SAGE Open NursingPub Date : 2025-07-23eCollection Date: 2025-01-01DOI: 10.1177/23779608251362315
Yousef Aljawarneh, Ahmad Al-Bashaireh, Nader E Alotaibi, Mariam Kawafha, Osama Alkouri, Tarfah Almesmari, Bashayer Alnuaimi, Sarah Alabdouli, Maryam Alsereidi
{"title":"Associations Between Intention to Leave, Job Satisfaction, and Work Environment Among Registered Nurses: A Cross-Sectional Study in the United Arab Emirates.","authors":"Yousef Aljawarneh, Ahmad Al-Bashaireh, Nader E Alotaibi, Mariam Kawafha, Osama Alkouri, Tarfah Almesmari, Bashayer Alnuaimi, Sarah Alabdouli, Maryam Alsereidi","doi":"10.1177/23779608251362315","DOIUrl":"10.1177/23779608251362315","url":null,"abstract":"<p><strong>Objective: </strong>To explore the relationships between job satisfaction, work environment, and intention to leave among registered nurses in the United Arab Emirates (UAE), and to identify potential predictors of intention to leave.</p><p><strong>Methods: </strong>A cross-sectional study was conducted to collect data from registered nurses working in governmental hospitals in the UAE between October and November 2022. A convenience sampling method was used to recruit 294 participants.</p><p><strong>Results: </strong>Approximately 40.8% of nurses reported a high intention to leave their jobs. Significant correlations were found between the intention to leave and several factors, including education level (<i>P</i> = .038), years of experience (<i>P</i> = .033), employment status (<i>P</i> = .002), and nationality (<i>P</i> = .037). Regression analysis revealed that both the work environment and job satisfaction were significant predictors of intention to leave (β = 1.156, <i>P</i> = .015; β = 0.857, <i>P</i> = .015, respectively).</p><p><strong>Conclusions: </strong>The findings of this study indicate that both the work environment and job satisfaction are significant and independent predictors of nurses' intention to leave their positions in the UAE. To reduce turnover, nursing managers and healthcare leaders should prioritize strategies that enhance work conditions, support professional development, reduce burnout, and offer competitive compensation, ultimately promoting nurse retention and better patient care.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"11 ","pages":"23779608251362315"},"PeriodicalIF":2.5,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12301601/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733749","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 : 2025-07-22eCollection Date: 2025-01-01DOI: 10.1177/23779608251362354
Mohammad Etoom, Rafi Alnjadat, Eshraq Al Momani, Amer Al-Omari, Murad Al-Ta'ani
{"title":"Nursing and Midwifery Student's Attitudes Toward Vital Signs Monitoring Using an Arabic Version of the V-Scale Instrument and Its Influencing Factors.","authors":"Mohammad Etoom, Rafi Alnjadat, Eshraq Al Momani, Amer Al-Omari, Murad Al-Ta'ani","doi":"10.1177/23779608251362354","DOIUrl":"10.1177/23779608251362354","url":null,"abstract":"<p><strong>Introduction: </strong>Vital signs monitoring is a common task for nursing and midwifery students during their clinical rotation. Therefore, it is important to evaluate the students' attitudes toward this skill.</p><p><strong>Objective: </strong>To evaluate the attitudes of nursing and midwifery students toward vital sign monitoring and identify the key factors that influence them.</p><p><strong>Methods: </strong>A descriptive, correlational, cross-sectional research design was employed, utilizing an online self-administered questionnaire. The study participants were selected through a simple random sampling method. The translated V-scale instrument was used to assess the nursing students' attitudes toward vital sign monitoring. Descriptive statistics were computed, and multivariate linear regression was employed for data analysis.</p><p><strong>Results: </strong>The total number of participants in this study was 215 students. The study found that the mean score for students' attitudes regarding vital sign monitoring was 3.17 (<i>SD</i> = 0.37). Notably, the communication subscale received the highest mean score of 4.16 (<i>SD</i> = 0.56). The workload subscale, on the other hand, had the lowest mean score, 2.37 (<i>SD</i> = 0.76). The backward stepwise regression revealed that academic programs such as midwifery (β <i>=</i> .146, <i>t</i> = 2.17, <i>P</i> < .05) and grade point average (GPA) (β <i>=</i> .172, <i>t</i> = 2.55, <i>P</i> < .05) are statistically significant predictors for student's attitudes toward vital signs monitoring. The adjusted <i>R</i> <sup>2</sup> of .038 suggested that approximately 3.8% of the variance in attitude level toward vital signs monitoring was explained by the academic program of midwifery and GPA (<i>R</i> <sup>2</sup> = .047, adj. <i>R</i> <sup>2</sup> = .038, <i>F</i>(2, 212) = 5.271, <i>P</i> < .01).