand how khat use affects academic achievement and health-related issues.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"21 ","pages":"Article 100793"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142531225","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}