International Journal of Africa Nursing Sciences最新文献_第10页

A holistic approach to providing quality care for pregnant women: a systematic review 为孕妇提供高质量护理的整体方法：系统回顾

Q2 Nursing

International Journal of Africa Nursing Sciences

Pub Date : 2026-01-01 Epub Date: 2026-03-14 DOI: 10.1016/j.ijans.2026.101043

Violet Manonyana Chewe, Johanna Mmabojalwa Mathibe-Neke

Background

A holistic approach to antenatal care considers the pregnant woman’s emotional, social, and spiritual well-being in addition to her physical health.

Aim

This review aimed to explore and analyse literature on the factors that influence the provision of quality and holistic antenatal care to pregnant women.

Design

A search of the EBSCO Host, Google Scholar, Sabinet, and ScienceDirect databases was conducted to identify suitable studies. The study included only English-language papers published in peer-reviewed journals between 2020 and 2024.

Setting

The focus areas included two studies from Sub-Saharan Africa, four from Ethiopia, and one each from Europe, Australia, Rwanda, Ghana, Nigeria, Indonesia, Cameroon, and South Africa.

Participants

The reviewed articles included pregnant women receiving antenatal care at public health institutions.

Methods

A systematic review of the literature was employed for the study. The study questions were developed using the Population, Intervention, Comparison, Outcome, and Time methodology. Thematic analysis was used in accordance with Caulfield’s methodology.

Results

The study findings suggest that addressing socioeconomic status, staff attitudes, age, parity, religion, and the role of infrastructure can significantly improve the provision of holistic antenatal care in healthcare facilities.

Conclusion

The analysis revealed several findings that underscore the need for holistic antenatal care to enhance pregnancy outcomes.

产前保健的整体方法除了考虑孕妇的身体健康外，还考虑她的情感、社会和精神健康。目的本综述旨在探讨和分析影响孕妇提供优质和全面产前保健的因素。对EBSCO Host、b谷歌Scholar、Sabinet和ScienceDirect数据库进行了设计检索，以确定合适的研究。该研究仅包括2020年至2024年间发表在同行评议期刊上的英文论文。重点领域包括两项来自撒哈拉以南非洲的研究，四项来自埃塞俄比亚的研究，以及欧洲、澳大利亚、卢旺达、加纳、尼日利亚、印度尼西亚、喀麦隆和南非各一项研究。研究对象包括在公共卫生机构接受产前护理的孕妇。方法对相关文献进行系统回顾。研究问题采用人口、干预、比较、结果和时间方法。主题分析是按照考尔菲德的方法进行的。结果研究结果表明，解决社会经济地位、工作人员态度、年龄、平等、宗教和基础设施的作用，可以显著改善医疗机构提供的全面产前保健。结论分析揭示了几个发现，强调需要全面的产前保健，以提高妊娠结局。

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引用次数: 0

Nurses’ attitude towards nursing profession in Ethiopia: A systematic review and meta-analysis 埃塞俄比亚护士对护理职业的态度：系统回顾和荟萃分析

Q2 Nursing

International Journal of Africa Nursing Sciences

Pub Date : 2026-01-01 Epub Date: 2026-03-17 DOI: 10.1016/j.ijans.2026.101036

Mengistu Ewunetu , Bekalu Mekonen Belay , Gebrie Kassaw Yirga , Yirgalem Abere , Astewle Andargie Baye , Yohannes Tesfahun kassie , Melese Kebede Hailu , Gebrehiwot Berie Mekonnen , Berihun Bantie , Birhanu Mengist Munie , Tigabu Munuye Aytenew

Objective

This systematic review and meta-analysis aimed to determine the pooled prevalence of nurses’ attitudes toward the nursing profession and its associated factors in Ethiopia.