</p><p><strong>Conclusion: </strong>The participating students in this research exhibited moderate attitudes toward vital sign monitoring. The most positive attitude was in the communication subscale, while the most negative attitude was in the workload subscale. We identified academic program variables like midwifery and GPA as significant predictors of students' attitudes toward vital signs monitoring.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"11 ","pages":"23779608251362354"},"PeriodicalIF":2.5,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12301608/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733751","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 : 2025-07-21eCollection Date: 2025-01-01DOI: 10.1177/23779608251361012
Belén Mezquita, Leandra Martín-Delgado, Laia Wennberg-Capellades, Ángel Borrego
{"title":"A Comparison of OpenAlex With Scopus and Web of Science for Tracking Scholarly Nursing Literature.","authors":"Belén Mezquita, Leandra Martín-Delgado, Laia Wennberg-Capellades, Ángel Borrego","doi":"10.1177/23779608251361012","DOIUrl":"10.1177/23779608251361012","url":null,"abstract":"<p><strong>Background: </strong>Researchers have traditionally used commercial databases such as Scopus and Web of Science to track scholarly literature and ascertain the impact of publications in terms of citations. In recent years, new open data sources, such as OpenAlex, have appeared, which broaden the array of tools accessible for exploring academic literature.</p><p><strong>Objective: </strong>This study compares the coverage of scholarly nursing literature by OpenAlex, Scopus, and Web of Science in terms of journals, articles, and citations indexed.</p><p><strong>Methods: </strong>A list of nursing journals indexed by OpenAlex, Scopus, and Web of Science was compiled to compare the titles covered in terms of country of publication, publisher, and open access availability. Citations of nursing articles published between 2000 and 2022 in the three sources were also analyzed.</p><p><strong>Results: </strong>OpenAlex indexes nearly all the journals covered by Scopus and Web of Science, plus additional sources from countries outside the Western world. In terms of individual articles, OpenAlex indexes more citations than Scopus and Web of Science.</p><p><strong>Conclusion: </strong>OpenAlex is a comprehensive source for tracking nursing literature. Currently, its main limitation lies in the lack of a user-friendly web interface, as the need to use an API for data retrieval can complicate the search process for end users.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"11 ","pages":"23779608251361012"},"PeriodicalIF":2.0,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12280546/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144691859","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 : 2025-07-20eCollection Date: 2025-01-01DOI: 10.1177/23779608251362276
Dania Bani Hamad, Mohammad Rababa, Rula Al-Rimawi, Islam Bani Mohammad, Raeda Mustafa Abu Ali, Hala Khaled Mohammad Al-Easa
{"title":"Barriers and Facilitators Affecting the Implementation of the Sepsis Six Protocol by Nurses in Acute Care Settings in Jordan: A Cross-Sectional Study.","authors":"Dania Bani Hamad, Mohammad Rababa, Rula Al-Rimawi, Islam Bani Mohammad, Raeda Mustafa Abu Ali, Hala Khaled Mohammad Al-Easa","doi":"10.1177/23779608251362276","DOIUrl":"10.1177/23779608251362276","url":null,"abstract":"<p><strong>Introduction: </strong>Sepsis is an emergency condition that necessitates immediate and appropriate nursing interventions for improving patient outcomes. Nurses have an essential role to play in recognizing the early warning signs of sepsis, implementing timely healthcare treatments, and providing comprehensive care to enhance patient outcomes. This study examines the barriers and facilitators affecting the implementation of the Sepsis Six protocol among nurses in acute care settings in Jordan.</p><p><strong>Objectives: </strong>This study aimed to identify nurses' perceived barriers and facilitators affecting their implementation of the Sepsis Six guidelines in acute care settings in Jordan.