Nursing Research and Practice最新文献

{"title":"Discharge against Medical Advice at a Teaching Hospital in Ghana.","authors":"Surazu Bayor,&nbsp;Albert Kojo Korsah","doi":"10.1155/2023/4789176","DOIUrl":"https://doi.org/10.1155/2023/4789176","url":null,"abstract":"<p><strong>Introduction: </strong>Discharge against medical advice is a global phenomenon where patients voluntarily terminate their consent to medical care before the medical team declares them fit for discharge. The phenomenon adversely affects the delivery of quality health care.</p><p><strong>Methods: </strong>A retrospective study was conducted at a Ghanaian teaching hospital involving patients who were admitted to the emergency settings within a 2 years period. Data were retrieved from the hospital records and patients discharged against medical advice were identified and studied. Data were cleaned and coded with Excel application and analyzed with SPSS version 23.</p><p><strong>Results: </strong>A total of 8,565 admissions were made into the ward within the period under review with 210 patients been discharged against medical advice. The prevalence rate was 2.5% with high prevalence seen in male and younger populations. Fractures and head injuries were the commonest conditions for which patients requested to be discharged against medical advice, whilst financial constrains and preference for herbal treatment were the major factors for which patients requested to be discharged against medical advice.</p><p><strong>Conclusion: </strong>Discharge against medical advice exists and negatively affects the delivery of quality health care in the Ghanaian health sector. Education especially towards at-risk groups such as the younger populations and patients with fractures as well as effective communication between medical team and patients and their families are some proposed measures to reducing the prevalence and negative impacts associated with discharges against medical advice.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2023 ","pages":"4789176"},"PeriodicalIF":1.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10121357/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9742674","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 Relationship between Bullying and Emotional State among Undergraduate Nursing Students: A Cross-Sectional Correlation Study.","authors":"Nada A AbuAlula,&nbsp;Abdulaziz Mofdy Almarwani,&nbsp;Daniel Mon Mamanao,&nbsp;Naif Salem Altarawneh,&nbsp;Mohammed R Alharbi,&nbsp;Inas A Ebeid","doi":"10.1155/2023/2397229","DOIUrl":"https://doi.org/10.1155/2023/2397229","url":null,"abstract":"<p><strong>Introduction: </strong>Bullying behavior by nursing students is a serious problem that has contributed to the drop in numbers in the nursing profession.</p><p><strong>Aim: </strong>The study investigated the relationship between bullying and the emotional state of undergraduate nursing students.</p><p><strong>Methods: </strong>The study used a cross-sectional correlation design with a sample of 286 undergraduate nursing students from multiple nursing colleges located in the western region of Saudi Arabia. The 21-item depression, anxiety, and stress scale (DASS-21) was used to measure the study outcomes. A revised version of the Bullying Assessment Questionnaire was used to assess bullying experiences. Statistical analyses, including a <i>t</i>-test, Pearson correlation coefficient, and a one-way between-subjects ANOVA, determined the significance of the relationship between study variables.</p><p><strong>Results: </strong>There was a high prevalence of depression, anxiety, and stress symptoms among Saudi nursing students. Most of the respondents reported mild to extremely severe symptoms of depression (58.7%), anxiety (58%), and stress (44.8%). Around 90.1% of the nursing students reported exposure to a form of bullying over the previous 12 months. The most common items reported as part of this behavior included continually being assigned tasks beyond their capacity. Family members were the most frequently reported source of bullying (29.8%), followed by nursing faculties (20.9%). Bullying behavior was positively correlated with students' scores for depression, <i>r</i> (284) = 0.49, <i>n</i> = 286, <i>p</i> < 0.01; anxiety, <i>r</i> (284) = 0.54, <i>p</i> < 0.01; and stress, <i>r</i> (284) = 0.56, <i>p</i> < 0.01.</p><p><strong>Conclusion: </strong>The study's findings raise concerns and highlight the importance of decreasing the risk of depression, anxiety, and stress among undergraduate nursing students. Nurse educators must ensure that students receive psychological support to decrease these psychological outcomes. Regularly monitoring bullying behavior is essential to maintain students' psychological stability, which could eventually reduce professional dropout rates.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2023 ","pages":"2397229"},"PeriodicalIF":1.