Methods

A systematic review and meta-analysis was conducted by taking relevant studies from the following databases: PubMed, Cochrane Library, CINAHL, PsycINFO, and Google Scholar. “Nurses” AND “attitude” OR “perception” AND “professionalism” AND “factors” were used as parts of searching. The quality of the articles was assessed using the Newcastle-Ottawa Scale for cross-sectional studies. The data were extracted using Microsoft Excel and exported into STATA version 17 software for meta-analysis analyses. Data analysis was done using a random effect model. To report the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline was followed.

Results

A total of ten studies with a sample size of 3049 were included for meta-analysis. The pooled prevalence of good nurses’ attitudes toward the nursing profession was 55.74% (95% CI: 43.2–68.27); I² = 98.15, P < 0.00). Sex (AOR, 2.04, 95% CI (1.305–3.192), I2 = 0.00), age (AOR = 2.04, 95% CI (1.305–3.19)), educational status (AOR = 2.428, 95% CI (1.548–3.806)), types of hospitals (AOR = 1.847, 95% CI (1.296–2.398)), work experience (AOR = 2.165, 95% CI (1.180–3.97)), and income (AOR = 3.040 at 95% CI (1.605–5.755)) were significant factors of nurses’ attitude towards the nursing profession.

Conclusion

The pooled prevalence showed that 55.74% of nurses had a positive attitude, influenced by sex, work experience, hospital type, income, age, and education. The Ministry of Health should address these factors to improve nurses’ attitudes and ensure quality healthcare nationwide.

目的本系统回顾和荟萃分析旨在确定埃塞俄比亚护士对护理专业的态度及其相关因素的总体流行率。方法从PubMed、Cochrane Library、CINAHL、PsycINFO、谷歌Scholar等数据库中选取相关研究进行系统评价和meta分析。“护士”和“态度”或“感知”和“专业”和“因素”被用作搜索的一部分。文章的质量采用纽卡斯尔-渥太华量表进行横断面研究。使用Microsoft Excel提取数据，导出到STATA version 17软件进行meta分析。数据分析采用随机效应模型。为了报告系统评价和荟萃分析（PRISMA）的首选报告项目，遵循了指南。结果共纳入10项研究，样本量为3049。好护士对护理职业态度的总患病率为55.74% (95% CI: 43.2 ~ 68.27)；I2 = 98.15, P < 0.00)。性别（AOR = 2.04, 95% CI (1.305 ~ 3.192), I2 = 0.00）、年龄（AOR = 2.04, 95% CI(1.305 ~ 3.19)）、学历（AOR = 2.428, 95% CI(1.548 ~ 3.806)）、医院类型（AOR = 1.847, 95% CI(1.296 ~ 2.398)）、工作经验（AOR = 2.165, 95% CI(1.180 ~ 3.97)）、收入（AOR = 3.040, 95% CI(1.605 ~ 5.755)）是影响护士对护理专业态度的显著因素。结论汇总流行情况显示，55.74%的护士态度积极，性别、工作经历、医院类型、收入、年龄、文化程度等因素均对态度积极有影响。卫生部应解决这些因素，以改善护士的态度，确保全国医疗质量。

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引用次数: 0

Current state of genetic literacy in the prevention of genetic disorders in Sub-Saharan Africa: A scoping review 撒哈拉以南非洲预防遗传疾病的遗传素养现状：范围审查

Q2 Nursing

International Journal of Africa Nursing Sciences

Pub Date : 2026-01-01 Epub Date: 2026-03-30 DOI: 10.1016/j.ijans.2026.101058

Oluwaseyi Abimbola Foluso , Oluwabukola Esther Abiodun-Ojo , Oluwakemi Christie Ogidan , Risikat Idowu Fadare , Anuoluwa Deborah Odiru

Background

Genetic disorders are a global public health challenge, especially in low- and middle-income Africa. Despite rising prevalence, genetic literacy remains low, affecting health-related decision-making. The study aimed to map out the current state of genetic literacy in Africa and its role in the prevention of genetic disorders, focusing on knowledge, perceptions, attitudes, acceptance, and barriers to genetic testing and prenatal screening.

