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Nurses’ Perceptions Regarding the Antiretroviral Therapy Services at Selected Health Facilities in Lesotho
Isabel Nyangu,
Zerish Zethu Nkosi
Issue:
Volume 11, Issue 1, February 2022
Pages:
1-5
Received:
3 December 2021
Accepted:
29 December 2021
Published:
15 January 2022
Abstract: In Lesotho, ART services are provided in primary health care (PHC) facilities which are mostly run by nurses. This study aimed to describe perceptions of nurses regarding the antiretroviral therapy services at PHC facilities across six selected districts in Lesotho. A cross sectional survey was conducted in which convenience sampling was used to select 214 nurses working at PHC facilities across six districts. They completed a structured self-report questionnaire that collected information on their perceptions using a Likert scale with six options (strongly agree, agree, neutral, disagree, strongly disagree, and no answer). The response rate was 92% (n=197) and data were analyzed using SPSS (23). Nurses’ perceptions were positive and the same on whether ARVS and other medications were available; they were qualified and competent to provide ART services; they had adequate resources and equipment to provide ART services; they were satisfied with their jobs and the services they provided; and there was monitoring and evaluating system for the ART services. Nurses’ perceptions significantly differed and were mostly negative on whether they were adequately staffed to provide ART services; their organizational structures allowed for the provision of adequate and efficient services; ART services were accessible; and there was adequate and accurate documentation of the ART services they provided. As nurses are the main health care providers in Lesotho, their perceptions are important in improving service delivery. It is important to standardize ART services across the districts to ensure equitable accessibility in line with service demand.
Abstract: In Lesotho, ART services are provided in primary health care (PHC) facilities which are mostly run by nurses. This study aimed to describe perceptions of nurses regarding the antiretroviral therapy services at PHC facilities across six selected districts in Lesotho. A cross sectional survey was conducted in which convenience sampling was used to se...
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An Assessment of the Practice of Kangaroo Mother Care Among Staff in the Specialised Neonatal Intensive Care Unit at Orotta Paediatric Hospital, Asmara, Eritrea
Elsa Semere Araya,
Jawaya Shea,
Nils Bergman
Issue:
Volume 11, Issue 1, February 2022
Pages:
6-19
Received:
5 December 2021
Accepted:
7 January 2022
Published:
15 January 2022
Abstract: Preterm delivery remains the major cause of newborn infants’ morbidity and mortality globally and more so in low-income countries like Eritrea. Research has shown that the provision of Kangaroo mother care can contribute to a reduction in morbidity and mortality among newborn infants. However, there is limited research on the practice of KMC in Eritrea. A mixed methods approach was adopted in a phenomenographic study to collect the data. Eleven participants with work experience of at least two years were recruited from the Specialised Neonatal Intensive Care Unit at Orotta Paediatric Hospital, Asmara, Eritrea. Data were collected via individual interviews and observations. The results showed that participants had no prior KMC training and education. In addition, staff had limited knowledge and mixed attitudes about KMC practice. There were also no KMC guidelines and protocols. Furthermore, space was not adequate for full KMC practice except for implementation of the kangaroo position. The researcher’s observation confirmed similar evidence of a lack of availability of a KMC ward and lack of protocols and guidelines. Limited interaction and communication about KMC between participants and parents was also observed. Some of the most common hindrances to KMC practice were the perception that KMC increased staff work load and that it was time consuming. In addition, lack of regular KMC training for staff, lack of a convenient setup and too few staff members were among the hindrances. One staff members also perceived that KMC practice was not culturally accepted. The results of this study concluded that there were no proper KMC guidelines and protocols in the ward. In addition, only the kangaroo position was practiced, not the full KMC protocol. Furthermore, staff had limited knowledge and mixed attitudes. The observation component of the research highlighted the lack of space and KMC protocols and guidelines as key limitations for delivering KMC. Therefore, it is recommended that a programme to improve staff knowledge be implemented, that evidence-based KMC guidelines and polices be made available, that the KMC ward be expanded, and that health education about KMC practice be brought to the population through mass media.
Abstract: Preterm delivery remains the major cause of newborn infants’ morbidity and mortality globally and more so in low-income countries like Eritrea. Research has shown that the provision of Kangaroo mother care can contribute to a reduction in morbidity and mortality among newborn infants. However, there is limited research on the practice of KMC in Eri...
