African Journal of Nursing and Midwifery

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.

African Journal of Nursing and Midwifery ISSN: 2756-3332 Vol. 11 (3), pp. 001-013, March, 2023. © International Scholars Journals

Full Length Research Paper

Ethiopia's Textile Industry: Challenges and Opportunities for ArbaMinch Textile Company

R. Renjith Kumar

School of Management Studies, Ilahia College of Engineering and Technology, Muvattupuzha, Kerala, India. E-mail: [email protected].

Accepted 25 January, 2023

Abstract

This study aims to identify the causes of turnover of employees in ArbaMinch Textile Company, Ethiopia. It focuses on the gender, age, experience and departmental analysis to find out the factors that induces employees for turnover. A sample of 138 employees is taken for the study. The study shows that the turnover of employees is mainly due to low salary. There is also a lack of good relationship between superior and subordinate, training, recognition of job, evaluation of job performance, proper direction, promotion and participation in decision-making. These factors have affected the satisfaction which resulted in the lack of commitment of the employees. This led the way for increased turnover in the organization. Moreover it is also tested and proved that turnover is more from experienced, high performing male employees. Appropriate suggestions are provided for the organization for enhancing the commitment of the employees and to minimize labour turnover.

Key words: Turn over issues, ArbaMinch, textile company, Ethiopia.

African Journal of Nursing and Midwifery ISSN: 2756-3332 Vol. 11 (2), pp. 001-008, February, 2023. © International Scholars Journals

Full Length Research Papers

Assessing Patient Satisfaction with Nursing Care in Federal Tertiary Hospitals: A Study in Enugu, Southeast Nigeria

Ehiemere Ijeoma O.¹*, Nwaneri Ada ¹, Iheanacho Peace¹ and Akpati V.²

¹Department of Nursing Sciences, Faculty of Health Sciences and Technology, University of Nigeria, Enugu Campus, Nigeria.

²Nnamdi Azikiwe Teaching Hospital, Nnewi, Anambra State, Nigeria.

Accepted 11 January, 2023

Abstract

The satisfaction of patients with the care they receive from healthcare providers has become one of the most important approaches to the measurement of the quality of care in recent times as against the predominantly clinical and administrative approaches. This is because patients’ satisfaction could serve as index for compliance and non-compliance with care regimen. The study was to determine helpless patients’ satisfaction with quality of care received at tertiary hospitals in Enugu. A descriptive survey research design was used for the study. A total population of 105 helpless patients (those that need assistance with the activities of daily living) were studied. Tools for data collection were questionnaire and interview guide. Data were analyzed using descriptive statistics. Results showed that helpless patients were satisfied with physical and psychological care but satisfaction with spiritual care was marginal. Nurses seemed to lack skills for meeting spiritual needs of the patients. Patients’ satisfaction with nurses attitude was marginally positive. The study showed that there was need for improvement in the care nurses provide for helpless patients in the spiritual dimension. Opportunities for continuing education programme in spiritual care and in interpersonal relationship need to be addressed.

Key words: Helpless patients, satisfaction, quality, nursing care, tertiary hospitals.