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Practice, Experiences, and Facilitators of Simulation-Based Training During One Year of Implementation in 30 Hospitals in Tanzania.
IF 2
SAGE Open Nursing Pub Date : 2025-01-03 eCollection Date: 2025-01-01 DOI: 10.1177/23779608241309447
Benjamin A Kamala, Robert Moshiro, Florence S Kalabamu, Torgeirsen Kjetil, Godfrey Guga, Beatrice Githiri, Justine Samson, Philimon Chavala, Grace Qorro, Damas Kayera, Ivony Kamala, Catherine Massay, Paschal Mdoe, Vickfarajaeli Daudi, Esto Mduma, Shally Mwashemele, Felix Bundala, Hege Ersdal, Sara Rivenes Lafontan
{"title":"Practice, Experiences, and Facilitators of Simulation-Based Training During One Year of Implementation in 30 Hospitals in Tanzania.","authors":"Benjamin A Kamala, Robert Moshiro, Florence S Kalabamu, Torgeirsen Kjetil, Godfrey Guga, Beatrice Githiri, Justine Samson, Philimon Chavala, Grace Qorro, Damas Kayera, Ivony Kamala, Catherine Massay, Paschal Mdoe, Vickfarajaeli Daudi, Esto Mduma, Shally Mwashemele, Felix Bundala, Hege Ersdal, Sara Rivenes Lafontan","doi":"10.1177/23779608241309447","DOIUrl":"https://doi.org/10.1177/23779608241309447","url":null,"abstract":"<p><strong>Introduction: </strong>Enhancing the proficiency of healthcare workers (HCWs) in handling birth-related complications is crucial for reducing maternal and newborn morbidity and mortality. To achieve this, the Safer Births Bundle of Care offers a comprehensive set of innovative, simulation-based training interventions designed to strengthen the skills and competencies of HCWs working as skilled birth attendants.</p><p><strong>Objective: </strong>To describe the use of <i>in-situ</i> low-dose, high-frequency simulation-based training, and the experiences of this usage among HCWs and stakeholders at facilities in Tanzania.</p><p><strong>Methods: </strong>This mixed-methods study included quantitative and qualitative data collected between July 2021 and July 2022 across 30 health facilities in five regions of Tanzania. NeoNatalie Live (NNL) simulators were installed for independent skills and scenario training, and <i>in-situ</i> facilitator-led team simulations were introduced. The training frequency was analyzed using descriptive and analytical statistics, and mentorship and supervision reports were analyzed using qualitative content analysis.</p><p><strong>Results: </strong>A large and sustained number of <i>in-situ</i> NNL skill-training sessions (<i>n</i> = 35,101) and facilitator-led team simulations (<i>n</i> = 266) were conducted during the first year. Clinical burden per HCW did not affect the frequency of NNL skills training at the health facility level (<i>r</i> = -0.16, <i>p</i> = .40) nor facilitator-led team simulations. There was a positive but weak correlation between the frequency of facilitator-led team simulations and NNL skills training (<i>r</i> = 0.34, <i>p</i> = .05). Qualitative data showed a high degree of motivation and participation among all stakeholders, and active use of hospital data, both clinical indicators and training data, was perceived as a success factor.</p><p><strong>Conclusion: </strong>Facilitator-led <i>in-situ</i> simulation training was more likely to occur where individual skills-training sessions were recorded. Training sessions took place regardless of the increased workload.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"11 ","pages":"23779608241309447"},"PeriodicalIF":2.0,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11696965/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932948","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}
引用次数: 0
Prospects of e-Coaching as a Platform for Empowering Families of Person With Mental Disorder: A Qualitative Study.
