Africa Journal of Nursing and Midwifery <p><strong>Hybrid Open Access</strong></p> <p>The journal publishes articles on current nursing and health related issues, and encourages those that exhibit innovative and quantitative research methods and approaches. It promotes debate, both theoretical and practical, on a wide range of topics and cross-disciplinary interests.</p> Unisa Press en-US Africa Journal of Nursing and Midwifery 1682-5055 Factors Associated with Adequate Antenatal Care among Pregnant Women in Rural Indonesia <p>Antenatal care (ANC) is crucial for the health of both mother and child. However, information on ANC in rural Indonesia is limited despite its essential role. This research examined the determinants of adequate antenatal care among rural Indonesian pregnant women. A cross-sectional study analysed pregnant Indonesian women aged 18-49, focusing on adequate antenatal care (ANC) during the third trimester. The study included sociodemographic variables and component factors (knowledge, motivation, social support, and health services). A multivariate logistic regression analysis was performed.</p> <p>A total number of 350 pregnant women aged 18–49 years old enrolled in this study. Almost half (47.1) % of women received adequate ANC (≥ eight visits) during their pregnancy, and about 79.1% of participants had adequate ANC (4 or more visits). Mothers with higher education and married were more likely to have adequate ANC (AOR = 1.52; 95% CI [1.12–3.46]) and (AOR = 1.17; 95% CI [1.01–3.32]), respectively. Poor knowledge toward ANC (AOR = 0.41; 95% CI [0.12–0.65], low motivation (AOR = 0.73; 95% CI [0.31–0.97]), poor health service (AOR = 2.76; 95% CI [1.85–4.32]), and poor social support (AOR = 3.24; 95% CI [2.11–5.34]) was negatively associated with adequate ANC. The intervention aims to improve access to maternity care for women in rural Indonesia by enhancing social support, reproductive health awareness, and expanding safety net services</p> Diyan Indriyani Esti Yunitasari Ferry Efendi Copyright (c) 2024 Unisa Press 2024-02-08 2024-02-08 19 pages 19 pages 10.25159/2520-5293/14232 Magnitude and Factors Associated with Partner and Family-Based Index Case HIV Testing Among Clients on Anti-Retroviral Therapy Follow-ups at Holeta Health Centre, Oromia, Ethiopia <p><strong>Background</strong>: Index clients are HIV-positive individuals at HIV Testing and Counselling Centres who were enrolled in treatment, care, and support services. Most of the index cases did not test hard-to-reach groups, including children and adult sexual partners. The aim of this study was to assess the magnitude and factors associated with partner and family-based index case HIV testing among HIV-positive clients who are on Anti-Retroviral Therapy and follow up at Holeta Health Centre, Ethiopia, 2022 G.C.</p> <p><strong>Methods</strong>: A facility-based cross-sectional study was conducted on 316 selected individuals using simple random sampling techniques. The data was collected using structured questionnaires. The data were entered into EPI Info version 7.14 and then exported to SPSS version 24 for analysis. Bivariate logistic regression was used for each independent variable to check its association with the dependent variable. All variables with a P-value &lt;0.25 in bivariate analysis were entered into a multivariate logistic regression analysis to identify factors independently associated with the dependent variables with a P value &lt;0.05 were considered statistically significant factors and an adjusted odds ratio with a 95% confidence interval was used to measure the strength of the association.</p> <p><strong>Result</strong>: This study showed that among the study participants, 86.8% had tested a partner and 92.9% had tested at least one child. Marital Status (AOR = 0.06 CI: 0.02-0.21), duration on ART (AOR = 2.71 CI: 1.17–6.25), and disclosure status (AOR = 4.26 CI: 1.21–15.05) were identified to be significantly associated with partner- and family-based index case HIV testing.</p> <p><strong>Conclusion</strong>: This study showed that most of the study participants had tested with a partner and at least one child. Partner and family-based index case HIV testing has a significant association with marital status, duration on ART, and disclosure status of index cases.</p> Fikadu Seyoum Gosaye Belachew Gutu Belay Beyene Wabi Temesgen Atinafu Copyright (c) 2024 Unisa Press 2024-01-26 2024-01-26 14 pages 14 pages 10.25159/2520-5293/14038 Developing an Android-Based Application Documentation System of Postpartum Care for Indonesian Midwifery Students <p>Midwifery students still take notes the old-fashioned way, on paper, which has become very inconvenient. Students struggle to create accurate and complete care documentation due to the risk of losing important data, transferring data, and scribbling. Mobile Case Midwifery Notes (CMNotes) is an Android-based documentation system designed to develop learning methods and interactive consultations between students and lecturers. CMNotes facilitates digital and comprehensive recording of patient data starting from assessment, diagnosis, and plan of care to implementation and evaluation by applying Varney’s management principles and