</p><p><strong>Methods: </strong>This cross-sectional descriptive study was conducted among a convenience sample of 180 nurses working in acute care settings (i.e., the ICU, CCU, ED, burns unit, and dialysis unit) at a university hospital. An online survey from a previous study was used to evaluate the nurses' perceived barriers and facilitators affecting their implementation of the Sepsis Six guidelines in acute care settings.</p><p><strong>Results: </strong>This study revealed that the main barriers facing the critical care nurses were environmental, which included lack of time, lack of sufficient staffing, and lack of available beds. Meanwhile, the main facilitators were emotional and intentional. For example, the nurses believed all of the Sepsis Six steps and guidelines to be very important for improving patient outcomes and decreasing sepsis-related complications.</p><p><strong>Conclusion: </strong>This study revealed that barriers related to knowledge, environment, and resources can affect nurses' compliance with sepsis guidelines. On the other hand, the findings revealed many strategies and facilitators which can improve nurses' compliance with these guidelines and hence improve patient outcomes. These facilitators include ongoing education and training, the availability of resources, and effective teamwork and sepsis-related communication. However, further research is required to further investigate the barriers and facilitators that can affect nurses' adherence to sepsis guidelines.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"11 ","pages":"23779608251362276"},"PeriodicalIF":2.0,"publicationDate":"2025-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12277560/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144683362","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 : 2025-07-19eCollection Date: 2025-01-01DOI: 10.1177/23779608251360587
{"title":"Corrigendum to \"Prevalence and Associated Factors of Stress and Coping Strategies of Nursing Students During Clinical Practice in School of Nursing, Wachemo University, Ethiopia\".","authors":"","doi":"10.1177/23779608251360587","DOIUrl":"https://doi.org/10.1177/23779608251360587","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1177/23779608241272528.].</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"11 ","pages":"23779608251360587"},"PeriodicalIF":2.0,"publicationDate":"2025-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12276515/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144676055","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 Quasi-Experimental Study on the Impact of a Nasogastric Tube Placement Educational Program on Pediatric Nurses' Knowledge and Practices.","authors":"Shimmaa Mansour Moustafa Mohammed, Gihan Mohamed, Raghad Almushawah","doi":"10.1177/23779608251360285","DOIUrl":"10.1177/23779608251360285","url":null,"abstract":"<p><strong>Background: </strong>Nasogastric tube (NGT) feeding is the preferred method of delivering nutrients to children who cannot tolerate oral feeding and medication. However, there are various risks associated with NGT misplacement.</p><p><strong>Objective: </strong>To evaluate the impact of a structured educational program on pediatric nurses' knowledge and practice in NGT placement.</p><p><strong>Methods: </strong>This quasi-experimental study was conducted among 130 nurses in two hospitals in Saudi Arabia. Pretest and posttest data were collected using a questionnaire and an observational checklist. The educational program included theoretical and practical sessions on the recommended best practices for NGT placement and location verification in pediatric patients.</p><p><strong>Results: </strong>Prior to the intervention, more than half (53.1%) had unsatisfactory knowledge, and 59.5% exhibited incompetent practice regarding NGT placement. Significant improvements were observed following the educational program. Postintervention, 90% of the nurses demonstrated satisfactory knowledge, and 88.5% exhibited competent practice (<i>p</i> < 0.01). A strong positive correlation was found between knowledge and practice levels both before and after the intervention (<i>p</i> < 0.01).</p><p><strong>Conclusion: </strong>The educational program on NGT placement significantly improved pediatric nurses' knowledge and promoted best practices, thereby increasing patient safety. It is recommended that structured training and simulation-based refreshers be incorporated into continuing nursing education to sustain safe and effective NGT practice.