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10423087/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10001512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Influencing Turnover Intention among Nurses and Midwives in Ghana.","authors":"Angelina Boatemaa Boateng,&nbsp;Douglas Aninng Opoku,&nbsp;Nana Kwame Ayisi-Boateng,&nbsp;Alhassan Sulemana,&nbsp;Aliyu Mohammed,&nbsp;Joseph Osarfo,&nbsp;Jonathan N Hogarh","doi":"10.1155/2022/4299702","DOIUrl":"https://doi.org/10.1155/2022/4299702","url":null,"abstract":"<p><strong>Background: </strong>Nurse turnover intention, defined as a measure of nurses' desire to leave their positions, is a global public health issue with a grave impact on the healthcare workforce. However, literature on it is limited in sub-Saharan Africa, an at-risk region. This study aimed to determine the predictors of turnover intention among nursing staff at a tertiary hospital in Kumasi, Ghana.</p><p><strong>Methods: </strong>This was an institution-basedcross-sectional study conducted among 226 randomly selected nurses and midwives working at a tertiary healthcare center in Kumasi, Ghana. Data were collected by using a structured questionnaire. Significant predictors of turnover intention were analyzed by using multivariate logistic regression analysis. Adjusted odds ratio (AOR) with a 95% confidence interval (CI) and <i>p</i> value <0.05 was used.</p><p><strong>Results: </strong>The prevalence of turnover intention among study participants was 87.2% (197/226). About two-thirds (61.5%, 139/226) of the participants were exposed to a high level of workplace hazards. Management support (AOR = 3.09, 95% CI = 1.09-8.75), salary (AOR = 0.07, 95% CI = 0.01-0.46), inadequate number of staff on duty per shift (AOR = 3.36, 95% CI = 1.08-10.47) and participants' rank (AOR = 6.81, 95% CI = 1.18-39.16) were significantly associated with turnover intention.</p><p><strong>Conclusion: </strong>Overall, the turnover intention was high. Hence, there is a need for policymakers, health administrators, and nurse managers to implement strategies such as increasing staff strength, providing adequate support, incentives, and other forms of motivation for nurses and midwives to help reduce the rate of turnover intention.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":" ","pages":"4299702"},"PeriodicalIF":1.9,"publicationDate":"2022-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9683982/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40709406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Associated with Nursing Student Satisfaction with Their Clinical Learning Environment at Wolkite University in Southwest Ethiopia.","authors":"Ayana Benti Terefe,&nbsp;Tolesa Gemeda Gudeta","doi":"10.1155/2022/3465651","DOIUrl":"https://doi.org/10.1155/2022/3465651","url":null,"abstract":"<p><strong>Background: </strong>The clinical learning environment has been defined as \"an interactive network of strengths within the clinical environment that influence the clinical learning outcomes of students. Understanding students' level of satisfaction with their clinical learning environment is crucial to ensuring the required teaching and learning process. Therefore, this study was designed to assess the level of satisfaction with the CLE among nursing students at the Wolkite University of Ethiopia.</p><p><strong>Methods: </strong>A cross-sectional study was conducted at Wolkite University. This study was carried out in March 2022 on 208 student nurses selected by purposive and convenient sampling techniques. This study used the English version of the Clinical Learning Environment and Supervision + Nurse Teacher (CLES + <i>T</i>) evaluation scale. The collected data were cleaned, coded, and entered into Epi data 3.1, and then, statistical analyses were performed using SPSS version 26. Bivariate and multivariable logistic regression models were used to identify factors associated with the satisfaction level of nursing students towards CLE. Adjusted odds ratios (AORs) with 95% confidence intervals (CIs) were calculated, and <i>p</i> values < 0.05 were considered to indicate statistical significance.</p><p><strong>Results: </strong>More than half of the study participants were females, and nearly half (50.5%) of the participants were in year three of the nursing program. The study found that 39.9% (95%CI: 32.2%, 46.6%) of students were satisfied with their CLE. Factors that had a significant association with the satisfaction level of nursing students towards CLE were gender (female students) (AOR = 16.053 (6.397, 40.286)), year of study (4th year) (AOR = 6.296 (2.679, 14.796)), and the type of the hospital in which their last clinical placement was held (at a primary hospital) (AOR = 2.961 (1.122, 7.815)).</p><p><strong>Conclusion: </strong>Effective nursing education programs need to be developed to increase satisfaction with clinical practice and to promote positive emotional regulation in nursing students. Nurse practitioners and managers should be aware of their important role in the professional development of students and their satisfaction with clinical placements.