Research Articles (School of Nursing)
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Item Adolescents' perception of career choice of nursing among selected secondary schools in Jos, Nigeria(Academic Journals, 2014) Ogunyewo, Oluwatoyin A.; Afemikhe, Juliana A.; Ajio, Daniel K.; Olanlesi-aliu, AdedoyinThe main purpose of this study was to examine the adolescents' perception and choice of nursing as a career in senior secondary schools, and to determine factors that may influence their choice and perception. The study was conducted in four selected schools in Jos metropolis. Each of these schools is unique in features. They include: two government secondary schools (urban and rural) and two private secondary schools (urban and rural). A total of 240 respondents were used for the study. A self-administered questionnaire was used for data collection. Data collected were analyzed and presented in frequency tables, percentages, bar chart and chi-square. Findings indicate that 7.5% (n=18) of respondents chose nursing as a career, out of which 83.33% (n=15) were females, while 16.67% (n=3) were males. Interestingly, out of 46.25% of total respondents who would consider nursing as a career, 56.76% were females while 43.26% were males. There is no significant relationship between gender in considering nursing as a career choice; the ownership type of schools, and consideration of nursing as a career choice shows no significance (t=-2.098, critical value=1.658, df=118, p value=0.05.). There is equally no significant relationship between location, and consideration of nursing as a career choice.Item Contextual factors influencing self-management of adolescents and youth living with HIV: A cross-sectional survey in Lesotho(MDPI, 2023) Nagenda, Mapaseka Chabalala; Crowley, TalithaHIV treatment outcomes of adolescents and youth living with HIV (AYLWH) are lagging. One way to improve outcomes is through supporting AYLWH to acquire self-management skills. Although self-management is associated with improved health outcomes, condition-specific, individual/family, and social/environmental contextual factors influence self-management. We aimed to describe factors influencing the self-management of AYLWH in Lesotho. A cross-sectional survey design was used. AYLWH (n = 183) aged 15–24 were conveniently sampled from two HIV treatment sites in Lesotho. Participants completed self-report questionnaires in English or Sesotho.Item Effectiveness, acceptability and feasibility of technology-enabled health interventions for adolescents living with HIV in low- and middle-income countries: A systematic review(MDPI, 2023) Crowley, Talitha; Petinger, Charné; Nchendia, Azia IvoAdolescents living with HIV (ALHIV) are challenged to remain adherent and engaged in HIV care. Technology-enabled interventions can be used to optimize healthcare delivery to adolescents. The largest proportion of ALHIV resides in sub-Saharan Africa. This review synthesized the evidence for the effectiveness, acceptability, and feasibility of technology-enabled health interventions for ALHIV in low and middle-income countries (LMIC). Eight electronic databases (Ebscohost, CINAHL, ERIC, MEDLINE, PubMed, SCOPUS, Science Direct, and Sabinet) and Google Scholar were searched to identify studies in LMIC published from 2010 to 2022. Quantitative and qualitative studies reporting on technology-enabled health interventions for predominantly adolescents (10–19 years) were included. The review was performed, and findings were reported according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses Protocols.Item Effectiveness, acceptability, and feasibility of technology-enabled health interventions for adolescents living with HIV in low- and middle income countries: A systematic review protocol(Public Library of Science, 2023) Crowley, Talitha; Petinger, Charne; van Wyk, BrianAdolescents living with chronic conditions such as HIV (ALHIV) are challenged to remain adherent and engaged in HIV care. Technology offers a promising platform to deliver behaviour-change interventions to adolescents. The largest proportion of ALHIV resides in sub-Saharan Africa; yet little is known about the effectiveness, feasibility and acceptability of technology-enabled interventions to deliver and support health care to ALHIV in resource-constraint settings. This study aims to explore the literature and synthesise the evidence for the effectiveness, acceptability, and feasibility of technology-enabled health interventions for ALHIV in low and middle-income countries (LMIC). Eight electronic databases (Ebscohost, CINAHL, ERIC, MEDLINE, PubMed, SCOPUS, Science Direct, and Sabinet) and Google Scholar will be searched to identify technology-enabled health interventions for ALHIV in LMIC published from 2010–2022. Quantitative and qualitative studies reporting on technology-enabled health interventions for predominantly adolescents (10–19 years) will be included.Item Pathways from witnessing community violence to mental health problems among South African adolescents(SAMA, 2020) Naidoo, Pamela P.; Donenberg, Geri R.; Kendall, Ashley D.The intersection of violence exposure and mental health problems is a public health crisis for South African (SA) adolescents. Understanding the impact of community violence on adolescent mental health can inform future interventions. Objectives. To assess pathways between community violence exposure and internalising and externalising problems in SA adolescents receiving mental healthcare, and the roles of parent and peer relationships in these associations. Methods. Participants (N=120 parent-adolescent pairs) were recruited from four mental health clinics in Western Cape Province to participate in a pilot test of a family-based HIV prevention study. Adolescents reported on their exposure to community violence, parental attachment, peer support of risk behaviour, and mental health. Parents reported on adolescents' internalising and externalising mental health problems. Participants received transport money (ZAR30 = USD3) and a shopping voucher or cash (ZAR50 = USD5) for their time. Results. Adolescents were 12 - 18 years old (mean (standard deviation) 14.39 (1.82) years), 53% were male, and 67% and 33% reported black African and mixed-race ethnicity, respectively. Parents were 94% female and reported an average monthly income of ZAR3 973 (USD397).Item Predictors of nurses’ and midwives’ intentions to provide maternal and child healthcare services to adolescents in South Africa(Biomed Central, 2016) Jonas, Kim; Reddy, Priscilla; van den Borne, Bart; Sewpaul, Ronel; Nyembezi, Anam; Naidoo, Pamela; Crutzen, RikBACKGROUND: Adolescent mothers are at a much higher risk for maternal mortality compared to mothers aged 20 years and above. Newborns born to adolescent mothers are also more likely to have low birth weight, with the risk of long-term effects such as early onset of adult diabetes than newborns of older mothers. Few studies have investigated the determinants of adequate quality maternal and child healthcare services to pregnant adolescents. This study was conducted to gain an understanding of nurses’ and midwives’ intentions to provide maternal and child healthcare and family planning services to adolescents in South Africa. METHODS: A total of 190 nurses and midwives completed a cross-sectional survey. The survey included components on demographics, knowledge of maternal and child healthcare (MCH) and family planning (FP) services, attitude towards family planning services, subjective norms regarding maternal and child healthcare and family planning services, self-efficacy with maternal and child healthcare and family planning services, and intentions to provide maternal and child healthcare and family planning services to adolescents. Pearson’s correlation analysis was conducted to determine the association between knowledge, attitude, subjective norms, self-efficacy, and intention variables for FP and MCH services. A 2-step linear regression analysis was then conducted for both FP and MCH services to predict the intentions to provide FP and MCH services to adolescents. RESULTS: Self-efficacy to conduct MCH services (β = 0.55, p < 0.01) and years of experience as a nurse- midwife (β = 0.14, p < 0.05) were associated with stronger intentions to provide the services. Self-efficacy to provide FP services (β = 0.30, p < 0.01) was associated with stronger intentions to provide FP services. CONCLUSIONS: Self-efficacy has a strong and positive association with the intentions to provide both MCH and FP services, while there is a moderate association with attitude and norms. There is a need to improve and strengthen nurses’ and midwives’ self-efficacy in conducting both MCH and FP services in order to improve the quality and utilization of the services by adolescents in South Africa.