IF 2
SAGE Open Nursing Pub Date : 2024-12-25 eCollection Date: 2024-01-01 DOI: 10.1177/23779608241282161
Mokhamad Arifin, Nanan Sekarwana, Ati Surya Mediawati, F Sri Susilaningsih
{"title":"Prospects of e-Coaching as a Platform for Empowering Families of Person With Mental Disorder: A Qualitative Study.","authors":"Mokhamad Arifin, Nanan Sekarwana, Ati Surya Mediawati, F Sri Susilaningsih","doi":"10.1177/23779608241282161","DOIUrl":"10.1177/23779608241282161","url":null,"abstract":"<p><strong>Introduction: </strong>In all countries, the burden of mental disorders (MDs) spans the entire life course. Smartphones are currently widely used by families with a history of MD looking for the required mental health information. The use of digital media is an alternative to improving the ability of families to care for person with MD at home.</p><p><strong>Objectives: </strong>This study aimed to explore the opportunity and the benefits of e-coaching as a method and media for empowering families of MD person.</p><p><strong>Methods: </strong>This study was a qualitative study that recruited 21 participants. The mean age was 45.7 years old, male 42.9%, and female 47.1%. They were divided into four groups: families who have a family member with MD, nurses who provide mental health services, mental health cadres, and government elements in Pekalongan, Central Java, Indonesia. An in-depth interview was applied to collect data. Further, the data were analyzed using thematic content analysis using Colaizzi's frame.</p><p><strong>Results: </strong>There were four themes related to the possibility of using e-coaching to empower families with a family member with MD: menus, needs, supporting factors, and hindering factors. The use of information technology can be used to improve the ability to take care of families, especially in treating MDs at home with the e-coaching application.</p><p><strong>Conclusions: </strong>The findings show that developing e-coaching as a method and media is beneficial for person, families, and healthcare providers. In an effort to increase families' capacity to treat MD at home, the findings of this study might be used to create an easy-to-use smartphone e-coaching application.</p><p><strong>Recommendation: </strong>It is essential to establish e-coaching through a smartphone-based application in the Indonesian context. Additionally, to better treat MD person, nurses who provide mental health care should consider utilizing the mobile application.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"10 ","pages":"23779608241282161"},"PeriodicalIF":2.0,"publicationDate":"2024-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11683820/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142907718","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}
引用次数: 0
Professional Values and Related Factors Among Nurses Employed in South Wollo Zone Public Hospitals.
IF 2
SAGE Open Nursing Pub Date : 2024-12-24 eCollection Date: 2024-01-01 DOI: 10.1177/23779608241309545
Belachew Tegegne, Mekuriaw Wuhib Shumye, Leul Mekonnen Zeru, Zemen Mengesha Yalew
{"title":"Professional Values and Related Factors Among Nurses Employed in South Wollo Zone Public Hospitals.","authors":"Belachew Tegegne, Mekuriaw Wuhib Shumye, Leul Mekonnen Zeru, Zemen Mengesha Yalew","doi":"10.1177/23779608241309545","DOIUrl":"10.1177/23779608241309545","url":null,"abstract":"<p><strong>Introduction: </strong>Nurses require good knowledge about professional values to provide quality nursing care. Implementing professional values in clinical areas improves the quality of patients care. Even though applying professional values had significant impact on the continuity and quality of nursing care, there is scarcity of study on professional values in Ethiopia.</p><p><strong>Objective: </strong>The study was aimed to identify the level of nurses' professional values and related factors among nurses employed in South Wollo Zone public hospitals.</p><p><strong>Methods: </strong>A hospital-based, cross-sectional study was conducted among 422 nurses working in South Wollo Zone public hospitals from May to June 2023. Participants were selected by using simple random sampling technique. Nursing Professional Values Scale-Revised was used to measure the professional values. Data entry was performed using Epidata version 4.6.1 and then exported to Statistical Package for Social Sciences version 23.0 for analysis. To identify the strength of association between outcome and independent variables, binary logistic regression was applied. From the final model, those variables having <i>p</i> < .05 and adjusted odds ratio with 95% confidence interval were reported as statistically significant.</p><p><strong>Results: </strong>The mean (±standard deviation) age was 32.29 (±7.01), with 63% of nurses being males. Less than half, 47.9% (95% confidence interval [CI]: 43.2, 53.4), of nurses had good professional values. Monthly income (adjusted odds ratio [AOR]  = 0.33; 95% CI: 0.16, 0.72), position (AOR  = 0.22, 95% CI: 0.13, 0.38), training (AOR = 0.56, 95% CI: 0.34, 0.92), promotion (AOR = 3.06, 95% CI: 1.84, 5.1), and respect from one's profession (AOR = 0.48, 95% CI: 0.29, 0.78) were statistically associated with professional values.</p><p><strong>Conclusion: </strong>The majority of nurses demonstrated poor professional values. Professional values were substantially correlated with monthly income, position, training, promotion, and professional esteem. In order to ensure the quality and continuity of patient care, we advised nurses to be aware of nursing professional values and apply them in clinical settings.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"10 ","pages":"23779608241309545"},"PeriodicalIF":2.0,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11672379/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142903806","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}
引用次数: 0
Postacute Myocardial Infarction Differences in Physical Activity Behavior, Anxiety, and Depression Levels.
