Factors Influencing Nurses and Midwives' Participation in Research: A Qualitative Study (original) (raw)
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Dove Press, 2022
Evidence-based care is pivotal in health, and needs experience and scientific evidence. Clinical midwives are busy with patient care and not involved in research, so their research knowledge and attitudes are not scientifically assessed. Our study aimed to address this gap so as to help set interventions to provide evidence-based midwifery care. Methods: An institution-based cross-sectional study was conducted from September to October 2021 among clinical midwives working at public health facilities in Ethiopia. A structured and pretested self-administered questionnaire was used to collect data, which were transferred to Epi Info software. Descriptive statistics explained the variables. To identify factors, bivariate and multivariate (for knowledge) and ordinal logistic regression and correlations (for attitudes) were computed using Stata 14. P≤0.05 was taken as significant. ORs and Spearman correlation coefficients are also reported. Results: Of 335 originally selected, 314 participated, for a response rate of 93.7%. In sum, 154 (49%, 95% CI 43.5%-54.6%) had good knowledge on research. Having taken a research-methods course (AOR 6.93, 95% CI 3.37-14.24), having research skills (AOR 2.25, 95% CI 1.30, 3.91), and having participated in research (AOR 3.08, 95% CI 1.37-6.90) showed significant associations with good knowledge on research. Of all, 252 (80.3%, 95% CI 84.8%-92.1%) had positive attitudes toward research. Age and having a positive attitude in the independent variables were significant predictors of a positive attitude toward research. There was a significantly positive correlation (ρ=0.183, P=0.001) between knowledge and attitudes toward research. Conclusion: Although a majority had a positive attitude, a significant proportion had poor knowledge of research. Provision of capacity-building activities (training and opportunities) and allocated time for research are important for the provision of evidencebased midwifery care.
Nursing and Midwifery Research Output in Africa: A Review of the Literature
International Journal of Childbirth
BACKGROUNDNurses and midwives form the backbone of health service delivery and satisfaction with care often depends on the competencies of nurses and midwives who provide the care (World Health Organization [WHO], 2002). Healthcare has become complex, challenging, and demanding across diverse sociocultural and socioeconomic changes and environments. To optimize their impact, nurses and midwives therefore need to be prepared with evidence-based competences. Nursing research therefore, is the cornerstone for evidence-based practice and for establishing the professional status of nursing and building research capacity. However, although nursing research began in the 19th century, it is limited in Africa, with little evidence generated to inform policy and practice. Although nursing and midwifery education in the region has advanced with graduate and postgraduate level education, little is known about nursing and midwifery research conducted in universities and where to find such resear...
Nurse Education Today, 2020
Background: The nursing education in Ghana has only witnessed minimal advancement though one of the earliest in Africa. This study aimed to explore nursing education in Ghana at the bachelor degree level in terms of the program's strengths, weaknesses, opportunities, and threats from the perspectives of nurses and midwives. Methods: A qualitative design based on the content analysis approach was used in this study. We purposefully sampled and interviewed thirty-five nurses and midwives at the Tamale Teaching in Ghana from September 2018 to May 2019. Results: The data analysis revealed five main categories; professionally developed, diverse implementation, insufficient resources, applied opportunities, and threatening policies. The findings highlight the strengths, weaknesses, opportunities, and threats of nursing education at the bachelor degree level in Ghana. Conclusion: The nursing education in Ghana has some internal capabilities in the form of strengths and weaknesses, such as the program being professionally regulated and operates on a well-developed curriculum, yet challenged with insufficient faculty and resources. The external opportunities and threats present as global recognition and career opportunities, amidst the proliferation of adjunct nursing programs. Recommendations have been highlighted.
Perceptions of Midwifery Nursing Students Regarding Research at Chitungwiza Central Hospital
2019
Health fraternity as a fast changing environment throughout the globe is critically anchored on research and development. Research is the lifeblood of any institution which needs to sustainably exist and remain relevant to its market share. Despite the articulated benefits of research and that research generates knowledge and acts as an umbilical cord between theory and practice, Chitungwiza Central Hospital School of Nursing and Midwifery as a beacon and hub of new midwifery nursing skills is still facing notable regression in research. A descriptive qualitative design was carried out to explore perceptions of midwifery nursing students regarding research. Purposive sampling was used to select twelve (12) midwifery nursing students and on key informant (educator) who met the requirements of this research topic. Interview guide was used to collect data. Thematic analysis was used to analyze the data gathered. Two themes emerged which are facilitating factors (knowledge regarding mea...
