Africa Journal of Nursing and Midwifery最新文献

{"title":"Factors Contributing to Work Stress among Nurses in Hadiya Zone’s Public Hospitals, Central Ethiopia","authors":"Asnakech Zekiwos Heliso, Getachaw Ossabo Babore, Taye Mezgebu Ashine","doi":"10.25159/2520-5293/16303","DOIUrl":"https://doi.org/10.25159/2520-5293/16303","url":null,"abstract":"Background: Stress in nurses refers to the reactions nurses experience when faced with work demands that exceed their knowledge, skills, or ability to cope. Nursing, as a profession, is particularly susceptible to work-related stress.\u0000Methods: A cross-sectional study was conducted among 405 randomly selected nurses working in Hadiya Zone public hospitals from March 1 to 30, 2023. Data were collected using a pre-tested self-administered questionnaire. The data were entered using Epi-data version 3.1, and analysed using SPSS version 20.0. Multivariable logistic regression analysis was performed to identify factors associated with the level of work stress. Variables with a p-value <0.05 were considered statistically significant.\u0000Results: In this study, 56% (95% CI 50.9-61.2) of the participants reported being stressed in their work. Several factors were found to be associated with work stress, including being female (AOR=1.94, 95% CI 1.19-3.16), rotating shifts (AOR=2.06, 95% CI 1.31-3.25), working in the intensive care unit (AOR=3.42, 95% CI 1.20-9.73), and having post-basic training (AOR=0.55, 95% CI 0.34-0.92).\u0000Conclusion: The study revealed a high level of work stress among nurses in the study area. The zonal health unit takes measures to address work stress by providing job orientation during the hiring process, rotation, and on-the-job training to help nurses cope with and manage stressful events. Stress in public hospitals and among nurses is an important issue that needs urgent attention.","PeriodicalId":517190,"journal":{"name":"Africa Journal of Nursing and Midwifery","volume":"119 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141811994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preparedness for Natural Disasters among Volunteers in East Java, Indonesia: A Cross-Sectional Study","authors":"Apriyani Puji Hastuti, Ratna Roesardhyati, Ardhiles Wahyu Kurniawan, Rahmania Ambarika, Risqy Siwi Pradini, Rifatul Fani","doi":"10.25159/2520-5293/15961","DOIUrl":"https://doi.org/10.25159/2520-5293/15961","url":null,"abstract":"Indonesia is particularly vulnerable to natural disasters, especially geological and hydrometeorological disasters, which can adversely impact human life. Disaster management is a development carried out and integrated by the Regional Government. This study aimed to analyse the natural disaster preparedness among volunteers in the Poncokusumo Area, Malang Regency, East Java, Indonesia. The study used a cross-sectional design to determine the volunteers’ level of disaster preparedness. The sampling technique used randomised (cluster) sampling with 165 respondents. The research used a questionnaire with a 5-category Guttman Scale for disaster preparedness index (DPI) with the parameters divided into knowledge and attitude (KA), emergency planning (EP), disaster warning system (DWS) and resource mobilisation capacity (RMC). The research was conducted in the working area of Poncokusumo Public Health Center, Maofng Regency. Data analysis in the study used a one-way ANOVA. The results showed that the volunteer level of preparedness for landslides was 67±1.33 (ready). There was a relationship between characteristics of disaster preparedness, namely, age (p-value = 0.033) and years of experience as a volunteer (p-value = 0.02). Volunteers can contribute to relief operations by providing necessities, such as food, water and shelter to affected individuals. They can also assist in clean-up activities, infrastructure repair, and community rebuilding initiatives. It is important to note that volunteers should be well-trained and coordinated with local authorities and emergency management agencies to ensure their safety and effectiveness in disaster preparedness and management situations.","PeriodicalId":517190,"journal":{"name":"Africa Journal of Nursing and Midwifery","volume":"46 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141343875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Uptake of Cervical Cancer Screening Services and Associated Factors among HIV-Positive Women at Mzuzu Central Hospital, Malawi","authors":"Ulemu Phiri","doi":"10.25159/2520-5293/16087","DOIUrl":"https://doi.org/10.25159/2520-5293/16087","url":null,"abstract":"One of the major causes of death among women worldwide is cervical cancer (CC). The majority of the cases occur in underdeveloped nations, especially among human immunodeficiency virus (HIV)-positive women. The purpose of this study was to evaluate the uptake of CC screening and the factors that are related to it in these HIV-positive women at Mzuzu Central Hospital, Malawi. The study used a quantitative methodological approach. Secondary data for 397 women was extracted from hospital registers. It was then entered and analysed using STATA. Descriptive statistics, univariate analysis, multivariate analysis, and chi-square analysis were performed to test the association between the outcome variable and the independent variables. The results showed that a significant correlation between subsequent screenings and positive outcomes was found by