IF 2
SAGE Open Nursing Pub Date : 2024-12-23 eCollection Date: 2024-01-01 DOI: 10.1177/23779608241304478
Abedalmajeed Methqal Shajrawi, Hekmat Yousef Al-Akash, Ahmed Mohammad Al-Smadi, Rami Masa'deh, Mohannad Eid Aburuz, Heba Khalil, Issa Moh'd Hweidi, Ahmad Rajeh Saifan
{"title":"Postacute Myocardial Infarction Differences in Physical Activity Behavior, Anxiety, and Depression Levels.","authors":"Abedalmajeed Methqal Shajrawi, Hekmat Yousef Al-Akash, Ahmed Mohammad Al-Smadi, Rami Masa'deh, Mohannad Eid Aburuz, Heba Khalil, Issa Moh'd Hweidi, Ahmad Rajeh Saifan","doi":"10.1177/23779608241304478","DOIUrl":"10.1177/23779608241304478","url":null,"abstract":"<p><strong>Background: </strong>There are limited studies regarding physical activity, anxiety, and depression levels among patients with postacute myocardial infarction (AMI). This is a need for more research on physical activity, anxiety, and depression levels based on the type of AMI following hospitalization to develop interventions to improve these outcomes.</p><p><strong>Objective: </strong>To compare physical activity behavior, anxiety, and depression levels among patients with post-ST-elevation myocardial infarction (STEMI) and post-non-ST-elevation myocardial infarction (NSTEMI) not involved in cardiac rehabilitation program following hospitalization.</p><p><strong>Methods: </strong>A descriptive cross-sectional study design was employed with a convenience sample of 254 patients with post-AMI, 4 weeks after hospitalization. Participants, recruited from three hospitals in Jordan.</p><p><strong>Results: </strong>The sample characteristics included the following: 140 males (54.3%), 120 married (47.2%), diagnosed with STEMI (n = 137, 53.1%) or NSTEMI (n = 117, 45.3%). And 41.3% of participants had moderate-to-severe anxiety level (General Anxiety Disorder-7 [GAD-7] > 10), while 22.0% had moderate to severe depression levels (Patient Health Questionnaire-9 [PHQ-9] > 10). Post-STEMI and post-NSTEMI participants had moderate levels of anxiety, with 14.39 (3.45) versus 13.37 (3.51); and depression levels of 12.66 (3.28) versus 12.22 (3.54), respectively. There was no significant difference in depression level between patients with post-STEMI and post-NSTEMI, but the former had statistically significant higher anxiety level than the latter. The mean self-reported exercise duration and exercise frequency of patients with post-STEMI were significantly higher than for their post-NSTEMI counterparts: 151.7 (76.33) versus 87.78 (37.62) minutes per week, and 2.92 (1.44) versus 1.97 (0.88) times per week (respectively). Furthermore, patients with post-STEMI had less mean sedentary time: 582.92 (128.92) and 641.54 (147. 27) minutes per day (<i>p</i> > .05) (respectively).</p><p><strong>Conclusions: </strong>Healthcare providers have to consider the differences in physical activity behavior, anxiety, depression levels based on types of AMI when developing interventions and establishing cardiac rehabilitation program to improve physical activity behavior and reducing sedentary time.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"10 ","pages":"23779608241304478"},"PeriodicalIF":2.0,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11672469/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142903758","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}
引用次数: 0
Sociodemographic Factors Associated with Improved Metabolic Syndrome in Slum Dwelling Adults in Kenya: A Randomized Controlled Trial.
