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@#Introduction: The instructor-led CPR training method has been used for over 4 decades. However, nurses’ knowledge and skills are still low. Instructor-led CPR training is an extremely capital-intensive programme that requires more time, workforce, and space, thus serving as an impediment to effective learning among the prospective nurses’ trainees. Self-directed training method is suggested to improve the knowledge and skills of CPR among healthcare practitioners due to the low cost and flexibility. This study aims to evaluate the effectiveness of self-directed method in improving nurses’ knowledge and skill retention from baseline to post-test, one, three-, and six months. Method: A two-arm double-blinded randomised controlled trial will be conducted in two referral hospitals. The control group training consists of a one-day session taught by AHA-certified instructors, whereas the intervention group training entails participants learning on computers in a simulation lab for seven days. A generalised estimated equation model will be used for statistical analysis. Discussion: Through the self-directed training method, participants will have significantly better knowledge and skills of CPR compared to the conversational training method across the time points. Self-directed training method is a simple, cost-effective and flexible method, which can facilitate the training of more nurses in the acquisition and retention of knowledge and skills, especially for those who prefer to learn at their own pace. Trial Registration: Registration Code: UDUTH/NHREC/30/012/2019 and NHREC/28/01/2020/AKTH/EC/2934
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@#Introduction: Malaria is a vector-borne disease caused by the bites of infected female mosquitoes that transmit the parasite to humans. In Guinea, the entire population is at risk of malaria infection. The objective of this study is to develop, implement and evaluate the effectiveness of the Malaria Free Zone program using the Health Belief Model (HBM) to improve malaria prevention knowledge, attitudes, and practices among university students in Conakry, Guinea. Methods: The study design is a clustered randomized controlled trial (RCT). Students are selected using the clustered sampling method, with each university representing one group, either the intervention or control group. The sample size is 113 university students from each group. The content of the Malaria Free Zone program includes eight sessions, which are based on the HBM constructs. This program takes approximately 6 hours and 30 minutes to complete. Respondents are required to complete a questionnaire over four time points. Generalized Estimating Equation (GEE) will be used to determine the effectiveness of the Malaria Free Zone program on malaria prevention knowledge, attitudes, and practices, adjusted with covariates. Conclusion: It is expected that there will be a significant difference in knowledge, attitude, and practice of malaria prevention in the post-test, 2-week and 2-month follow up of the intervention group after the Malaria Free Zone program. Students in the intervention group will have significant higher knowledge, attitude and practice of malaria prevention compared to students in the control group. Trial Registration: PACTR202102614259601
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This study aimed at determining the factors that influence family planning practice among rural women of Pankshin district inPlateau state, Nigeria. A cross-sectional study using a simple random sampling method was conducted from October to December 2019. A self-administered questionnaire was used for data collection among 302 respondents. Among respondents, 48.3% had practised family planning and the most popular family planning method ever practised was injectables (57.5%). The determinants of family planning practice were age group 29-39 and 40-49 years old (AOR=4.373, p<0.001; AOR=5.862, p<0.001), discussion with partner (AOR=9.192, p<0.001) and partner's approval (AOR=2.791, p=0.007). Findings showed an encouraging family planning prevalence with the main determinants involving male partners. Further efforts need to be made to promote family planning practice among male partners and to empower women of all reproductive age groups by providing them with relevant information that is needed for them to make informed decisions. (Afr J Reprod Health 2022; 26[4]: 32-41).
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Natural Family Planning Methods , Prevalence , Rural Health Services , Social Determinants of Health , WomenABSTRACT
Abstract@#The aim of this systematic review was to evaluate the effectiveness of educational programs on parenting stress and coping mechanism among parents of children with Autism Spectrum Disorder. Our current review retrieved the articles from databases such as CINAHL, Springer, Ovid, PubMed, Google Scholar, and EBSCO host. Only articles published between the years of 2000 and 2018 in these databases were recruited using keywords such as Autism Spectrum Disorder, education program, parenting stress, coping mechanism, and coping strategies. The search generated 17 articles; 8 articles were relevant. This systematic review provides an important opportunity to advance our understanding of the effectiveness of the educational program for reducing parenting stress and improving coping mechanism among parents of children with Autism Spectrum Disorder. Nurses could also have a pivotal role in delivering the educational program for parents of children with ASD.
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Abstract@#Introduction: Many studies have investigated the knowledge and attitude towards breastfeeding among fathers and mothers, however studies looking at working adults’ knowledge and attitude towards breastfeeding is limited. Working adults with good knowledge and favourable attitude toward the practice of breastfeeding may increase the breastfeeding initiative among working mothers. Therefore, the objective of this study was to investigate the knowledge and attitude toward breastfeeding among staff from the Faculty of Medicine and Health Sciences of a public university and its associated factors. Methods: A cross sectional study was conducted among faculty staff members. The respondents were selected by simple random sampling and a self-administered questionnaire was used to investigate the knowledge and attitude towards breastfeeding among them. Multiple linear regression was used to determine the factors associated with knowledge and attitude respectively. Results: A total of 117 respondents were recruited to take part in this study. Of these, 83(70.9%) had good knowledge while 61(52.6%) respondents had favourable attitude toward breastfeeding. There was significant positive fair correlation between knowledge and attitude score (r=0.396,p<0.001). Gender (coefficient:1.04,CI:0.25-1.84), education level (coefficient:1.56,CI:0.60-2.53) and number of children (coefficient:0.21,CI:0.01-0.40) were the factors affecting knowledge score whereas education level (coefficient:5.73,CI:1.40-10.07) and number of children (coefficient:1.3,CI:0.41-2.11) were the factors affecting attitude. Conclusion: Overall, majority of respondents were found to have good knowledge but half of them had favourable attitude toward breastfeeding. A awareness program is suggested particularly for male, low education level and those with less number of children in order to increase knowledge and attitude toward breastfeeding.