Methods

Guided by Arksey and O’Malley’s scoping review framework, the study systematically searched CINAHL, PubMed, Cochrane Library, Web of Science, Science Direct, Google Scholar, and Scopus for literature published between 2015 and 2025. Studies included were those assessing genetic literacy among African populations, including healthcare professionals, patients, students, pregnant women, and stakeholders.

Results

A total of 1243 studies were screened and 20 studies from 11 African countries were included. The findings revealed that even though majority have at one time or the other heard of genetic disorders, there was widespread low levels of genetic knowledge even among health care professional, and available screening services. Most respondents had positive attitudes towards genetic testing, but acceptance was hindered by cost, equipment, limited training, and mistrust of genetic research.

Conclusion

Genetic literacy in Africa remains low across diverse populations, undermining efforts to prevent genetic disorders. While there is general willingness to embrace genetic testing, major structural and educational barriers persist. There is an urgent need for context-specific educational interventions, policy integration, and resource allocation to strengthen genetic literacy and expand access to genetic services across the continent.

遗传疾病是一项全球公共卫生挑战，特别是在低收入和中等收入非洲。尽管患病率不断上升，但基因素养仍然很低，影响了与健康有关的决策。这项研究的目的是绘制出非洲遗传素养的现状及其在预防遗传疾病方面的作用，重点关注基因检测和产前筛查的知识、观念、态度、接受和障碍。方法在Arksey和O 'Malley的范围审查框架的指导下，本研究系统地检索了CINAHL、PubMed、Cochrane图书馆、Web of Science、Science Direct、谷歌Scholar和Scopus，检索了2015 - 2025年间发表的文献。研究包括评估非洲人口的遗传素养的研究，包括卫生保健专业人员、病人、学生、孕妇和利益相关者。结果共筛选1243项研究，纳入来自11个非洲国家的20项研究。调查结果显示，尽管大多数人都曾听说过遗传性疾病，但即使在卫生保健专业人员和现有的筛查服务中，遗传知识水平也普遍较低。大多数受访者对基因检测持积极态度，但接受程度受到成本、设备、有限培训和对基因研究的不信任的阻碍。结论：非洲不同人群的遗传识字率仍然很低，破坏了预防遗传疾病的努力。虽然人们普遍愿意接受基因检测，但主要的结构性和教育障碍仍然存在。迫切需要针对具体情况采取教育干预措施、整合政策和分配资源，以加强整个非洲大陆的遗传素养并扩大获得遗传服务的机会。

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引用次数: 0

Predictors of reflective practice among nurses and midwives in a Ghanaian primary hospital 加纳一家初级医院护士和助产士反思实践的预测因素

Q2 Nursing

International Journal of Africa Nursing Sciences

Pub Date : 2026-01-01 Epub Date: 2026-03-30 DOI: 10.1016/j.ijans.2026.101060

Priscilla Bosie , Nancy Innocentia Ebu Enyan

Background

Reflective practice is a core component of professional development among nurses and midwives. Understanding the factors influencing nurses and midwives’ engagement in reflective practice is essential for its effective implementation. The study aimed to assess the knowledge, attitude and practice of nurses and midwives regarding reflective practice and the factors that influence the practice of reflection at a primary healthcare facility in Ghana.

Methods

The study employed a descriptive cross-sectional design. A census approach was used. 247 nurses and midwives at a primary health facility participated in the study. Data were collected with a questionnaire and 221 questionnaires were retrieved for the analysis. Data were analysed using frequency, percentages, mean, standard deviation, chi-square and binary logistic regression analysis.

Results

The results indicate that 78.3% demonstrated a low knowledge level of reflective practice, while 21.7% exhibited a high level. 54% of respondents demonstrated a positive attitude towards reflective practice, while 46% showed a negative attitude. 26% of respondents demonstrated a high level of reflective practice, whereas, 74%, reported a low level. The study identified a significant relationship between knowledge, attitude, and the practice of reflection, with the strongest association between knowledge and practice (φ = 0.57). Moreover, both knowledge (p = 0.003) and attitude (p = 0.016) were statistically significant predictors of the practice of reflection.