Subjective Objective Analysis Planning (SOAP) documentation. This study is research and development (R&amp;D) to produce a documentation system for midwifery care emphasising postpartum and breastfeeding care. The researchers recruited 185 midwifery students from Aceh Health Polytechnics to be involved in a needs analysis. Out of the total number of students, 39 students took part in the implementation stage where their experience using the application was assessed. The needs analysis revealed that postpartum care and breastfeeding are important subjects, and their documentation is the most important aspect. The implementation results show that the CMNotes provide convenience and satisfaction for students when documenting childbirth and postpartum care. Since CMNotes could provide the reference range of data, the system allows students to identify and focus on the issue experienced by the patients. Due to user feedback on the system’s usability, it is necessary to create an Android-based CMNotes application to fill in patient data more easily and effectively without the need for internet access.</p> Cut Mutiah Abdurrahman Halimatussakdiah Bustami Dewita Keumalahayati Copyright (c) 2024 Unisa Press 2024-01-26 2024-01-26 15 pages 15 pages 10.25159/2520-5293/13905 Bibliometric Analysis of Research Trends and Novelty of Midwifery Policy <p>Midwifery policy is important in regulating services, and its significance cannot be overstated. Despite the ongoing efforts in formulating policy, there remains a need for further analysis. This is because evidence-based research in midwifery serves as a foundation for enhancing the professionalism of the service practices. Bibliometric analysis of publications pertaining to midwifery policy is absent, leaving a gap in understanding trends and concepts. Therefore, this research aimed to determine trends in the number of publications, and visualisation of the relationship on the topic of midwifery policy through bibliometric analysis. The method used systematic reviews with the stages following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) diagram. Scientific publication data related to midwifery policy was retrieved through from 2010 to 2022 and the data was analysed using VOSviewer. The results showed that first, there was an annual exponential growth in the number of publications and citations on the topic. Second, there were 224 items, 8 clusters, and 10047 links with a strength of 63352 on the topic of midwifery policy. Third, trends of research related to the topic were focused on hospitals, behaviour, and framework. Fourth, the research related to policy were topics with a low-density category, namely professional development, registration, and public health. Research results could identify trends and novelty in midwifery policy and recommend directions for further analysis.</p> Fitriani Nur Damayanti Ariyani Lutfitasari Budi Santosa Sherkia Ichtiarsi Prakasiwi Suparman Novita Nining Anggraini Copyright (c) 2024 Unisa Press 2024-02-08 2024-02-08 20 pages 20 pages 10.25159/2520-5293/14031 Nursing Interventions to Improve Self-management in Patients with Type 2 Diabetes Mellitus: A Scoping Review <p><strong>Background: </strong>Type 2 diabetes mellitus (T2DM) is a chronic disease that remains a public health problem both in developed and developing countries. As the prevalence of diabetes mellitus increases, nurses can take part in managing this disease so that health outcomes can also be improved. Strategies for sustaining diabetes self-management are, therefore, pivotal.</p> <p><strong>Objective:</strong> This review aimed to identify existing evidence regarding interventions performed by nurses in enhancing self-management of patients with T2DM.</p> <p><strong>Methods: </strong>This study was a scoping review with T2DM adults as the population of interest. The literature search was conducted in May 2023 using PubMed, CINAHL, and Medline as the resource databases. The study selection followed PRISMA guidelines. The keywords were “nursing interventions,” “type 2 diabetes mellitus,” and “self-management.”</p> <p><strong>Results: </strong>A total of 22 studies were included for review, including 10 RCT studies, one quasi-experimental study, two qualitative studies, one systematic review, one qualitative systematic review, and seven meta-analyses. The studies were undertaken in Australia, the United States of America, Norway, Spain, Turkey, South Korea, China, Singapore, Ethiopia, Taiwan, and Iran. Of those studies, 10 discussed technology-based intervention, five reported a nurse-led education approach, two reported a patient-centred self-management approach, one reported motivational interviewing, two discussed an empowerment-based approach, one reported psychological intervention, two reported a case management programme, and one reported structured as well as individualised education approaches.</p> <p><strong>Conclusion: </strong>Various nursing interventions can be implemented to improve self-management of T2DM patients. This review can inform nurses regarding intervention options applicable to their workplace conditions.