African Journal of Nursing and Midwifery

African Journal of Nursing and Midwifery ISSN: 2756-3332 Vol. 12 (4), pp. 001-004, April, 2024. Available online at www.internationalscholarsjournals.org © International Scholars Journals

Review

Analyzing the implementation of autonomous systems in healthcare

Mohammad Reza Nami¹* and Jila Saneipour²

¹Faculty of Electrical, IT, and Computer Engineering, Islamic Azad University- Qazvin Branch, Iran.
²ICU Part, Imam-Hossein Hospital, Shahid Beheshti Medical University, Iran.

Accepted 9 May, 2023

Abstract

The term E-nursing has been used to refer to the incorporation of ICT into nursing. Point-to-point connections using private networks are used by hospitals and clinics that deliver services directly or contract out specialty services to independent nursing service providers at ambulatory care sites. Radiology, mental health and even intensive care services are being provided under contract using Tele-nursing and telemedicine to deliver the services. An autonomous system manages complexity and improves the system complexity without interfering expert humans. The purpose of this paper is to present an autonomous virtual organization for e-nursing describing their characteristics, effects on quality factors, their building blocks architecture, and challenges.

Key words: E-Nursing, collaborative networks, information and communication technology (ICT), virtual organization breeding environment (VBE), autonomic computing, self-managing systems.
 

African Journal of Nursing and Midwifery ISSN: 2756-3332 Vol. 12 (3), pp. 001-011, March, 2024. Available online at www.internationalscholarsjournals.org © International Scholars Journals

Full Length Research Paper

Impact of health education interventions on nurses’ knowledge, attitudes, and perceptions towards HIV/AIDS in Cairo University, Egypt 

Eman Taher and Rehab Abdelhai*

Department of Public Health, Faculty of Medicine, Cairo University, Egypt.

Accepted 13 October, 2023

Abstract

Information education and communication (IEC) programs are the most effective available approaches for combating the HIV pandemic especially among nurses. The aim of this study is to assess knowledge, perceptions and attitudes towards HIV/AIDS before and after an IEC intervention program. The study used a prospective interventional design that was conducted on two different nursing groups: post-graduate nursing staff (67 nurses) and undergraduate nursing students (73 students). A significant improvement in the general knowledge and perceptions score was observed (from 7.29 ± 1.2 to 8.01 ± 1.5 with P <0.001). The intervention also succeeded to improve the mode of transmission knowledge score significantly from 6.83 ± 0.9 to 7.21 ± 0.8 (P <0.001). Furthermore, the intervention significantly improved the prevention knowledge score. The main source of information was television (66.7%). Although favorable attitudes increased after the intervention it did not reach the desired level. A planned HIV/AIDS education program significantly improved the HIV/AIDS knowledge, and to a lesser extent the perceptions and attitudes toward patients with HIV/AIDS. Further structured education should be conducted emphasising the role of mass media.

Key words: HIV/AIDS, knowledge, perceptions and attitudes, health education intervention.
 

African Journal of Nursing and Midwifery ISSN: 2756-3332 Vol. 12 (2), pp. 001-005, February, 2024. © International Scholars Journals

Full Length Research Papers

Exploring maternal experiences of care during labor at a Ghanaian maternity unit

Dzomeku, M. V.

Nursing/Midwifery Training School, P. O. Box 110, Kumasi, Ashanti Region, Ghana.