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":" ","pages":"3465651"},"PeriodicalIF":1.9,"publicationDate":"2022-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9626240/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40446200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Overview of Missed Nursing Care and Its Predictors in Saudi Arabia: A Cross-Sectional Study.","authors":"Essa H Al Muharraq,&nbsp;Sultan M Alallah,&nbsp;Saad A Alkhayrat,&nbsp;Ali G Jahlan","doi":"10.1155/2022/4971890","DOIUrl":"https://doi.org/10.1155/2022/4971890","url":null,"abstract":"<p><strong>Background: </strong>Nursing care is holistic, and missing any aspect of care can be critical to patients' health. However, due to the complex and intense nature of the nursing practice, nurses have to unintentionally prioritize some activities, forcing them to omit some aspects of nursing care.</p><p><strong>Aim: </strong>To explore the dimensions of missed nursing care and its predictors within the Saudi Arabian healthcare system.</p><p><strong>Methods: </strong>Quantitative, cross-sectional study used the MISSCARE survey by utilizing nonprobability convenience sampling to collect the data of 604 staff nurses working in inpatient wards in Jazan, Saudi Arabia.</p><p><strong>Results: </strong>The overall mean of missed nursing care is (<i>m</i> = 1.37, SD = 0.45). Missed nursing care activities were mostly failure to attend interdisciplinary care conferences (<i>m</i> = 1.66, SD = 0.96) and patient ambulation thrice a day (<i>m</i> = 1.63, SD = 0.97). Missed nursing care was mainly caused by human resource shortage (<i>m</i> = 3.53, SD = 0.88). Missed nursing care is predicted by the turnover intention (<i>B</i> = 2.380, <i>t</i> = 3.829, <i>p</i> < 001) and job satisfaction (<i>B</i> = -0.864, <i>t</i> = -4.788, <i>p</i> < 001).</p><p><strong>Conclusion: </strong>Although missed nursing care is evident in Saudi Arabia, it is significantly lower than the international rates, and it is mainly caused by labor resource shortage which directly influences nurses' job satisfaction and intention to leave. Optimizing the recruitment process, resource allocation and effective nurses' retention programs are proposed solutions that may be beneficial to mitigate missed nursing care.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":" ","pages":"4971890"},"PeriodicalIF":1.9,"publicationDate":"2022-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9581685/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40566426","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":"Hesitancy toward Childhood Vaccinations: Preliminary Results from an Albanian Nursing Staff's Investigation.","authors":"Enkeleda Gjini,&nbsp;Mariachiara Carestia,&nbsp;Fabian Cenko,&nbsp;Daniele Di Giovanni,&nbsp;Irsida Mehmeti,&nbsp;Stefania Moramarco,&nbsp;Alban Yulli,&nbsp;Ersilia Buonomo","doi":"10.1155/2022/7814488","DOIUrl":"https://doi.org/10.1155/2022/7814488","url":null,"abstract":"<p><p>Healthcare professionals are important models for their patients since their individual knowledge and attitudes toward vaccination can influence the patient's willingness to adhere to vaccination campaigns. After developing a structured questionnaire, it was administered to a sample of nursing staff working in public vaccination centers in Albania (December 2020-January 2021), in order to conduct a preliminary investigation aimed at describing knowledge, attitudes, beliefs, and hesitancy toward childhood vaccinations. Among the sample of nurses involved in the administration of vaccines (n.64, 92% females), most of them were confident about vaccines and favorable to childhood vaccinations (90%). However, when specifically investigating beliefs, nearly a quarter of the sample showed to be hesitant; 22% were unsure or partially agreed that vaccines might cause conditions such as autism and multiple sclerosis. A high risk of hesitancy was identified in the youngest staff especially when their work experience was below 10 years or when they graduated less than 10 years before (OR: 5.3, CI: 1.4-19.5; and OR: 4.2 CI: 1.2-14.6). Similarly, a low acceptance rate (54%) was detected for future childhood SARS-CoV-2 vaccines among the nurses, which is a sign of high levels of vaccine hesitancy. With regard to knowledge about childhood vaccine contraindications, none of the nurses identified all the ten correct answers, while only 13% answered at least six questions correctly. These preliminary results highlight the need of investigating more Albanian nursing staff's knowledge and attitudes toward child vaccinations, therefore investing in tailored training. Due to the ongoing Covid-19 pandemic and the roll-out of mass vaccination, the role of healthcare workers remains crucial and needs more support to manage the changing public opinion as well as quickly evolving vaccine technologies.