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"11 ","pages":"23779608251360285"},"PeriodicalIF":2.0,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12276412/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144676054","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":"Validity and Reliability of Persian Version of Multidimensional Scale of Perceived Social Support in Iranian Cancer Patients.","authors":"Hamid Sharif Nia, Mansoureh Ashghali Farahani, Amir Hossein Goudarzian, Mahdi Zarei, Shabnam Shariatpanahi","doi":"10.1177/23779608251357428","DOIUrl":"10.1177/23779608251357428","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to assess the linguistic and cultural validity of the translated Multidimensional Scale of Perceived Social Support (MSPSS) in Persian, ensuring that the nuances of social support are adequately captured and comprehended by Iranian cancer patients.</p><p><strong>Methods: </strong>In this cross-sectional study, 400 cancer patients from Iran were assessed using the MSPSS. By using exploratory factor analysis (with Maximum Likelihood factor analysis and Promax rotation) and confirmatory factor analysis, the construct validity of this scale was assessed. To check for internal consistency, the average inter-item correlation, Cronbach's alpha, and McDonald's omega coefficients were used.</p><p><strong>Results: </strong>Most of the participants ranged in age from 49 to 59 years (<i>n</i> = 102, 34%). Two factors were extracted from EFA and the total cumulative variance explained by these factors was 61% of the total variance. Item factor loadings varied between 0.613 and 0.949. Internal consistency coefficients were considered acceptable (>0.7).</p><p><strong>Conclusions: </strong>The Farsi version of the MSPSS as a self-report measure showed acceptable reliability and validity. Consequently, the scale can be used by nurses to evaluate perceived social support among Farsi-speaking cancer patients that can help them to take necessary actions to decrease the level of concern in these patients.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"11 ","pages":"23779608251357428"},"PeriodicalIF":2.0,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12276469/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144676057","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 : 2025-07-17eCollection Date: 2025-01-01DOI: 10.1177/23779608251361015
Theresia J Masoi, Lilian Teddy Mselle, Stephen M Kibusi, Nathanael Sirili
{"title":"\"Being Treated Like an Infant Who Doesn't Know Anything\" Obstetric Violence From Perspectives of Women, Health Care Providers and Key Community Informants in Central Zone Tanzania: A Qualitative Exploratory Case Study.","authors":"Theresia J Masoi, Lilian Teddy Mselle, Stephen M Kibusi, Nathanael Sirili","doi":"10.1177/23779608251361015","DOIUrl":"10.1177/23779608251361015","url":null,"abstract":"<p><strong>Background: </strong>Violence during pregnancy, childbirth and after childbirth is a critical issue globally. There remains a lack of consensus on operational definitions of the components across different cultures globally since the definitions of respect, disrespect and violence can differ among cultures, traditions and places. Obstetric violence presents a significant barrier to seeking facility-based care during pregnancy and childbirth and instead women may opt for home deliveries with unskilled attendants. As a result, some experience complications thus contributing to the high prevalence of maternal mortality and morbidity.</p><p><strong>Objective: </strong>To explore the contextual components of obstetric violence as perceived by postnatal mothers, health care providers and key community informants in central zone Tanzania.</p><p><strong>Methodology: </strong>An exploratory qualitative case study employed in-depth interviews with purposefully selected 24 postnatal mothers, 18 healthcare providers, and 4 religious leaders. Additionally, 6 focus group discussions were conducted with male partners, community health workers, and 10-cell leaders. Data analysis followed qualitative content analysis process, incorporating both inductive and deductive approaches.