Conclusion

Reflective practice should be made a core component of continuous professional development activities to encourage the use of reflection as a learning and improvement tool in nursing practice.

背景：反思实践是护士和助产士专业发展的核心组成部分。了解影响护士和助产士参与反思实践的因素对其有效实施至关重要。该研究旨在评估加纳初级卫生保健机构护士和助产士关于反思实践的知识、态度和做法，以及影响反思实践的因素。方法采用描述性横断面设计。采用了人口普查方法。一家初级卫生机构的247名护士和助产士参加了这项研究。通过问卷收集数据，回收221份问卷进行分析。数据分析采用频率、百分比、均值、标准差、卡方和二元logistic回归分析。结果78.3%的受访教师反思实践知识水平较低，21.7%的受访教师反思实践知识水平较高。54%的受访者对反思性实践持积极态度，46%的受访者持消极态度。26%的受访者表现出高水平的反思实践，而74%的受访者表现出低水平的反思实践。研究发现，知识、态度和反思实践之间存在显著的相关关系，其中知识和实践之间的相关性最强（φ = 0.57）。此外，知识（p = 0.003）和态度（p = 0.016）是反思实践的有统计学意义的预测因子。结论应将反思实践作为持续专业发展活动的核心组成部分，鼓励将反思作为护理实践中学习和改进的工具。

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引用次数: 0

Understanding midwife-related factors in post-caesarean pain management: A qualitative study 了解助产士在剖腹产后疼痛管理中的相关因素：一项定性研究

Q2 Nursing

International Journal of Africa Nursing Sciences

Pub Date : 2026-01-01 Epub Date: 2026-04-10 DOI: 10.1016/j.ijans.2026.101065

Philimon Gyapong , David Tenkorang-Twum

Post-operative pain following caesarean section remains a significant concern in maternal care, often affecting recovery and maternal-infant bonding. The way midwives perceive, assess, and respond to this pain plays a critical role in ensuring effective pain management. This study explored the knowledge and attitudes of midwives towards the assessment and management of post-operative pain following caesarean section. A qualitative exploratory descriptive design was employed, using a semi-structured interview guide to gather in-depth insights from midwives. Sixteen midwives working in the Obstetrics & Gynaecology Department of the Greater Accra Regional Hospital were purposively selected. Data was analysed using thematic analysis to identify patterns and meanings related to midwives’ experiences with post-caesarean pain management. The study revealed that midwives’ knowledge and attitudes toward post-caesarean section pain were shaped by a combination of clinical observations, personal experiences, and contextual factors within the healthcare setting. Three main themes emerged: experiential and observational knowledge of post-operative pain, perceived skills in pain assessment and management, and attitudes influencing pain response. Participants demonstrated awareness of pain expressions through patient behaviors and, for some, firsthand experiences of caesarean section pain. Their understanding was further informed by clinical procedures such as the use of intrathecal morphine and patient activities like ambulation and wound dressing. Attitude towards pain management varied, with some midwives expressing empathy and a proactive approach, while others exhibited negative attitudes, including delayed responses to pain complaints, assumptions that patients were exaggerating, and the use of placebos. These attitudes were often influenced by workload pressures and expectations that women should tolerate a certain level of pain post-surgery. The study highlights that midwives’ approaches to post-caesarean pain are influenced by both clinical experience and personal attitudes, which can either enhance or hinder effective pain management. Addressing negative perceptions and reinforcing evidence-based pain practices are essential for improving maternal post-operative care.