Accepted 11 April, 2023

Abstract

This study was conducted to assess the care and satisfaction of expectant mothers during labour, birth and lying-in period in Ghana. Purposive sampling was employed to recruit participants, based on the needs of the study and on predetermined variables. Participants were second or third time mothers, who were admitted in the first stage of labour with a cervical dilatation of not more than 5 cm. They were those who had returned there for their two weeks post natal visits, who had no history of neonatal loss and who had normal vaginal deliveries, excluding forceps deliveries and vacuum extractions. Eight individual interviews were conducted with volunteering respondents within 48 h after delivery. This was followed by two focus group discussions two weeks after delivery. The groups were made up of three and four volunteering respondents. Data were inductively examined using content analysis, the process of first level coding, pattern coding and memoing. The respondents were between the ages of 22 and 37; they had limited educational backgrounds with the exception of two who were graduates from the university and teachers training college, respectively. All participants had two or three previous pregnancies and for at least one of these pregnancies, they have had experiences in the Mampong maternity hospital. The majority (seven) of them gave birth within 2 h of coming to the hospital. Findings from this study have established that: (a) multiple factors influence mothers’ satisfaction with their care in labour, birth and the lying in period; (b) maternal satisfaction during this period is determined mostly by the attitude of care givers; (c) dissatisfaction with care leads to non-usage of the hospital in future or using the hospital only as a last resort. It is recommended that (1) staffs of the hospital have frequent continuing education on communication and interpersonal relationship, (2) The code of ethics of the nursing profession should be strictly enforced, (3) Care givers need to fully understand the expectations that patient have for their care, and provide care that is consistent with those expectations.

Key words: Maternal, mothers, satisfaction, care, labour.

African Journal of Nursing and Midwifery ISSN: 2756-3332 Vol. 12 (1), pp. 001-008, January, 2024. © International Scholars Journals

Full Length Research Papers

Evaluating cultural competence: An innovative approach and framework

Lori A. Escallier¹*, Judith T. Fullerton² and Barbara Ann M. Messina¹

¹Stony Brook University, School of Nursing Health Sciences Center, Stony Brook, NewYork 11794, United States of America.

²University of CA, San Diego (retired) 7717 Canyon Point Lane, San Diego, CA 92126-2049, United States of America.

Accepted 23 December, 2023

Abstract

The nursing profession has acknowledged its responsibility to prepare all practitioners to provide culturally respectful care to diverse patient populations. A culturally competent academic and clinical teaching milieu is a strategy for shaping clinical nursing expertise. It is a vital link between theory and practice. This article presents a replicable model of the process in which one U.S. University School of Nursing engaged to assess the cultural competence of the nursing curricula at both undergraduate and graduate levels, the cultural awareness of faculty and students, and the perceptions of clients about the degree of cultural sensitivity demonstrated by program graduates.

Key words: Cultural competence, cultural sensitivity, nursing workforce diversity, strategic approach.

African Journal of Nursing and Midwifery ISSN: 2756-3332 Vol. 11 (5), pp. 001-014, May, 2023. © International Scholars Journals

Full Length Research Paper

Advances in Alzheimer's Disease Therapy: A Comprehensive Update

Prerna Upadhyaya*, Vikas Seth and Mushtaq Ahmad

Department of Pharmacology, Mahatma Gandhi Medical College, Sitapura, Jaipur– 302022, India.

Accepted 23 March, 2023

Abstract

Alzheimer’s disease is a devastating neurodegenerative disorder manifested by deterioration in memory and cognition, impairment in performing activities of daily living, and many behavioral and neuropsychiatric illnesses. The pathological hallmark of Alzheimer’s disease is widespread neuritic plaques which are accumulations of amyloid beta protein and neurofibrillary tangles. Studies report that deficit in cholinergic system is responsible for cognitive decline and memory loss in patients with Alzheimer’s disease. Various pharmacologic approaches are developed for the treatment of Alzheimer’s disease. The leading edge therapies of Alzheimer’s disease are approved drugs; Acetylcholinesterase inhibitors and NMDA receptor antagonist. The experimental therapies are mostly disease modifying and have neuroprotective approaches. Gamma secretase inhibitors aim to reduce amyloid beta formation. Antioxidants, antiinflammatory agents and statins help by preventing oxidation and inflammation. PPAR gamma agonists, estrogen, heavy metal chelators, 5HT₆ antagonists and nicotinic receptor agonists are other therapeutic strategies likely to alter the current treatment paradigm of Alzheimer’s disease. The behavioral abnormalities are best treated first by non-pharmacologic interventions. The pharmacological agents used for treatment of Neuropsychiatric illnesses include antipsychotics, antidepressants and mood stabilizers. Treatment of Alzheimer’s disease also includes health maintenance activities and proper nursing care of the patients.

Key words: Alzheimer’s disease, therapy of Alzheimer’s disease, cholinesterase inhibitors, neuroprotective agents, gamma secretase inhibitors.