Clinical Nursing and Midwifery Research Priorities in Eastern and Southern African Countries
Nursing Research, 2015
Background: Because of the profound shortage of nurse and midwifery researchers in many African countries, identification of clinical nursing and midwifery research is of highest priority for the region to improve health outcomes. Objectives: The aim of this study was to gain consensus from experts on the priorities of clinical nursing and midwifery research in southern and eastern African countries. Method: A Delphi survey was conducted among experts in the region. Criteria for "expert" included (a) a professional nurse, (b) a bachelor's degree or higher in nursing, (c) published research, (d) affiliated with a school of nursing with at least a master's level nursing program, and/or (e) identified by the African core collaborators as an expert in the region. A list of candidates was identified through searches of published and gray literature and then vetted by core collaborators in Kenya, Malawi, and South Africa. Core collaborators held leadership roles in a nursing school and a doctoral degree in nursing, had conducted and published nursing research, and resided in an included country. Results: Two rounds of the Delphi survey were required to reach consensus. In total, 40 participants completed both rounds, and at least one participant from each country completed both rounds; 73% and 85% response rates were achieved for each round, respectively. Critical clinical research priorities were infectious disease/infection control and midwifery/maternal health topics. These included subtopics such as HIV/AIDS, tuberculosis, maternal health and mortality, infant mortality, and obstetrical emergencies. Many other topics were ranked as important including patient outcomes, noncommunicable diseases, and rural health. Discussion: Areas identified as research priorities were consistent with gaps identified in current literature. As evidenced by previous research, there is a lack of clinical nursing and midwifery research in these areas as well as nurses and midwives trained to conduct research; these priorities will help direct resources to the most essential research needs.
Assessing Nurses' Capacity for Health Research and Policy Engagement in Nigeria
2013
Nurses account for a significant proportion of the health care workforce in most countries. In the African continent, it is estimated that nurses constitute about 80% of the health care professionals, however they are marginally represented in health research investigations and policy/decision-making roles. A descriptive research design was used to obtain data from 120 registered nurses in Calabar municipality, Nigeria. The study aimed at assessing the extent of nurses’ involvement in research and policy development. The findings revealed that only 30(25.0%) of the respondents indicated that they had been involved in research activity. Majority 74(61.7%) utilized research findings and perceived research as a tool to enhance development of nursing. 93(77.5%) respondents were not aware of any financial support for research and only 4(3.3%) had ever received research grant to support research activities. The results also revealed minimal 8(6.7%) involvement of nurses in health care pol...
Experiences of nurses and/or midwives in research production in low- and middle-income countries
JBI Database of Systematic Reviews and Implementation Reports, 2016
Review question/objective: The aim of this review is to identify, appraise and synthesize qualitative evidence about midwives' and nurses' experiences of involvement in research production in low-and middle-income countries (LMICs). Involvement in research production refers to their participation in research activities and processes such as the design, planning, decision making and implementation, collaboration, dissemination and knowledge uptake. The review will be guided by the following question: what are the experiences of midwives' and nurses' involvement in health research production in LMICs?
The research is a cross-sectional descriptive survey conducted at school of Nursing and Midwifery Mkar, Gboko Benue State, North Central Nigeria to study the attitude of student nurses and midwives towards research study. The specific objectives of the study were: to assess students' knowledge on importance of research in client care, to determine the attitude of students towards research study, to identify reasons for frequent repetition of some research topics among students and to find out barriers to effective research study among students. The study will help the students to have positive look towards research thereby helping them to develop a positive attitude towards research in order to maintain evidence base practice in Nursing. Simple probability sampling technique was used in selection of samples used for the study. Data were collected from the respondents through self-structured and validated questionnaire. Data obtained were presented and analyzed using frequency distribution table. Based on the findings, all the students are aware of importance of research in client care but attitudes towards research is unfavorable as most of the students believe that research in general is difficult and time consuming, hence their cold attitude towards research. This research also find out that one of the reasons for frequent repetition of some research topics is because of excessive academic workload which leave them with little time for research work. Based on the findings, the following recommendations were made: that more time should be allocated for research studies in nursing and midwifery schools, thus helping the students develop interest in research; the students must also change their attitude towards research in order to learn and practice evidence based nursing.