剖宫产术后疼痛仍然是产妇护理的重要问题，经常影响康复和母婴关系。助产士感知、评估和应对这种疼痛的方式在确保有效的疼痛管理中起着至关重要的作用。本研究探讨了助产士对剖宫产术后疼痛评估和处理的知识和态度。采用定性探索性描述性设计，使用半结构化访谈指南收集助产士的深入见解。在大阿克拉地区医院的产科和妇科工作的16名助产士被有意选中。数据分析采用专题分析，以确定模式和意义相关的助产士剖腹产后疼痛管理的经验。研究表明，助产士对剖腹产后疼痛的知识和态度是由临床观察、个人经历和医疗环境中的环境因素共同塑造的。出现了三个主要主题：术后疼痛的经验和观察知识，疼痛评估和管理的感知技能，以及影响疼痛反应的态度。参与者通过病人的行为表现出对疼痛表达的意识，对一些人来说，他们有剖腹产疼痛的第一手经验。他们的理解通过诸如鞘内吗啡的使用等临床程序和患者活动（如走动和伤口敷料）进一步得到证实。对疼痛管理的态度各不相同，一些助产士表现出同情和积极的态度，而另一些助产士则表现出消极的态度，包括对疼痛投诉的反应迟缓，假设患者夸大，以及使用安慰剂。这些态度往往受到工作量压力和期望的影响，即妇女应该忍受一定程度的术后疼痛。该研究强调，助产士对剖腹产后疼痛的处理方法受到临床经验和个人态度的影响，这可能会增强或阻碍有效的疼痛管理。消除负面看法和加强基于证据的疼痛实践对于改善产妇术后护理至关重要。

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引用次数: 0

The perspectives of caregivers regarding the quality of care provided by professional nurses among children under five years in primary health care setting: A scoping review 护理人员对初级卫生保健机构中专业护士提供的五岁以下儿童护理质量的看法：范围审查

Q2 Nursing

International Journal of Africa Nursing Sciences

Pub Date : 2026-01-01 Epub Date: 2025-12-05 DOI: 10.1016/j.ijans.2025.100931

Felicia Omphemetse Meno, Fhumulani Mavis Mulaudzi, Nombulelo Veronica Sepeng

Introduction

Childhood disorders are prevalent in children under the age of five worldwide, with South Africa reporting higher rates than other countries. In most cases, children under the age of five are treated in primary health care facilities by professional nurses.

AIMS

To synthesis the available evidence regarding perspectives of caregivers regarding the quality of care provided by professional nurses among children under five years in PHC setting.

Methods

A scoping review was conducted key words quality care, primary health care, caregiver’s perspective were used to search database, EBSCOhost databases, Scopus, PsycINFO, Web of Science, MEDLINE, CINAHL.

Results

The search yielded nine published papers appraised and published between 2010 and 2022.The following themes emerged from the scoping review, lack of confidentiality and stigmatization, lack of resources and access of health. Professional qualities of professional nurses and the support needs for care givers of under five years.

Conclusion

This indicates that there is a need for developing strategies that can be used to improve the quality of care for children under the age of five consulting in a primary health care setting by incorporating care giver perspectives.

儿童疾病在全世界五岁以下儿童中普遍存在，南非报告的发病率高于其他国家。在大多数情况下，5岁以下儿童在初级卫生保健设施由专业护士治疗。目的：综合现有的证据，从护理人员的角度对专业护士在初级保健环境中为五岁以下儿童提供的护理质量进行评价。方法采用检索数据库、EBSCOhost数据库、Scopus数据库、PsycINFO数据库、Web of Science数据库、MEDLINE数据库、CINAHL数据库等检索关键词：质量护理、初级卫生保健、护理者视角。结果检索到2010年至2022年间发表的9篇论文。范围审查产生了以下主题：缺乏保密和污名化、缺乏资源和获得保健的机会。专业护士的专业素质与五岁以下照护者的支持需求。结论在初级卫生保健机构中，有必要制定策略，通过纳入护理者的观点来提高5岁以下儿童咨询的护理质量。