multivariate analysis using ordered logistic regression (adjusted odds ratio (AOR) = 5.546; 95% confidence interval (CI) [4.718696, 6.373458]). A significant correlation between the number of screenings performed and marital status was found using chi-square analysis. Compared to married and widowed women, the proportion of divorced and single women who underwent multiple screenings was lower. In conclusion, the study found that among HIV-positive women in Mzuzu, Malawi, a complex interaction of demographic factors influenced the results of CC screening. Age and marital status showed varied effects, even though further screenings were positively associated with favourable outcomes.","PeriodicalId":517190,"journal":{"name":"Africa Journal of Nursing and Midwifery","volume":"50 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141343954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Scoping Review of Nurse-Led Medical-Surgical Knowledge Translation Interventions to Improve In-Hospital Clinical Practice in the WHO Afro Region","authors":"Anna N. Haifete, G. Chironda, Petra Brysiewicz","doi":"10.25159/2520-5293/15525","DOIUrl":"https://doi.org/10.25159/2520-5293/15525","url":null,"abstract":"The process of placing research knowledge into action and thereby ensuring its dissemination is very important in healthcare currently. Although nurse-led knowledge translation interventions have become an important focus in the high-income countries, the extent of such interventions in the World Health Organization (WHO) Afro Region is not well established. This scoping review aimed to map the evidence of nurse-led knowledge translation interventions in the countries in the WHO Afro Region using the Joanna Briggs Institute (JBI) Scoping Review Methodology. A systematic electronic search of articles was carried out in selected electronic data bases using various search engines. All 688 eligible identified articles were imported into the Systematic Reviews Web App (Beta) Rayyan. The selection process included title and abstract screening, and full text article screening. A Prisma flow diagram detailing the procedure was developed. The review process resulted in 21 selected articles. The results showed minimal publications between 2013 and 2019 with a sudden increase in 2020 (n = 5) and 2021 (n = 4). The Eastern WHO Afro Region contributed 48% of the studies, followed by the Western WHO Afro Region with 43%. Ten countries were selected through the process of screening according to where nurse-led medical-surgical knowledge translation interventions were found. Nigeria contributed 33%, followed by Uganda with 19%. The scoping review concluded that studies be appraised for their ability to promote evidence-based knowledge, skills and behaviour in both rural and urban clinical settings. More of these studies need to be conducted in the WHO Afro Region. More focused systematic reviews should be conducted to sum up the best available research on these specific questions, supported by findings by clinical setting, type of intervention, and outcomes.","PeriodicalId":517190,"journal":{"name":"Africa Journal of Nursing and Midwifery","volume":"32 14","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141109629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of Dominant Factors Affecting Pre-Hospital Stroke Management in Kupang City","authors":"Y. M. V. B. Aty, Florentianus Tat, Elisabeth Herwanti, Pius Selasa, Trifonia Srinurwela","doi":"10.25159/2520-5293/15333","DOIUrl":"https://doi.org/10.25159/2520-5293/15333","url":null,"abstract":"\u0000The incidence of stroke is increasing every year, and effective management comprises both pre-hospital and hospital care. The key to successful management is for families to recognise the clinical symptoms and promptly seek medical attention. Delayed assistance frequently leads to complications, underscoring the importance of timely intervention to save lives and prevent long-term disabilities. The key to successful management is identifying a stroke and prompt transportation to a medical facility. This study used a quantitative approach with a cross-sectional design, and the total sample was 300 people, while data analysis was performed using the Chi-Square test and logistic regression. The results showed that the family decision-making time in taking a stroke patient to the hospital, individually or collectively, significantly affected the Accuracy of Pre-Hospital Stroke Patient Management with a value of P (Sig) < 0.05. The magnitude of the influence was indicated by the value of EXP (B), also known as ODDS RATIO (OR). Specifically, the Decision-Making Time by the family to take stroke patients to the hospital exhibited an OR of 20.714. This implied that respondents capable of making the right decision to take stroke patients to the hospital were 20.714 times more likely to be accurate in pre-hospital stroke patient management. Based on the results, it can be concluded that the dominant factor influencing pre-hospital stroke attack management is the family decision-making time to take the stroke patient to the hospital. Therefore, the Kupang City government needs to improve ambulance facilities for the public, making it easier to access services, specifically in emergencies.