</p><p><strong>Results: </strong>Nine categories of obstetric violence experienced by women during health facility care emerged from the analysis. These categories are lack of supportive care and treatment, autonomy limitations, non-consented care, compromised privacy and confidentiality, painful routine procedures that are not evidence-based, verbal violence, sexual violence, stigma and discrimination, emotional violence. Additionally, six categories of obstetric violence emerged related to experiences of women at the community level. They included: forceful insertion of herbs to the vagina, verbal violence, physical violence, psychological violence, forced home delivery and inappropriate sexual practices.</p><p><strong>Conclusion: </strong>Contextual components gathered by this study help to better define obstetric violence in the Tanzanian context and serve as a reference. This might help to validate measurement methods, and provide a pathway for developing evidence-based interventions to reduce obstetric violence and promote respectful maternity care.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"11 ","pages":"23779608251361015"},"PeriodicalIF":2.5,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12301176/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733748","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 : 2025-07-17eCollection Date: 2025-01-01DOI: 10.1177/23779608251359038
{"title":"Retraction: The Impact of Humble Leadership on Knowledge-Sharing and Creativity in Nursing Setting: A Cross-Sectional Study.","authors":"","doi":"10.1177/23779608251359038","DOIUrl":"10.1177/23779608251359038","url":null,"abstract":"<p><p>[This retracts the article DOI: 10.1177/23779608241306999.].</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"11 ","pages":"23779608251359038"},"PeriodicalIF":2.0,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12276410/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144676056","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 : 2025-07-13eCollection Date: 2025-01-01DOI: 10.1177/23779608251358700
Masrie Getnet, Addis Temie, Tilahun Fufa, Lake Kumlachew, Abraham Teym
{"title":"Multilevel Analysis of Individual and Community Level Factors Associated with Institutional Delivery in Ethiopia, 2016 Ethiopian Demography and Health Survey.","authors":"Masrie Getnet, Addis Temie, Tilahun Fufa, Lake Kumlachew, Abraham Teym","doi":"10.1177/23779608251358700","DOIUrl":"10.1177/23779608251358700","url":null,"abstract":"<p><strong>Background: </strong>The utilization of skilled care before, during, and after childbirth can significantly reduce maternal mortality and save the lives of women and newborns. However, maternal and child mortality remain high and continue to pose a persistent challenge for low-income countries. Therefore, this study was conducted to identify individual- and community-level factors associated with institutional delivery in Ethiopia.</p><p><strong>Methods: </strong>A cross-sectional study design with two-stage clustered sampling was employed using data from the 2016 Ethiopian Demographic and Health Survey (EDHS) to identify individual- and community-level factors associated with institutional delivery in Ethiopia. The study included 643 clusters (communities) and 7,091 women aged 15-49 years. Data were analyzed using two-level mixed-effects logistic regression to estimate the fixed effects of individual- and community-level factors and the random intercept for between-cluster variability, using R software version 3.5.3.</p><p><strong>Results: </strong>In this study, over two-thirds (68%) of women gave birth at home. Institutional delivery was more likely among women with higher education, greater household wealth, frequent antenatal care attendance, and partners with secondary education. Conversely, it was less likely among women with more children and those perceiving long distances to health facilities as a barrier. At the community level, higher average education, media exposure, and recent use of health services were associated with greater institutional delivery use, while rural residence, perceived distance barriers, and regional disparities were linked to lower use.</p><p><strong>Conclusions: </strong>Both individual- and community-level factors were significantly associated with institutional delivery, in both positive and negative directions. Therefore, the Government of Ethiopia and relevant stakeholders should give due attention to the key factors identified in this study.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"11 ","pages":"23779608251358700"},"PeriodicalIF":2.0,"publicationDate":"2025-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12280271/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144691860","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}