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":" ","pages":"7814488"},"PeriodicalIF":1.9,"publicationDate":"2022-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9481372/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40367272","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":"Fatigue and Sleep Disturbance among Breast Cancer Patients during Treatment in Saudi Arabia.","authors":"Fatmah Alsharif,&nbsp;Faygah Shibily,&nbsp;Wedad Almutairi,&nbsp;Ahlam Alsaedi,&nbsp;Tahani Alsubaie,&nbsp;Bashayer Alshuaibi,&nbsp;Arwa Turkistani","doi":"10.1155/2022/1832346","DOIUrl":"https://doi.org/10.1155/2022/1832346","url":null,"abstract":"<p><strong>Background: </strong>Fatigue and sleep disturbances are highly prevalent side effects encountered during treatment by patients with breast cancer, and they affect women's quality of life. Most studies investigating sleep and exhaustion in cancer patients provide evidence that supports a strong connection between different sleep parameters and fatigue associated with cancer.</p><p><strong>Objective: </strong>This study was to assess the level of fatigue and sleep disturbance in breast cancer patients during treatment in Saudi Arabia.</p><p><strong>Method: </strong>A descriptive cross-sectional study design was conducted on breast cancer patients undergoing treatment in Saudi Arabia. The data were collected through convenience sampling of patients. The study involved self-administered questionnaires comprising three categories: demographic data, perceived Pittsburgh Sleep Quality Index (PSQI), and Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F). A total of 101 participants took part in this study. The significant statistical test was determined at a 95% confidence interval and at <i>p</i> < 0.05.</p><p><strong>Results: </strong>Half of the study participants were aged between 30 and 50 years. Significant differences were found in fatigue and sleep disturbance among BC patients during treatment in Saudi Arabia. A high prevalence of fatigue was found at 21.8%, and 5% of participants experienced sleep disturbance.</p><p><strong>Conclusions: </strong>Breast cancer patients in Saudi Arabia have a low overall global quality of life. The patients experience poor sleep quality and fatigue, which suggests that during treatment, patients need to be assessed routinely for these symptoms to prevent or reduce fatigue and sleep disturbance. Sleep disturbance might be correlated with fatigue.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":" ","pages":"1832346"},"PeriodicalIF":1.9,"publicationDate":"2022-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9467781/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40359287","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":"Predictors of Suicide Attempts of Individuals with Autism and Their Siblings.","authors":"Oren Shtayermman,&nbsp;Jason Fletcher","doi":"10.1155/2022/9157365","DOIUrl":"https://doi.org/10.1155/2022/9157365","url":null,"abstract":"<p><p>The occurrence of mood- and anxiety-related conditions among family members of individuals diagnosed with autism spectrum disorder (ASD) increases the risk of suicide attempts and has also created assessment and treatment issues for clinicians and parents. Recorded rates of mental health disorders comorbid with suicide attempts among individuals on the spectrum range from 29% to 52%. The purpose of this study was to investigate the presence of predictors of suicide attempts among sibling dyads (pairs of siblings in which one sibling is on the autism spectrum). Growing evidence in the literature indicates a link between a diagnosis of autism and mental health. A web-based survey was used to collect data from individuals on the spectrum and their siblings. A sample of 144 individuals was finalized for the analyses. Logistic regression analysis was conducted to assess the predictors of suicide attempts in the sample. Depression, anxiety, sexual orientation, and marital status were all used as predictors in the logistic regression analyses. Both levels of anxiety and sexual orientation were found to be significant predictors for suicide attempts. Recommendations for future research, assessment, and treatment are presented.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2022 ","pages":"9157365"},"PeriodicalIF":1.9,"publicationDate":"2022-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9463008/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33464644","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":"Family-Centered Interventions and Quality of Life of Clients with Ostomy.","authors":"Arash Golpazir-Sorkheh,&nbsp;Teimor Ghaderi,&nbsp;Saeed Mahmoudi,&nbsp;Khalil Moradi,&nbsp;Amir Jalali","doi":"10.1155/2022/9426560","DOIUrl":"https://doi.org/10.1155/2022/9426560","url":null,"abstract":"<p><strong>Background: </strong>Family-centered intervention can be used as a therapeutic intervention to improve the quality of life (QOL) in clients with ostomy. This study aimed to determine the effects of family-centered intervention on the QOL in ostomy clients.