IF 2
SAGE Open Nursing Pub Date : 2024-12-22 eCollection Date: 2024-01-01 DOI: 10.1177/23779608241299647
Okubatsion Tekeste Okube, Samuel T Kimani
{"title":"Sociodemographic Factors Associated with Improved Metabolic Syndrome in Slum Dwelling Adults in Kenya: A Randomized Controlled Trial.","authors":"Okubatsion Tekeste Okube, Samuel T Kimani","doi":"10.1177/23779608241299647","DOIUrl":"10.1177/23779608241299647","url":null,"abstract":"<p><strong>Background: </strong>Sociodemographic factors have been implicated in cardiovascular health with differential morbidity and mortality. It is essential to comprehend how sociodemographic factors contribute to the improvement of Metabolic Syndrome (MetS), the primary cardiovascular diseases indicator.</p><p><strong>Objective: </strong>Determine the role of sociodemographic factors in improving MetS among adults residing in the Slums of Nairobi, Kenya.</p><p><strong>Methods: </strong>Adults with MetS participated in this randomized controlled trial study for a period of 12-months. A random assignment was used to place eligible participants in the intervention or control groups. The intervention group received lifestyle intervention that entails not using tobacco products or alcohol, exercising, and adhering to recommended dietary guidelines, while the control group had standard medical care. Clinical, biochemistry, and lifestyle habits were measured before and a year after the intervention. The association between the sociodemographic factors and the improvement in MetS was examined using a multiple logistic regression model <i>with backward conditional</i>.</p><p><strong>Results: </strong>In the intervention group, lack of improvement in metabolic syndrome was significantly higher among aged (≥50 years) respondents [AOR = 9.097; <i>P</i> < .001]; Protestants [AOR = 7.292; <i>P</i> = .017] and Catholics [AOR = 5.270; <i>P</i> = .050]. Compared to unemployed, formally employed respondents had an 84.6% lower chance of having MetS [AOR = 0.154; <i>P</i> = .005]. Within the control group, lack of improvement in metabolic syndrome was significantly higher among aged (≥50 years) respondents [AOR = 5.013; <i>P</i> = .047]. Compared to respondents who had less than $100, individuals with monthly incomes between $100 and $500 had a roughly 10-fold [AOR = 10.499; <i>P</i> = .024] higher chance of having MetS.</p><p><strong>Conclusion: </strong>In the current study, the findings show that sociodemographic factors namely: advanced age, unemployment, being Protestants and Catholics as well as higher income were negatively associated with improvement in MetS. The findings indicate that social factors have impact in the management and intervention outcomes of CVDs. Programmers and policy makers should plan interventions for CVD prevention and response with these factors in mind.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"10 ","pages":"23779608241299647"},"PeriodicalIF":2.0,"publicationDate":"2024-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11664520/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883221","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}
引用次数: 0
Husband's Contributions to Stimulate Wife's Confidence Experiencing Role Transition: Cross-Sectional Study.