\u0000","PeriodicalId":517190,"journal":{"name":"Africa Journal of Nursing and Midwifery","volume":"53 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141114101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of the Training Given to Emergency Department Nurses on Ventrogluteal Site Injection Administration: A Quasi-Experimental Study","authors":"Meryem Kılıç, Çisem Meteris","doi":"10.25159/2520-5293/15512","DOIUrl":"https://doi.org/10.25159/2520-5293/15512","url":null,"abstract":"Evidence-based data recommends injection to the ventrogluteal (VG) site instead of the dorsogluteal (DG) site for intramuscular injection (IMI) due to the risk of sciatic nerve damage. Despite this, it has been seen that nurses do not prefer this site due to insufficient information and negative opinions. The aim of this study was to determine how the training on administering an injection to the site provided to the nurses affects their knowledge, view and preference for the practice. The study design was a single-group, quasi-experimental pretest-posttest. The study was conducted with 30 nurses in the Adult Emergency Service of Hacettepe University Hospitals in Ankara, Turkey, between May and August 2020. The data was collected by using a nurse information form and forms that evaluated the nurses’ knowledge, opinions and practices regarding using the VG site. The data was analysed by using number, percentage, mean, standard deviation, Friedman test, Wilcoxon test, and McNemar test. As a result of the study, it was found that while the views of 86.7% (n = 26) of the nurses about the VG site changed positively after the training, the mean score of the VG site was 14.80+3.09 before the training, and 18.50+1.68 after the training (p < .001). After the training, 7 of 16 nurses started to prefer the VG site for injection administration (p > .05). The training provided on the VG site increased the knowledge of nurses, changed their views, and affected their preference for the practice. It is recommended that nurses repeat the training on IMI administration to the VG site and assess their abilities on a regular basis.","PeriodicalId":517190,"journal":{"name":"Africa Journal of Nursing and Midwifery","volume":"15 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140671306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Training and Phone Counselling Provided to Hypertension Patients on their Medication Adherence and Rational Drug Use: A Single-blind Randomised Controlled Trial","authors":"Havagül Ayruk, Hacer Gök Uğur","doi":"10.25159/2520-5293/15436","DOIUrl":"https://doi.org/10.25159/2520-5293/15436","url":null,"abstract":"Background: Hypertension is a chronic disease characterised by high blood pressure, which is an important public health problem that causes serious complications. It is very important to provide training and remote telephone counselling to patients for them to comply with the drug treatment of hypertension disease and to comply with the principles of rational drug use.\u0000Aim: This study aimed to define the effect of training and phone counselling provided to hypertension patients on their medication adherence and rational drug use.\u0000Methods: The study was conducted randomised controlled as a single-blind experimental study between July 2021 and June 2022. The study universe consisted of hypertension patients admitted to hospital, and the sample consisted of 92 patients. The block randomisation method was used. The study data were collected using a Patient Identification Form; the Medication Adherence Self-efficacy Scale; and the Rational Drug Use Scale. The experimental group received training once, in addition to a total of four phone counsellings (week 2-4-8-12).\u0000Results: According to the group-by-time interaction of control/experimental group patients, a statistical difference was found between the median scores of the Medication Adherence Self-efficacy Scale and the Rational Drug Use Scale (p<0.001). The pre-test median of the Medication Adherence Self-efficacy Scale of the experimental group patients was 30.00, and the post-test median was 46.00. The pre-test median of the Rational Drug Use Scale of the experimental group patients was 43.00, and the post-test median was 68.00.\u0000Conclusion: In the study, it was determined that the application of education and telephone counselling to hypertension patients increased patients’ medication compliance and rational drug use. In systolic-diastolic blood pressure levels, which are critical for hypertension patients, it was determined that the application of education and telephone counselling significantly decreased the blood pressure of patients.","PeriodicalId":517190,"journal":{"name":"Africa Journal of Nursing and Midwifery","volume":"5 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140697877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Mobile and Web Health Apps on Pediatric Chronic Disease Management and Quality of Life: An Update Systematic Review","authors":"Idyatul Hasanah, Apriani Susmita Sari, N. Nursalam, Baiq Safinatunnaja, Ilya Krisnana, Hikmah Lia Basuni, Zikrul Haikal, W. Ramdani","doi":"10.25159/2520-5293/15152","DOIUrl":"https://doi.org/10.25159/2520-5293/15152","url":null,"abstract":"\u0000Mobile and web health applications have gained widespread usage worldwide for pediatric patients with chronic diseases, yet comprehensive research evaluating their impact remains limited. This research aims to determine the comprehensive impact of mobile and web health apps on pediatric chronic disease management and quality of life. Searches