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引用次数: 0

Lifestyle modification programs for the prevention of diabetes mellitus type 2 in Sub-Saharan Africa: A scoping review 生活方式改变计划在撒哈拉以南非洲预防2型糖尿病：一项范围综述

Q2 Nursing

International Journal of Africa Nursing Sciences

Pub Date : 2026-01-01 Epub Date: 2025-12-29 DOI: 10.1016/j.ijans.2025.100968

Lynnete Chilala Mukonka , Geldine Chironda , Ntombifikile G. Mtshali

Introduction

Cases of type 2 diabetes mellitus (T2DM) are increasing worldwide, and projections are that the numbers will continue to rise. However, if measures or programs for prevention are established and implemented, the incidence rate may go down. The scoping review was conducted to identify the knowledge gap in T2DM prevention programs and thus support the research the authors were conducting, to develop a lifestyle modification program for the prevention of T2DM in a Sub- Saharan Africa (SSA) country. The findings may also be used by policy makers and other researchers.

Objective

The objective of this scoping review was to map and synthesize the available evidence on lifestyle modification programs for prevention of type 2 diabetes mellitus in Sub-Saharan Africa.

Methods

The Joanna Briggs Institute Scoping Review Methodology was used to guide the review process. An electronic search was conducted for articles published between January 2006 and March 2024. English articles that reported T2DM prevention programs using lifestyle modification in SSA were included. Rayyan software (2016) was used to store the selected literature.

Results

A total of nineteen (19) articles were included in the review. Some articles included were from the years 2019 and 2020 (n = 4, 21.1 %). Most of them were descriptive narrative reviews (n = 10, 52.6 %). Two programs for the prevention of T2DM which were on trial were identified and articles that focused on lifestyle modification were included. The most common setting was the desktop (n = 12, 63.2 %) then communities (n = 5, 26.3 %) and health facilities (n = 2, 10.5 %).

Conclusion

There is need for country and culture specific T2DM prevention programs and trials need to be done to ensure this is achieved. The need for more research was evidenced by few articles that mapped program characteristics, outcomes and gaps in SSA. Awareness campaigns should include adults and young children. There is also need for large scale trial programs to test adaptability of already established programs from other countries.

2型糖尿病（T2DM）的病例在全球范围内呈上升趋势，预计这一数字将继续上升。然而，如果建立和实施预防措施或规划，发病率可能会下降。进行范围审查是为了确定T2DM预防计划的知识差距，从而支持作者正在进行的研究，以制定撒哈拉以南非洲（SSA）国家预防T2DM的生活方式改变计划。这些发现也可能被政策制定者和其他研究人员使用。目的本综述的目的是绘制和综合撒哈拉以南非洲地区生活方式改变计划预防2型糖尿病的现有证据。方法采用乔安娜布里格斯研究所范围审查方法指导审查过程。对2006年1月至2024年3月期间发表的文章进行了电子检索。纳入了报道在SSA中使用生活方式改变预防T2DM的英文文章。使用Rayyan软件（2016）存储所选文献。结果共纳入文献19篇。部分纳入的文章来自2019年和2020年（n = 4, 21.1%）。其中大部分为描述性叙事性评论（n = 10, 52.6%）。确定了两个预防2型糖尿病的试验项目，并纳入了关注生活方式改变的文章。最常见的环境是桌面（n = 12, 63.2%），其次是社区（n = 5, 26.3%）和卫生设施（n = 2, 10.5%）。结论：有必要针对国家和文化制定T2DM预防方案，并开展试验以确保实现这一目标。需要更多的研究是由一些文章来证明的，这些文章描绘了SSA的项目特征、结果和差距。提高认识运动应包括成人和幼儿。还需要进行大规模的试验项目，以测试其他国家已经建立的项目的适应性。