</p> F Fitriani Al Ihksan Agus Copyright (c) 2024 Unisa Press 2024-01-26 2024-01-26 25 pages 25 pages 10.25159/2520-5293/14848 Perspectives Regarding Methodological Considerations and Challenges of Conducting Randomized Controlled Trials (RCTs) in Nursing Research <p class="Abstract"><span lang="EN-GB">Randomised Control Trials (RCT) serve as the gold standard in research design, offering valuable insights into evaluating the impact of nursing interventions on patient health outcomes. This paper explores the methodological considerations and challenges inherent in designing and conducting RCTs within the nursing context. The inclusion criteria involved a thorough search across reputable databases, including CEINAHL, EBSCO, Scopus, Google Scholar, and Cochrane Library, spanning any period due to the scarcity of relevant material. Articles were selected based on their alignment with key considerations such as randomisation, blinding, sample size calculations, outcome measures, and ethical aspects. Data extraction involved findings related to methodological considerations and challenges faced by nurse researchers in RCT design and implementation. Various challenges arise when applying these considerations due to the nature of nursing interventions and ethical concerns. Proposed solutions include comprehensive informed consent, mixed-methods approaches, and the cluster-randomization process. This paper underscores the role of nurse researchers in overcoming challenges and fostering evidence-based practice. Integrating robust methodological strategies and ethical considerations ensures the validity and reliability of nursing RCTs, contributing to improved patient care<strong>.</strong></span></p> Nour Ali Alrida Amal Mohammad Tayseer Ababneh Basheer Mahmoud Al-Zu'bi Copyright (c) 2024 Unisa Press 2024-01-26 2024-01-26 14 pages 14 pages 10.25159/2520-5293/15071 Bibliometric Analysis of Nursing Interventions to Improve Adherence to Treatment among Patients with Tuberculosis <div> <p class="AbstractCxSpFirst"><strong><span lang="EN-GB">Background: </span></strong><span lang="EN-GB">Interest in research on the topic of nursing interventions and medication adherence in tuberculosis (TB) patients has increased. In future research, researchers need information about trends and new things for the topic of nursing intervention research and medication adherence in tuberculosis patients in the future.</span></p> </div> <div> <p class="AbstractCxSpMiddle"><strong><span lang="EN-GB">Purpose: </span></strong><span lang="EN-GB">The purpose of this research is to explore the trend of the number of publications, the trend of the number of citations, the journal with the highest number of publications, network visualisation, overlay visualisation, and density visualisation on the topic of nursing interventions and medication adherence in tuberculosis patients through bibliometric analysis.</span></p> </div> <div> <p class="AbstractCxSpMiddle"><strong><span lang="EN-GB">Research method: </span></strong><span lang="EN-GB">Bibliometric analysis was used in this study. The data is identified through the database, which is then selected using the PRISMA flowchart. Papers are limited to publication in 2018-2023, focusing on the fields of health sciences, nursing, public health, the science of services and health systems, information science, and types of publications are articles. Data were analysed using VOSviewer, and then the analysis results were reviewed by co-occurrence.</span></p> </div> <div> <p class="AbstractCxSpMiddle"><strong><span lang="EN-GB">Results: </span></strong><span lang="EN-GB">A search for publications on nursing interventions to improve medication adherence in TB patients resulted in 60,204 articles. After being filtered through the specified criteria, the number of articles obtained was 3,237. The peak of publications on nursing interventions to improve medication adherence in TB patients occurred in 2018. Meanwhile, the lowest number of publications occurred in 2023. The health sector and other fields such as Human society, Information and computing science, and Psychology carry out research on nursing interventions to improve medication adherence in TB patients. In addition, health trends in nursing interventions to improve medication adherence in TB patients currently focus on using digital technology-based interventions such as mobile health applications, health education, and family support. The density visualisation shows that the topics not widely researched related to nursing interventions to improve medication adherence in TB patients are application, mobile health, health education, family, social support, stigma, and attitude.</span></p> </div> <div> <p class="AbstractCxSpLast"><strong><span lang="EN-GB">Conclusion: </span></strong><span lang="EN-GB">The topic of nursing interventions to improve medication adherence in TB patients is a topic that needs to be further developed in various countries. Suggestions for other researchers: please choose a theme included in the visualisation category that has not been widely researched to find novelty for future studies.</span></p> </div> Siti Aisah Much Nurkharistna Al Jihad Audia Pebriani Satriya Pranata Edy Soesanto Copyright (c) 2024 Unisa Press 2024-01-26 2024-01-26 19 pages 19 pages 10.25159/2520-5293/14557