were performed on seven primary databases (Emerald Insight, Scopus, ScienceDirect, PubMed, ProQuest, Ebsco, and SpringerLink) from 2003 to 2023. The study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 Statement guidelines. The quality study was conducted using JBI's critical appraisal tools. Descriptive and narrative analysis methods were used, and the findings were presented in text and tabular formats. Out of 1,840 articles reviewed, only 28 met the inclusion and exclusion criteria. The most identified outcomes in the study of mobile and web health apps on pediatric chronic disease management are psychological, cognitive, and behavioural outcomes and quality of life. However, biological markers seem to be the least evaluated outcome. Mobile and web health applications play a positive role in managing chronic diseases and enhancing the quality of life for pediatric patients. These applications offer a range of features, including symptom assessment, information dissemination, educational resources, caregiver communication, social support, and calendar reminders. Healthcare providers and caregivers should consider integrating these technologies into caring for children with chronic diseases. It can lead to improved outcomes and overall well-being.\u0000","PeriodicalId":517190,"journal":{"name":"Africa Journal of Nursing and Midwifery","volume":"11 13","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140241496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bibliometric Analysis of Research Trends and Novelty of Midwifery Policy","authors":"Fitriani Nur Damayanti, Ariyani Lutfitasari, Budi Santosa, Sherkia Ichtiarsi Prakasiwi, Suparman, Novita Nining Anggraini","doi":"10.25159/2520-5293/14031","DOIUrl":"https://doi.org/10.25159/2520-5293/14031","url":null,"abstract":"Midwifery policy is important in regulating services, and its significance cannot be overstated. Despite the ongoing efforts in formulating policy, there remains a need for further analysis. This is because evidence-based research in midwifery serves as a foundation for enhancing the professionalism of the service practices. Bibliometric analysis of publications pertaining to midwifery policy is absent, leaving a gap in understanding trends and concepts. Therefore, this research aimed to determine trends in the number of publications, and visualisation of the relationship on the topic of midwifery policy through bibliometric analysis. The method used systematic reviews with the stages following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) diagram. Scientific publication data related to midwifery policy was retrieved through dimensions.ai from 2010 to 2022 and the data was analysed using VOSviewer. The results showed that first, there was an annual exponential growth in the number of publications and citations on the topic. Second, there were 224 items, 8 clusters, and 10047 links with a strength of 63352 on the topic of midwifery policy. Third, trends of research related to the topic were focused on hospitals, behaviour, and framework. Fourth, the research related to policy were topics with a low-density category, namely professional development, registration, and public health. Research results could identify trends and novelty in midwifery policy and recommend directions for further analysis.","PeriodicalId":517190,"journal":{"name":"Africa Journal of Nursing and Midwifery","volume":"51 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139895492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Associated with Adequate Antenatal Care among Pregnant Women in Rural Indonesia","authors":"Diyan Indriyani, Esti Yunitasari, Ferry Efendi","doi":"10.25159/2520-5293/14232","DOIUrl":"https://doi.org/10.25159/2520-5293/14232","url":null,"abstract":"Antenatal care (ANC) is crucial for the health of both mother and child. However, information on ANC in rural Indonesia is limited despite its essential role. This research examined the determinants of adequate antenatal care among rural Indonesian pregnant women. A cross-sectional study analysed pregnant Indonesian women aged 18-49, focusing on adequate antenatal care (ANC) during the third trimester. The study included sociodemographic variables and component factors (knowledge, motivation, social support, and health services). A multivariate logistic regression analysis was performed.\u0000A total number of 350 pregnant women aged 18–49 years old enrolled in this study. Almost half (47.1) % of women received adequate ANC (≥ eight visits) during their pregnancy, and about 79.1% of participants had adequate ANC (4 or more visits). Mothers with higher education and married were more likely to have adequate ANC (AOR = 1.52; 95% CI [1.12–3.46]) and (AOR = 1.17; 95% CI [1.01–3.32]), respectively. Poor knowledge toward ANC (AOR = 0.41; 95% CI [0.12–0.65], low motivation (AOR = 0.73; 95% CI [0.31–0.97]), poor health service (AOR = 2.76; 95% CI [1.85–4.32]), and poor social support (AOR = 3.24; 95% CI [2.11–5.34]) was negatively associated with adequate ANC. The intervention aims to improve access to maternity care for women in rural Indonesia by enhancing social support, reproductive health awareness, and expanding safety net services","PeriodicalId":517190,"journal":{"name":"Africa Journal of Nursing and Midwifery","volume":"97 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139895623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}