{"title":"Nurses Engagement on Continuing Professional Development Programs and its Barriers in Selected Hospitals in Addis Ababa, Ethiopia.","authors":"Meaza Wehabe, Tigistu Gebreyohannis Gebretensaye, Ketema Bizuwork","doi":"10.1177/23779608241307447","DOIUrl":"10.1177/23779608241307447","url":null,"abstract":"<p><strong>Background: </strong>Continuous Professional Development (CPD) programs are crucial for enhancing the quality of healthcare delivery. The presence of incompetent and unskilled healthcare professionals is not satisfactory. This study aimed to evaluate nurses' engagement in CPD programs and identify the barriers affecting this engagement.</p><p><strong>Methods: </strong>A mixed-methods approach, combining quantitative and qualitative cross-sectional studies, was employed from April 1 to 30, 2022. The quantitative component involved 271 randomly selected nurses, while nine key informants were purposively chosen for qualitative analysis. Data were collected using a structured self-administered questionnaire with a content validity index of 0.91 and an interview guide. Ethical guidelines were strictly followed. Quantitative data were entered into Epi-data version 3.1 and analyzed with SPSS version 25.0. Descriptive statistics described participant characteristics, while chi-square tests and logistic regression analyses assessed the relationships between independent and outcome variables, with significance set at <i>p</i> < 0.05 and goodness-of-fit evaluated by the Hosmer-Lemeshow test (>0.05). Qualitative data were analyzed using manual exploratory descriptive methods and thematic analysis.</p><p><strong>Results: </strong>Of the 271 nurses, 262 (96.7%) participated, with a median age of 28 years. The overall CPD engagement rate was 34.4%. Factors influencing CPD engagement included financial constraints (adjusted odds ratio [AOR] = 3.1, 95% CI: 1.28-7.52), lack of access to CPD information (AOR = 0.3, 95% CI: 0.12-0.76), time constraints due to family commitments (AOR = 3.35, 95% CI: 1.08-10.34), and insufficient CPD resources (AOR = 0.15, 95% CI: 0.03-0.742). Qualitative findings revealed low CPD engagement levels, insufficient financial support, reluctance to self-finance training, the positive impact of diverse training mediums, and barriers related to nurses' attitudes and the availability of training.</p><p><strong>Conclusion: </strong>Nurses' engagement in CPD is notably low. Financial and time constraints, along with limited access to information and resources, significantly hinder participation in CPD activities.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"10 ","pages":"23779608241307447"},"PeriodicalIF":2.0,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11660062/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878060","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}
SAGE Open NursingPub Date : 2024-12-19eCollection Date: 2024-01-01DOI: 10.1177/23779608241307002
Ee Yuee Chan, Zhi Lei Ong, George Frederick Glass, Siew Ling Ang, Jun Pei Lim, Noorhazlina Binte Ali, Wee Shiong Lim
{"title":"Exploring the Feasibility of a Caregiver Burden-Mastery Hybrid Assessment Tool With Decision Matrix in a Memory Clinic: A Multimethod Study.","authors":"Ee Yuee Chan, Zhi Lei Ong, George Frederick Glass, Siew Ling Ang, Jun Pei Lim, Noorhazlina Binte Ali, Wee Shiong Lim","doi":"10.1177/23779608241307002","DOIUrl":"10.1177/23779608241307002","url":null,"abstract":"<p><strong>Introduction: </strong>Family members caring for a person living with dementia (PWD) can experience caregiver burden, leading to psychological distress if unmanaged. It's essential for healthcare professionals, especially nurses to identify caregivers at risk of stress and depression, triggering prompt management during their contact with caregivers of PWD. The study team developed an evidence-based caregiver burden-mastery hybrid assessment and intervention decision matrix (CHAT-MI) for caregivers of PWD and examined its feasibility of use.</p><p><strong>Objective: </strong>To determine the feasibility and usability of implementing the CHAT-MI assessment-decision matrix tool in an outpatient setting in Singapore.</p><p><strong>Methods: </strong>CHAT-MI was developed through earlier research, research evidence, clinical guidelines, and expert opinion. A multimethod study was conducted in a Singapore outpatient memory clinic from November 2020 to January 2021. Caregivers of PWD who attended the clinic self-administered the assessment tool to determine their burden and personal mastery levels. Clinicians used a decision matrix to guide interventions based on the assessments. Feedback was gathered from both caregivers and clinicians through surveys and semistructured interviews.</p><p><strong>Results: </strong>Thirty-four caregivers and six clinicians participated in the study. Caregivers found the burden-mastery assessment tool relatively easy to use and understand and helpful. Clinicians found the assessment-decision matrix tool acceptable, feasible, and useful, enhancing standard care by providing insights into caregivers' current coping capabilities. Clinicians shared that junior clinicians could benefit from CHAT-MI to better detect caregiving stress and deliver interventions. Nevertheless, more can be done to train clinicians in the understanding of the concept of mastery (i.e., perceived control over life events) to help clinicians better engage and support caregivers.</p><p><strong>Conclusion: </strong>CHAT-MI was found to be relatively brief and can aid the outpatient clinic setting. This suggests that such an evidence-based assessment cum intervention can be considered for use in a real-world clinical setting to aid both caregivers and clinicians.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"10 ","pages":"23779608241307002"},"PeriodicalIF":2.0,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11660070/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142877976","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}