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Prevalence and Risk Factors of Dyslipidemia Among Adults: A Community Based Study in Addis Ababa, Ethiopia
Meseret Molla Asemu,
Alemayehu Worku Yalew,
Negussie Deyessa,
Desalewu Mekonnen Kassie
Issue:
Volume 11, Issue 1, February 2022
Pages:
20-29
Received:
11 December 2021
Accepted:
10 January 2022
Published:
18 January 2022
Abstract: Dyslipidemia is the leading population-level risk factor for ischemic heart disease in Africa. There were inadequate data regarding the prevalence and associated factors of dyslipidemia. So, this survey aimed to identify the prevalence and associated factors of dyslipidemia among participants aged 18 years and above in Addis Ababa city, capital of Ethiopia. This cross-sectional community-based survey was conducted from June to October 2018; in the Ethiopian capital of Addis Ababa. Participants 18 years of age and older were selected by using a multi-stage probability sampling method. The data was gathered through an in-person interview. The WHO phased-in approach was used for data collection. In addition, respondents' height, weight, waist, hip, blood pressure, and laboratory investigations were performed in keeping with standard procedures. We used multiple logistic regressions to analyze the data and, Odds ratios with 95% confidence intervals were also calculated to assess the factors that had an association. Four hundred fifty 77.3 % (95% CI: 73.9-80.7) of study respondents had a minimum of one kind of lipid abnormalities. Hypertriglyceridemia and low HDL-cholesterol were the more common dyslipidemia 41.4% (95% CI: 37.4–45.4) and 41.1% (95% CI: 37.1–45.1), respectively. Among all respondents who had at least one type of dyslipidemia 433 (96.2%) were, newly diagnosed during the survey. In multivariable logistic regression, analysis being male, age≥30 years, raised blood glucose, sitting per day for more than 3 hours, and being hypertensive were the factors associated with hypertriglyceridemia; being female, obese and raised blood glucose were the factors significantly related with low HDL-C; being female, age ≥30 years and hypertensive were the factors associated with hypercholesterolemia. Low HDL-Cholesterol and hypertriglyceridemia were the more common dyslipidemia. With a large proportion unaware of their status, intervention measures have to be taken targeting the modifiable risk factors and screening programs for adults with risk factors.
Abstract: Dyslipidemia is the leading population-level risk factor for ischemic heart disease in Africa. There were inadequate data regarding the prevalence and associated factors of dyslipidemia. So, this survey aimed to identify the prevalence and associated factors of dyslipidemia among participants aged 18 years and above in Addis Ababa city, capital of ...
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Developmental Care of Premature Newborns: A Success Story from Evidence-based Research
Philomene Marie Missi,
Clemence Dallaire,
Marie-Soleil Hardy
Issue:
Volume 11, Issue 1, February 2022
Pages:
30-42
Received:
17 December 2021
Accepted:
6 January 2022
Published:
20 January 2022
Abstract: Nursing is useful to the society through the efforts to prevent health problems and through the care, the support and the comfort it provides to the public. In addition, nursing contributes to the advancement of knowledge about experiences of health and illness. Indeed, from the phenomena at the field experience, theoretical work and research in human health play a role in the development of the discipline and the nursing profession. The importance of research for nursing is particularly evident in a context in which evidence-based practice is being promoted, an unavoidable reality in the health field. However, research results do not translate so easily into practice, and it is often argued that there is a gap between the availability of research results and professional practice. Filling this gap cannot depend solely on the world of research and the availability of evidence. It also considers the practice environment and its ability to take into account the available results. This article aims at clarifying the link between the status of discipline, the nursing profession and care in order to establish the need for a better link between knowledge, research and the practice of nursing. It also seeks to briefly recall how knowledge and research contribute to the advancement of a discipline while having the potential and the power to improve practice. More specifically, an example of evidence will highlight how research findings can influence practice and care, outlining briefly how research on investigating the effect of variation in light and noise in neonatal departments in West especially in USA, Canada, Australia, France, etc, have improved the practice of nursing and how nursing theories can contribute not only to the advancement of nursing discipline, but also to the improvement of the provided cares. Levine's conservation model and the theory of promoting pre-term infant health served as a theoretical framework for experimentation to improve the practice of caring for pre-term infants, hence the obligation for nursing staff to pay attention to them and try to integrate them into their interventions.
Abstract: Nursing is useful to the society through the efforts to prevent health problems and through the care, the support and the comfort it provides to the public. In addition, nursing contributes to the advancement of knowledge about experiences of health and illness. Indeed, from the phenomena at the field experience, theoretical work and research in hu...
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Effect of PDCA Evidence-Based Nursing Practice on Arterial Blood Gas Analysis in the Respiratory Department
Zhe Luo,
Ju Zhou,
Yu-e Huang
Issue:
Volume 11, Issue 1, February 2022
Pages:
43-47
Received:
17 January 2022
Accepted:
28 January 2022
Published:
16 February 2022
Abstract: Objective To explore the effect of PDCA evidence-based nursing intervention on arterial blood gas analysis in the respiratory department. Methods Sixty patients who underwent blood gas analysis in our hospital from February 2021 to March 2021 were selected as the control group; while the same number of patients who underwent blood gas analysis from July 2021 to August 2021 were selected as the observation group to implement PDCA evidence-based nursing practice. The effects of one-time success rate, qualified specimen rate, incidence of redness, swelling and ecchymosis at puncture point, sample turnover time and nurses' knowledge level were compared between the two groups. Results The success rate of one-time puncture and the qualified rate of specimens in the observation group were higher than those in the control group (P < 0.05). Meanwhile, the incidence of redness, swelling and ecchymosis at the puncture point and the turnover time of specimens in the observation group were lower than those in the control group (P < 0.05). After the implementation of the improvement plan, the nurses' knowledge levels in the observation group were significantly increased compared with the control group (P < 0.05). Conclusion PDCA evidence-based nursing practice can effectively improve the knowledge level of nurses, shorten the sample turnover time, increase the success rate of one-time puncture and the qualified rate of samples, reduce the incidence of adverse events such as redness, swelling and ecchymosis at the puncture point, and improve the quality of clinical nursing.
Abstract: Objective To explore the effect of PDCA evidence-based nursing intervention on arterial blood gas analysis in the respiratory department. Methods Sixty patients who underwent blood gas analysis in our hospital from February 2021 to March 2021 were selected as the control group; while the same number of patients who underwent blood gas analysis from...
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