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引用次数: 0

Flap cover for pressure ulcer 压疮皮瓣盖

Q2 Nursing

International Journal of Africa Nursing Sciences

Pub Date : 2026-01-01 Epub Date: 2025-12-18 DOI: 10.1016/j.ijans.2025.100943

Kusum Kumari , Sharal Fernandes

Pressure ulcers are a big problem in healthcare because they affect people who can’t move around or can barely move. The main aim of this study was to assess steps and types of flap cover surgery for stage-IV pressure ulcers. It depends on how bad the damage is that pressure ulcers can be classified into Stage-I to stage-IV. A flap cover might be a good way to treat stage-IV pressure sores, which have full-thickness tissue loss and bone, tendon, or muscle that is showing. The gluteus maximus musculocutaneous flap is a type of flap that is often used to fix a spinal pressure sore during surgery. When a patient doesn’t get enough nutrients, their diabetes isn’t under control, or there aren’t enough blood vessels to the affected area, flaps may not be the best way to treat a pressure ulcer.

压疮是医疗保健中的一个大问题，因为它影响的是那些不能四处走动或几乎不能动的人。本研究的主要目的是评估iv期压疮皮瓣覆盖手术的步骤和类型。根据损伤的严重程度，压疮可分为i级到iv级。皮瓣覆盖可能是治疗iv期压疮的好方法，iv期压疮有全层组织丢失，骨，肌腱或肌肉出现。臀大肌肌皮瓣是外科手术中常用的一种用于修复脊柱压疮的皮瓣。当病人没有得到足够的营养，他们的糖尿病没有得到控制，或者没有足够的血管到受影响的区域，皮瓣可能不是治疗压疮的最好方法。

引用次数: 0

Nursing and Midwifery Students’ perceptions of clinical placements in Hospitals: A Cross-Sectional study in Mogadishu, Somalia 护理和助产学学生对医院临床实习的看法：索马里摩加迪沙的横断面研究

Q2 Nursing

International Journal of Africa Nursing Sciences

Pub Date : 2026-01-01 Epub Date: 2025-12-29 DOI: 10.1016/j.ijans.2025.100973

Abdishakur Mohamud Hassan Hidigow , Najib Isse Dirie , Abdullahi Hassan Elmi , Hodo Aideed Asowe , Abdinasir Muhidin Abdulle Madaale

Background

The clinical learning environment (CLE) shapes nursing and midwifery students’ experiences. Poor supervision, unstable leadership, and a lack of clinical staff help may impact students’ education perceptions.

Objective

To evaluate the viewpoints of nursing and midwifery students on their clinical learning environment.

Methods

This study used a cross-sectional design and the CLES + T evaluation instrument. 160 nursing and midwifery students participated in the study. Data was collected using IBM SPSS version 27.0 and a self-administered questionnaire. Descriptive statistics and inferential analysis were used; specifically multiple linear regression was used.

Results

With an overall mean CLES + T score of 3.30 (SD = 0.87), the results revealed a moderate perception of the clinical learning environment. The nurse teacher’s role was the most highly evaluated dimension (M = 3.31, SD = 1.27), followed by the ward’s nursing premises (M = 3.28, SD = 1.21) and the educational environment (M = 3.25, SD = 1.22). However, issues with student-

临床学习环境（CLE）影响着护理助产学学生的学习体验。监督不力，领导不稳定，缺乏临床工作人员的帮助可能会影响学生的教育观念。目的评价护理助产学专业学生对临床学习环境的看法。方法采用横断面设计和CLES + T评价仪。160名护理和助产学学生参与了这项研究。数据收集采用IBM SPSS 27.0和自填问卷。采用描述性统计和推理分析；具体使用多元线性回归。结果患者的总体平均CLES + T评分为3.30 (SD = 0.87)，对临床学习环境的感知处于中等水平。护理教师角色是评价最高的维度（M = 3.31, SD = 1.27），其次是病房护理场所（M = 3.28, SD = 1.21）和教育环境（M = 3.25, SD = 1.22）。然而，学生的问题