SAGE Open NursingPub Date : 2024-12-19eCollection Date: 2024-01-01DOI: 10.1177/23779608241305782
Catherine Safari Massay, Sara Rivenes Lafontan, Jane Januarius Rogathi, Upendo S Safari, Geofrey Nimrod Sigalla
{"title":"Intrauterine Device Use and Perceptions Among Women in Tanzania-A Mixed Methods Study.","authors":"Catherine Safari Massay, Sara Rivenes Lafontan, Jane Januarius Rogathi, Upendo S Safari, Geofrey Nimrod Sigalla","doi":"10.1177/23779608241305782","DOIUrl":"10.1177/23779608241305782","url":null,"abstract":"<p><strong>Introduction: </strong>The intrauterine device (IUD) represents the most cost-effective, long-acting reversible form of contraception, but accounts for only 1% of all contraception methods used in Tanzania.</p><p><strong>Objective: </strong>This study aims to determine the uptake of IUD use and investigate the perceptions, challenges, and recommendations surrounding the use of intrauterine devices among women of reproductive age in Tanzania.</p><p><strong>Method: </strong>A cross-sectional study was conducted including 347 women, as well as qualitative semi-structured interviews with 11 women. Quantitative data were entered into SPSS, and descriptive statistics were employed to summarize the data. Content analysis was used to analyse the qualitative data.</p><p><strong>Results: </strong>The prevalence of IUD use was 5%. The majority of the women interviewed were aware of myths and misconceptions concerning IUDs but wanted to use it after receiving information from healthcare providers.</p><p><strong>Conclusion: </strong>The study found that the use of intrauterine devices was low in the study area and that there is a need to strengthen community engagement to reduce misconceptions about the use of IUDs.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"10 ","pages":"23779608241305782"},"PeriodicalIF":2.0,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11660266/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878054","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":"Nurse's Clinical Competence and Its Associated Factors Among Working in Ethiopia: A Cross-Sectional Study.","authors":"Meseret Robi Tura, Dinaol Mulu, Ajib Kadir, Ababo Getahun, Yohanis Megersa","doi":"10.1177/23779608241275213","DOIUrl":"10.1177/23779608241275213","url":null,"abstract":"<p><strong>Background: </strong>Clinical competence is a critical element in providing high-quality nursing care. A higher level of clinical competence positively influences patient health outcomes as well as nurses' job performance and satisfaction. Nonetheless, there is limited data on nurses' clinical competence in Ethiopia.</p><p><strong>Objective: </strong>This study aimed to assess the level of clinical competency among nurses working in selected public hospitals.</p><p><strong>Method: </strong>Institution-based cross-sectional study design was conducted from March 1 to 30, 2022. Two hundred five randomly selected nurses from three selected hospitals in the West Shoa Zone namely H1, H2, and H3 participated in the study via a structured self-administered questionnaire. The collected data were checked for completeness and then entered Epi-data v.4.2.2 and analyzed by Stata software v.14.2. Independent t-test and analysis of variance were used to identify factors associated with nurses' clinical competence. The level of statistical significance was declared at a <i>p</i>-value < .05.</p><p><strong>Results: </strong>The overall clinical competence of participants was 2.501 (<i>SD</i> = 0.36), indicating a moderate level of clinical competence. Participants had higher competence scores on the professional development dimension and lower competence scores on the leadership dimension. The null hypothesis was rejected. Age, work experience, professional satisfaction, level of satisfaction, level of hospital, current position, shifting status, retrieval of newly published information, previous training, and frequency of training were the identified factors associated with nurses' clinical competence.</p><p><strong>Conclusion: </strong>Nearly five in 10 participants in the study setting had inadequate clinical competence. Professional satisfaction, level of satisfaction, previous training, and frequency of training were factors related to nurses' clinical competence. It is recommended that responsible stakeholders like the Minister of Health and the Ethiopian Nursing Association should work to improve nurses' clinical competence by focusing on the identified factors. Also, health policymakers should set strategies to assess nurses' clinical competence frequently to ensure quality nursing care.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"10 ","pages":"23779608241275213"},"PeriodicalIF":2.0,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11653466/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142855959","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}