IF 2
SAGE Open Nursing Pub Date : 2024-12-20 eCollection Date: 2024-01-01 DOI: 10.1177/23779608241304716
Sri Wahyuni, Yuni Sufyanti Arief, Mira Triharini, Nursalam Nursalam
{"title":"Husband's Contributions to Stimulate Wife's Confidence Experiencing Role Transition: Cross-Sectional Study.","authors":"Sri Wahyuni, Yuni Sufyanti Arief, Mira Triharini, Nursalam Nursalam","doi":"10.1177/23779608241304716","DOIUrl":"10.1177/23779608241304716","url":null,"abstract":"<p><strong>Introduction: </strong>Pregnancy can cause various physical and physiological changes. It affects confidence, resulting in depression and disturbing health not only for a mother but also for her fetus. These will also determine the ability of the mother to take care of her baby after delivery.</p><p><strong>Objectives: </strong>To analyze the husband's contributions to stimulate the wife's confidence in experiencing role transition.</p><p><strong>Methods: </strong>This research used a quantitative method with a cross-sectional design. The research was conducted in Central Java. There were 150 respondents of pregnant mothers. The variables of this study were the husband's factors and the wife's self-confidence, which were collected by demographic questionnaire and spiritual well-being scale questionnaire (SWBS) with a total sampling technique. The data were analyzed using a multinominal regression Test.</p><p><strong>Results: </strong>Husbands were 58% at the age of early adult (26-35 years old), 76% graduating from secondary school level, 61.3% working as private employees, and 70% well supporting their wives. Most respondents (48.7%) had good self-confidence shown by the relationship of all husband's characteristics covering age, education, occupation, and support with the wife's self-confidence in facing role transition and had a value of <0.05.</p><p><strong>Conclusion: </strong>The husband's age in a productive period with a good husband's education and occupation level could make the husband have mature thoughts, and he can calm his wife based on correct knowledge so that the wife is not worried about facing them and feels confident. Nurses can motivate and educate husbands to always provide support to their wives in facing pregnancy.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"10 ","pages":"23779608241304716"},"PeriodicalIF":2.0,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11660063/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142877978","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}
引用次数: 0
The Association Between Intensive Care Unit Nurses' Perception of Nursing Professional Autonomy and Nursing Professionalism: A Descriptive Correlational Design.
IF 2
SAGE Open Nursing Pub Date : 2024-12-20 eCollection Date: 2024-01-01 DOI: 10.1177/23779608241305720
Alaa Mefleh Al-Sbehat, Nidal Fareed Eshah, Ahmad Hussien Rayan, Ahmad H Abu Raddaha, Omar Al Omari, Fadwa Alhalaiqa
{"title":"The Association Between Intensive Care Unit Nurses' Perception of Nursing Professional Autonomy and Nursing Professionalism: A Descriptive Correlational Design.","authors":"Alaa Mefleh Al-Sbehat, Nidal Fareed Eshah, Ahmad Hussien Rayan, Ahmad H Abu Raddaha, Omar Al Omari, Fadwa Alhalaiqa","doi":"10.1177/23779608241305720","DOIUrl":"10.1177/23779608241305720","url":null,"abstract":"<p><strong>Introduction: </strong>The evolving landscape of healthcare in Jordan presents unique challenges and opportunities for nursing professionals. With a focus on critical care nurses, understanding the dynamics of professional autonomy and professionalism within this context is crucial for advancing nursing practice and improving patient care.</p><p><strong>Objectives: </strong>This study aimed to investigate the relationships between perceived nursing professional autonomy and professionalism among critical care nurses in Jordan.</p><p><strong>Methods: </strong>A descriptive correlation design was used among critical care nurses from five major Jordanian governmental hospitals. A total of 227 questionnaires were distributed, with a final sample size of 200 participants. Data were collected between August and September 2023. Professional autonomy and professionalism were measured using the Dempster Practice Behaviors Scale and the Nurses' Professionalism Inventory, respectively. We used the STrengthening the Reporting of OBservational studies in Epidemiology (STROBE) guidelines in the current study.</p><p><strong>Results: </strong>The study revealed moderate levels of perceived professional autonomy (mean DPBS total score: 103.94) and professionalism (mean NPI total score: 119.12) among participants. A significant positive correlation (<i>r</i> = .49, <i>p</i> < .001) was observed between these two constructs. However, demographic and work-related factors showed minimal influence on these perceptions.</p><p><strong>Conclusion: </strong>The study highlights the importance of professional autonomy and professionalism in improving nursing care in Jordan. It recommends targeted approaches like ongoing education and supportive workplace policies to bolster these aspects. These findings have significant implications for nursing policy and education across various healthcare settings.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"10 ","pages":"23779608241305720"},"PeriodicalIF":2.0,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11660053/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878067","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}
引用次数: 0
Evaluating the Effectiveness of an Evidence-Based Practice in Neonatal Resuscitation among Birth Asphyxiated Newborns in a Developing Country.