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引用次数: 0

“Who cares?” – Enabling and barriers to parent-to-child communication concerning sexual reproductive health issues in Salima, Malawi “谁在乎?”-在马拉维萨利马，促进和阻碍父母与子女就性生殖健康问题进行交流

Q2 Nursing

International Journal of Africa Nursing Sciences

Pub Date : 2026-01-01 Epub Date: 2025-12-26 DOI: 10.1016/j.ijans.2025.100967

Mirrium Banda , Anne Nancy Msosa , Patrick Mapulanga , Tiwonge Ethel Mbeya-Munkhondya

Background

Parent-to-child communication in sexual and reproductive health (SRH) is an important tool for reducing risky sexual behaviors among adolescents. Parent‒child communication (PCC) regarding sexual issues is a challenging phenomenon worldwide. The evidence suggests that inadequate parent-to-child communication results in unintended teenage pregnancies, unsafe abortions, sexually transmitted infections, HIV and AIDS, school problems, and other sexual risk behaviors among adolescents. Understanding the effects of transparent and direct communication between parents and adolescents on SRH can help reduce SRH-related problems among adolescents. This study explored adolescents’ perspectives on parent‒child communication with respect to SRH issues to identify enablers and barriers aimed at developing a transparent, direct, and comprehensive approach to enhance such communication.

Methods

This study utilized a descriptive qualitative design. Fifteen (15) adolescents aged 12–19 years were purposively sampled to participate in the in-depth interviews that were guided by an interview guide. Data were organized using excel and analyzed manually using thematic analysis.

Findings

Three themes emerged from the study, including adolescents’ perceived importance of parent–child SRH communication; perceived enablers of parent-to-child communication on SRH and perceived barriers to parent–child communication on SRH. Generally, the findings revealed that clear and open communications between parents and adolescents positively influence adolescents’ SRH decision-making. Enabling parent‒to-child communication is essential for improved adolescents’ understanding of SRH issues, while addressing existing barriers is indispensable for more effective parent–child SRH communication.

Conclusion

A thorough understanding of how communication between parents and adolescents impacts SRH can help reduce SRH issues and improve decision-making and culturally acceptable behaviors. This study provides initial insights into SRH communication between parents and adolescents. Therefore, further research is necessary to expand knowledge of SRH communication in this context.

性与生殖健康（SRH）方面的亲子沟通是减少青少年危险性行为的重要工具。关于性问题的亲子沟通（PCC）在世界范围内是一个具有挑战性的现象。有证据表明，亲子沟通不足会导致青少年意外怀孕、不安全堕胎、性传播感染、艾滋病毒和艾滋病、学校问题以及其他性风险行为。了解父母与青少年之间透明和直接的沟通对性行为健康的影响，有助于减少青少年中性行为健康相关的问题。本研究探讨了青少年在性健康与生殖健康问题上对亲子沟通的看法，以确定促进因素和障碍，旨在制定一种透明、直接和全面的方法来加强这种沟通。方法本研究采用描述性定性设计。有针对性地抽取15名12-19岁的青少年参加深度访谈，访谈指南指导深度访谈。使用excel组织数据，并使用主题分析手工分析数据。研究发现了三个主题，包括青少年对亲子性生殖健康沟通的重要性的认知；感知到的SRH上父母与孩子沟通的促进因素和感知到的SRH上父母与孩子沟通的障碍。总体而言，父母与青少年之间清晰、开放的沟通对青少年的性生殖健康决策有积极影响。促进父母与子女之间的沟通对于提高青少年对性与生殖健康问题的理解至关重要，而解决现有的障碍对于更有效的亲子性与生殖健康沟通是必不可少的。结论深入了解父母与青少年之间的沟通如何影响性生殖健康，有助于减少性生殖健康问题，改善决策和文化上可接受的行为。本研究为父母与青少年之间的性行为健康交流提供了初步的见解。因此，有必要在这一背景下进行进一步的研究，以扩大对SRH传播的认识。

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