SAGE Open NursingPub Date : 2024-12-16eCollection Date: 2024-01-01DOI: 10.1177/23779608241301223
Huda Gaber Hamzaa, Mohamed Hussein Ramadan Atta, Mai Elghareap Hassan Elmetwally Omar, Eslam Reda Fathy Abdel Majeed Machaly, Shaimaa Mohamed Amin, Nadia Mohamed Ibrahim Wahba
{"title":"Examining Nursing Students' Prevalence of Nomophobia, and Psychological Alienation and Their Correlates With Fear of Missing Out: A Multisites Survey.","authors":"Huda Gaber Hamzaa, Mohamed Hussein Ramadan Atta, Mai Elghareap Hassan Elmetwally Omar, Eslam Reda Fathy Abdel Majeed Machaly, Shaimaa Mohamed Amin, Nadia Mohamed Ibrahim Wahba","doi":"10.1177/23779608241301223","DOIUrl":"10.1177/23779608241301223","url":null,"abstract":"<p><strong>Introduction: </strong>Smartphones have significantly increased digital engagement among young people due to their ease of use and constant internet access. Nomophobia and the fear of missing out are associated with mobile and internet use, potentially impacting students' mental health and academic performance.</p><p><strong>Objectives: </strong>To provide the prevalence of nomophobia and fear of missing out while shedding light on the role of psychological alienation between them.</p><p><strong>Methods: </strong>A multisite descriptive correlational study was conducted among 1,273 undergraduate nursing students at six Egyptian universities: North Sinai, South Sinai, Port-Said, Suez Canal, Suez, and Damanhur University, Egypt. From June 2023 to November 15, 2023, the students were surveyed using questionnaires on nomophobia, fear of missing out, and psychological alienation.</p><p><strong>Results: </strong>Nursing students experienced moderate to severe levels of nomophobia (37.4%-45.3%) and psychological alienation (45.8%-55.4%). There was a significant positive correlation between nomophobia and fear of missing out (<i>r</i> = .908, <i>p</i> < .001), as well as between nomophobia and psychological alienation (<i>r</i> = .377, <i>p</i> < .001). Psychological alienation was also found to mediate the relationship between fear of missing out and nomophobia, with the indirect effect being statistically significant (indirect effect = 1.000; <i>p</i> < .001).</p><p><strong>Conclusion: </strong>The study highlights the significant prevalence of nomophobia and psychological alienation among nursing students. The findings underscore the complex interplay between digital connectivity issues, psychological disconnection, and the fear of missing out. In addition, findings suggest that psychological alienation plays a crucial role in how fear of missing out impacts nomophobia among nursing students.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"10 ","pages":"23779608241301223"},"PeriodicalIF":2.0,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11650578/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142847914","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 Experience of Staff Working in Migrants' Reception Project: Phenomenological Study in a Multicultural Context.","authors":"Paola Arcadi, Mariachiara Figura, Ercole Vellone, Silvio Simeone, Loredana Piervisani, Gianluca Pucciarelli, Rosaria Alvaro","doi":"10.1177/23779608241274234","DOIUrl":"10.1177/23779608241274234","url":null,"abstract":"<p><strong>Introduction: </strong>Migrants and refugees belong to the most marginalized groups in the world. Barriers related to the determinants of health can often preclude access to basic human rights, and have a negative impact on health. Therefore, it is essential to understand how to properly interface with people with different perceptions of health and disease and how to design programs based on available resources.</p><p><strong>Aim: </strong>To explore the experience of socio-health workers who work in the context of a reception project in Italy related to taking care of the health needs of a migrant population in a multicultural context.</p><p><strong>Methods: </strong>This research was a qualitative phenomenological study with an interpretive approach adhering to the Consolidated Criteria for Reporting Qualitative Research guidelines. The conversations were audio-recorded, transcribed, and read in depth. Reflexive analysis was used to analyze the data.</p><p><strong>Results: </strong>Sixteen health and social workers were interviewed. Three main themes were extracted: (1) nature of needs and their facets; (2) interconnection between skills and in relationships; (3) struggles against shortages. The results highlight the participants' attribution of meaning to the needs and requirements of migrants, their experience in the relationship with the team and the migrants, and the difficulties in carrying out their role.</p><p><strong>Discussion: </strong>What the study found underscores the importance of designing interventions that consider the unique perceptions and experiences of professionals who engage with migrants in daily practice. The complex health needs, experiences, and different cultural representations of health and illness must be read and approached with a culturally competent vision.</p><p><strong>Conclusion: </strong>The study reveals how much the strengths of taking care of migrants' health lie in the ability to interconnect various competencies. This study gives elements for professionals and health organizations to understand the complexity of caring for the migrant population.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"10 ","pages":"23779608241274234"},"PeriodicalIF":2.0,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11648055/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142839967","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}