IF 2
SAGE Open Nursing Pub Date : 2024-12-20 eCollection Date: 2024-01-01 DOI: 10.1177/23779608241302098
Lydia Boampong Owusu, Joseph Shahadu Issifu, Emmanuel Odame Owiredu, Sandra Addai-Henne, Stella Kofie Aniewu, Joyce Boatemaa Manu, Perpetual Ntiamoah, Catherine Kroamah Dwumfour, Abigael Emikpe, Abdul-Fatawu Suglo Zakaria
{"title":"Evaluating the Effectiveness of an Evidence-Based Practice in Neonatal Resuscitation among Birth Asphyxiated Newborns in a Developing Country.","authors":"Lydia Boampong Owusu, Joseph Shahadu Issifu, Emmanuel Odame Owiredu, Sandra Addai-Henne, Stella Kofie Aniewu, Joyce Boatemaa Manu, Perpetual Ntiamoah, Catherine Kroamah Dwumfour, Abigael Emikpe, Abdul-Fatawu Suglo Zakaria","doi":"10.1177/23779608241302098","DOIUrl":"10.1177/23779608241302098","url":null,"abstract":"<p><strong>Introduction: </strong>The World Health Organization emphasizes that neonatal resuscitation performed in the first \"golden minute\" following birth can influence both immediate and long-term outcomes of newborns, especially asphyxiated ones. The modes of resuscitation, which is an evidenced-based practice, require evaluation to identify their effectiveness.</p><p><strong>Objectives: </strong>This study evaluated neonatal resuscitation techniques and their effectiveness in the management of asphyxiated neonates during the perinatal period.</p><p><strong>Design: </strong>Cross-sectional design with observation of delivery and immediate care of 254 newborns in five hospitals from April to June 2022.</p><p><strong>Methods: </strong>Neonatal resuscitation and demographic characteristics were noted. Data were analyzed descriptively using STATA 17 and Cramer's <i>V</i> test of association between APGAR scores and resuscitation modes was done with statistical significance established at <i>p</i> ≤ .05.</p><p><strong>Results: </strong>Neonatal resuscitation was primarily performed by midwives (98.4%), with 48.8% of the infants resuscitated after birth. The most common modalities of resuscitation were drying, keeping warm, rubbing the back, and flicking the feet, with 46.0% started on bag and mask ventilation. The success rate of resuscitation was impressive (58.1%), satisfactory (38.7%), and poor (3.2%). There was a strong association of the first minute APGAR score with drying the neonate (<i>p</i> = .0001, φc = 0.619), keeping the neonate warm, and rubbing the back of the neonate (<i>p</i> = .0001, φc = 0.613). However, their association with the fifth minute APGAR score was weak (<i>p</i> = .002, φc = 0.222). Feet flicking has no significant association with the fifth minute APGAR score.</p><p><strong>Conclusion: </strong>Neonatal resuscitation, which is an evidence-based practice, is more effective in the first minute than in the fifth minute. Regular training of midwives to update their resuscitation skills is important to promote timely and efficient resuscitation of newborns. Further studies into the advancements in resuscitation modes and the use of technology to improve resuscitation beyond the first minute are recommended.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"10 ","pages":"23779608241302098"},"PeriodicalIF":2.0,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11660072/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142877880","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}
引用次数: 0
The Impact of Humble Leadership on Knowledge-Sharing and Creativity in Nursing Setting: A Cross-Sectional Study.