</p><p><strong>Methods: </strong>A quasi-experimental study was carried out with participation of 70 clients with colostomy and 70 caregivers (family members). The participants were selected through convenient sampling and randomly allocated into the experimental and control groups. The experimental group received family-centered education. The education program included four sessions, 50-60 min each, that were implemented in two weeks at hospital wards or clients' houses for the clients' companions. Afterwards, the caregivers implemented the care at home for one month. The subjects in the control group received routine care before being discharged. The QOL of the clients in both groups was measured using the city of hope-QOL-ostomy questionnaire before and one month after the intervention.</p><p><strong>Results: </strong>The mean scores of the QOL after family-centered intervention in the experimental and control groups increased from 197.97 to 207.49 and from 195.2 to 199.03, respectively. The paired <i>t</i>-test showed a significant change in the experimental and control groups after the intervention at a confidence level of 95% (<i>p</i>=0.0001; <i>p</i>=0.002). In addition, after the intervention, however, there was a significant difference between the two groups in all these areas except for social aspects (<i>p</i>=0.007).</p><p><strong>Conclusion: </strong>Family-centered intervention can be used as a therapeutic intervention to improve the QOL in clients with ostomy. The intervention was effective in the physical, spiritual, psychological, and social health of these clients.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2022 ","pages":"9426560"},"PeriodicalIF":1.9,"publicationDate":"2022-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9444473/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33448849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Affecting Nonadherence to WHO's Recommended Antenatal Care Visits among Women in Pastoral Community, Northeastern Ethiopia: A Community-Based Cross-Sectional Study.","authors":"Kusse Urmale Mare,&nbsp;Abel Gebre Wuneh,&nbsp;Mubarek Shemsu Awol,&nbsp;Mohammed Ahmed Ibrahim,&nbsp;Molla Kahsay Hiluf,&nbsp;Setognal Birara Aychiluhm,&nbsp;Osman Ahmed Mohammed,&nbsp;Kebede Gemeda Sabo","doi":"10.1155/2022/6120107","DOIUrl":"https://doi.org/10.1155/2022/6120107","url":null,"abstract":"<p><strong>Introduction: </strong>More than half of the pregnant women in Ethiopia do not receive the recommended number of antenatal care visits. In the Afar region, where women have limited access to healthcare services due to pastoral livelihood, evidence on noncompliance to the adequate number of antenatal care visits is scarce. Therefore, this study was intended to examine the level of nonadherence to the recommended antenatal care visits and its associated factors in the pastoral community of Northeast Ethiopia.</p><p><strong>Methods: </strong>A community-based cross-sectional study was conducted from 04 February to 22 March 2020 among randomly selected 703 women who gave birth within 24 months preceding the survey in the Transform HDR districts of the Afar region. Data were collected using a pretested structured interviewer-administered questionnaire. Data were entered into Epi-data version 4.2 and finally exported to Stata version 16 for further analysis. Bivariable and multivariable binary logistic regression analyses were done to identify factors affecting the nonadherence to the recommended antenatal care visits. Odds ratio with the corresponding 95% confidence interval were computed and the statistical significance of the explanatory variables was declared at a <i>p</i>-value <0.05.</p><p><strong>Results: </strong>Nonadherence to the recommended antenatal care visits was 57.0% (95% CI: 53.3%-60.7%). Attending primary (AOR (95% CI): 0.39 (0.22-0.72)) and secondary education and above (AOR (95% CI): 0.25 (0.08-0.77)), being married at the age of 18 years or older (AOR (95% CI): 0.48 (0.36-0.71)), and attending antenatal care at a health center (AOR (95% CI): 0.46 (0.26-0.81)) were associated decreased odds of nonadherence to the recommend visits. Moreover, a higher likelihood of nonadherence was found among women from households not possessing communication media (AOR (95% CI): 1.85 (1.18-2.88)) and those who initiated antenatal care attendance during the second (AOR (95% CI): 5.23 (3.54-7.72)) and third trimesters (AOR (95% CI): 8.81 (1.88-41.20)).</p><p><strong>Conclusions: </strong>Nearly six in ten women do not receive the recommended antenatal care visits, consistent with the national prevalence. Women's education, age at marriage, type of health facility, possession of mass media, and timing of antenatal care attendance were associated with nonadherence to the recommended antenatal care visits. Thus, improving women's literacy, dissemination of information regarding antenatal care through mass media, and strengthening interventions targeted to end child marriage are important in scaling up the level of adherence. Moreover, supporting community-based health education through health extension programs is crucial in reaching women with limited access to mass media.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":" ","pages":"6120107"},"PeriodicalIF":1.9,"publicationDate":"2022-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9427308/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40342867","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}