SAGE Open NursingPub Date : 2024-12-15eCollection Date: 2024-01-01DOI: 10.1177/23779608241306403
Diandra Serrano, Tamara Sussman, Sharon Kaasalanien, Abigail Wickson-Griffiths, Genevieve Thompson, Paulette V Hunter, Health B MacIntosh, Kevin Brazil
{"title":"A Parallel Process of Staff-Family Distress in Long-Term Care: A Challenge to Collaboration.","authors":"Diandra Serrano, Tamara Sussman, Sharon Kaasalanien, Abigail Wickson-Griffiths, Genevieve Thompson, Paulette V Hunter, Health B MacIntosh, Kevin Brazil","doi":"10.1177/23779608241306403","DOIUrl":"10.1177/23779608241306403","url":null,"abstract":"<p><strong>Introduction: </strong>Supporting persons living with advanced dementia in long-term care (LTC) homes requires strong collaborative partnerships between staff, family members, and residents. Yet, relational tensions-such as differing expectations around care decisions-can inhibit the implementation of collaborative partnerships at this critical point in the trajectory of care.</p><p><strong>Objective: </strong>This study aims to explore the emotional experiences of families and staff during shared decision-making processes for individuals with advanced dementia in LTC.</p><p><strong>Method: </strong>Guided by interpretative description, this qualitative study investigated the experiences of staff (<i>n</i> = 12) and families (<i>n </i>= 16) collaborating in two Canadian LTC homes. Data was collected through semistructured interviews lasting 45-60 min, which facilitated a detailed exploration of participants' narratives. The interviews were audio-recorded, transcribed, and analyzed using reflexive thematic analysis facilitated by a combination of inductive and deductive approaches.</p><p><strong>Results: </strong>Our analysis revealed a complex parallel process of trauma and grief including accumulated distress, isolation, and feelings of devalue that worked together to create distance between staff and families at a time when connection was critical. Our findings further suggested that a lack of time and space for reflection and validation for staff and family, resulted in a cycle whereby staff and families engaged in a push and pull dynamic with each viewing the other as adversaries rather than allies.</p><p><strong>Conclusion: </strong>Our findings highlight the critical need for reflexive opportunities in LTC homes to overcome and attend to the emotional barriers that interfere with true collaboration between staff and families. We hope that the proposed cycle serves as a preliminary framework to support staff in navigating difficult conversations and emotions, and fosters reflexive care that enhances, rather than obstructs, connections.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"10 ","pages":"23779608241306403"},"PeriodicalIF":2.0,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11648007/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142839963","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":"Investigating Quality of Life, Academic Resilience, and Influential Factors in Nursing Education: A Mixed-Methods Study among Nursing Students.","authors":"Ebtsam Aly Abou Hashish, Erada Bajbeir, Salwa Amer Almabadi, Nowr Dakhel Alzebali, Shahad Fawzi Alhubishi","doi":"10.1177/23779608241303690","DOIUrl":"10.1177/23779608241303690","url":null,"abstract":"<p><strong>Introduction: </strong>Investigating the correlation between quality of life (QoL) and academic resilience (AR) and understanding their influencing factors is crucial for adequately preparing nursing students to navigate the challenges in their future professional careers.</p><p><strong>Objectives: </strong>This research aims to investigate the relationship between QoL and AR among nursing students. Additionally, to explore factors influencing these variables from the students' perspectives.</p><p><strong>Methods: </strong>A mixed-methods design, incorporating both quantitative and qualitative data, was conducted at a Saudi nursing college. The quantitative data were collected through a cross-sectional design, with a convenience sample of 190 students completing the Brunnsviken Brief Quality of Life Scale (BBQ) and the Academic Resilience Scale (ARS-30). Simultaneously, qualitative data were collected using open-ended questions to gain insights into the factors influencing their QoL and AR, as well as the role of nursing education. The analysis involved inferential statistics and content analysis.</p><p><strong>Results: </strong>The study revealed that Saudi nursing students reported a moderate level of both QoL and AR. A significant positive correlation indicates that AR explains around 34.0% of the variation in QoL (p < 0.005). The qualitative data identified various supportive and barrier factors impacting the QoL and AR of nursing students, and students reflected on the significant role of nursing educators and academic advising.</p><p><strong>Conclusion: </strong>The findings hold implications for interventions such as establishing supportive educational environments, enhancing academic advising, implementing resilience-building and wellness programs, peer support initiatives, and encouraging social engagement-all essential strategies to bolster nursing students' overall well-being, QoL, and AR.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"10 ","pages":"23779608241303690"},"PeriodicalIF":2.0,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11645762/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830207","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}