IF 2
SAGE Open Nursing Pub Date : 2024-12-20 eCollection Date: 2024-01-01 DOI: 10.1177/23779608241306999
Saleem Al-Rjoub, Majd T Mrayyan
{"title":"The Impact of Humble Leadership on Knowledge-Sharing and Creativity in Nursing Setting: A Cross-Sectional Study.","authors":"Saleem Al-Rjoub, Majd T Mrayyan","doi":"10.1177/23779608241306999","DOIUrl":"10.1177/23779608241306999","url":null,"abstract":"<p><strong>Introduction: </strong>Leadership styles are pivotal in encouraging employee engagement, influencing team dynamics, and enhancing patient outcomes. Humble leadership is characterized by self-awareness, openness, and appreciation for others. This leadership style is underexplored in healthcare.</p><p><strong>Objective: </strong>This study investigated whether humble leadership impacts knowledge-sharing and employees' creativity.</p><p><strong>Methods: </strong>A descriptive cross-sectional design was used. Data were collected from nursing educators, nurses, and nursing leaders from various universities and hospitals in Jordan. Descriptive analysis was applied to display the general characteristics of the study participants. The general linear model was conducted to analyze the impact of humble leadership on knowledge-sharing and employees' creativity.</p><p><strong>Results: </strong>This study revealed that humble leadership significantly impacted knowledge-sharing and employees' creativity. These findings highlight the critical role of humble leadership in promoting and fostering knowledge-sharing and creativity within educational institutions and healthcare settings.</p><p><strong>Conclusion: </strong>Leaders' humble leadership impacted knowledge-sharing among employees and the creativity of nursing educators, nurses, and nursing leaders. Training programs are needed to develop humble nurses' and leaders' leadership because they contribute to nursing educators', nurses', and nursing leaders' creativity while maintaining employee knowledge-sharing.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"10 ","pages":"23779608241306999"},"PeriodicalIF":2.0,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11660065/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878070","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}
引用次数: 0
Identification of Core Interprofessional Preceptor Competencies and Development of a Preceptor Self-Assessment Tool.
IF 2
SAGE Open Nursing Pub Date : 2024-12-19 eCollection Date: 2024-01-01 DOI: 10.1177/23779608241292741
Hilaire J Thompson, Megan Moore, Marni Levy, Tzu Hsien Lee, Leigh Ann Mike, Joelle Fathi, Phyllis Christianson, Nathan Dreesmann
{"title":"Identification of Core Interprofessional Preceptor Competencies and Development of a Preceptor Self-Assessment Tool.","authors":"Hilaire J Thompson, Megan Moore, Marni Levy, Tzu Hsien Lee, Leigh Ann Mike, Joelle Fathi, Phyllis Christianson, Nathan Dreesmann","doi":"10.1177/23779608241292741","DOIUrl":"10.1177/23779608241292741","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this study was to determine what activities and skills interprofessional health science preceptors (IHSPs) perform and value as a part of their pedagogical practice in order to support the development of a preceptor self-assessment tool and assist in preceptor training.</p><p><strong>Methods: </strong>We administered an online survey to identify core preceptor activities across health sciences disciplines that interact with nursing. The initial survey items were developed based on the Interprofessional Education Collaborative (IPEC) core competencies as well as a search of literature on expected preceptor competencies and activities across individual health sciences professions. Items were refined and then finalized using a modified Delphi technique and the final survey instrument reflected the four IPEC core competencies: (a) roles and responsibilities, (b) values and ethics, (c) communication, and (d) teams and teamwork. The survey asked professionals to separately rate the frequency and importance of performing each item to support learners in the clinical setting.</p><p><strong>Results: </strong>Survey respondents (<i>N</i> = 260) indicated that 41% of activities across all domains were both of high priority and performed frequently. Activities were categorized into a six category IHSP self-assessment and reflection tool: (a) Prepare Learner for Clinical Environment and Rotation; (b) Prepare Learner for Clinical Day and Encounters; (c) Promote Engagement, Critical Thinking and Self-Reflection; (d) Coaching and Feedback; (e) Foster Growth and Independence and (f) Knowledge, Skills and Attitudes to intentionally Role Model.</p><p><strong>Conclusion: </strong>Core competencies for IHSPs have been identified, resulting in the development of a preceptor self-assessment tool. The tool can assist nursing and other health sciences training programs to develop preceptor orientation materials and training to optimize the learner experience and promote standardization in the development of clinical practice competencies.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"10 ","pages":"23779608241292741"},"PeriodicalIF":2.0,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11660078/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142877991","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}
引用次数: 0
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