SAGE Open NursingPub Date : 2024-12-13eCollection Date: 2024-01-01DOI: 10.1177/23779608241299292
Natalie Floriancic, Anna Garnett, Lorie Donelle
{"title":"Chronic Disease Management in a Nurse Practitioner-Led Clinic: An Interpretive Description Study.","authors":"Natalie Floriancic, Anna Garnett, Lorie Donelle","doi":"10.1177/23779608241299292","DOIUrl":"10.1177/23779608241299292","url":null,"abstract":"<p><strong>Introduction: </strong>Nurse practitioner-led clinics (NPLC) represent a model of care that has the potential to enhance primary healthcare delivery to community-dwelling adults who are living with chronic disease by providing greater access and continuity of care and reducing the burden on acute care settings. However, there is limited understanding of nurse practitioners' experiences and perspectives on supporting adults in chronic disease management within an NPLC model of care. Increased understanding would contribute to our ability to evaluate the effectiveness of the NPLC model of care for chronic disease management.</p><p><strong>Objective: </strong>This study explored current chronic disease management practices implemented by nurse practitioners within NPLC throughout the Province of Ontario.</p><p><strong>Methods: </strong>A qualitative study was implemented using interpretive description. In-depth interviews were conducted between January 2021 and May 2021 with nurse practitioners who were practicing within NPLCs across Ontario. Data was analyzed using thematic analysis.</p><p><strong>Results: </strong>Eleven interviews were completed with nurse practitioners who provided care to community-dwelling adults who were managing chronic disease in a range of geographic settings. Resultant themes included: the nurse practitioner role in bridging access to patients who fall between the cracks, benefits of interprofessional care, meeting a patient where they are at, and addressing healthcare system burden.</p><p><strong>Conclusion: </strong>Results suggest that NPLCs are well-positioned to support community-based patients living with chronic disease through provision of on-site interprofessional care, continuity in service provision and increased access to primary healthcare services. This article provides insights into the nurse practitioner led primary healthcare model and how it can facilitate access to services, foster patient self-management and provide a successful alternative model of care.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"10 ","pages":"23779608241299292"},"PeriodicalIF":2.0,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11638996/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142829617","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}
SAGE Open NursingPub Date : 2024-12-13eCollection Date: 2024-01-01DOI: 10.1177/23779608241293700
Katlego Patronellah Botlhoko, Nombulelo Esme Zenani, Leepile Alfred Sehularo
{"title":"Experiences of Nurse Educators Regarding the R171 Nursing Curriculum in North-West Province, South Africa.","authors":"Katlego Patronellah Botlhoko, Nombulelo Esme Zenani, Leepile Alfred Sehularo","doi":"10.1177/23779608241293700","DOIUrl":"10.1177/23779608241293700","url":null,"abstract":"<p><strong>Background: </strong>Nurse educators must seek innovative frameworks for their curricula to prepare nursing students to meet evolving healthcare needs. The South African National Department of Health introduced the new nursing curriculum (R171) in 2013 with the aim of producing generalist nurses who can meet the health care needs of the patients and to align the nursing program with the relevant Higher Education Qualification Framework. R171 was implemented in the North-West Province in 2021.Therefore, the main purpose of this study was to explore and describe the experiences of nurse educators regarding the three-year R171 nursing curriculum in North-West Province, South Africa.</p><p><strong>Methodology: </strong>The researcher used a descriptive phenomenology research design to achieve the aim and objectives. A nonprobability sampling approach was adopted for the study with use of a purposive sampling technique to select participants with insight and experience on the phenomenon in question. Semi-structured individual interviews, through Microsoft Teams, collected the data, with analysis using thematic analysis.</p><p><strong>Results: </strong>Three themes emerged from the findings of this study, namely inadequate resources to implement the R171 nursing curriculum, teaching and learning challenges in implementing the R171 nursing curriculum, and the possible solutions for effective implementation of the R171 nursing curriculum.</p><p><strong>Conclusion: </strong>To implement the R171 nursing curriculum effectively, it is necessary to include nurse educators in the development of the curriculum. There is also a need for comprehensive support that comprises all available essential resources.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"10 ","pages":"23779608241293700"},"PeriodicalIF":2.0,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11638997/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830206","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}