Jul 2026· The Operating Room Global Journal· Vol 2· 0 citations
TL;DR
Strengthening financial support, expanding training opportunities, improving awareness, and implementing supportive institutional policies may enhance enrollment and contribute to addressing the shortage of nurse anaesthetists in Nigeria.
Abstract
Background: Nursing anaesthesia is a specialized field of nursing practice that plays a vital role in the delivery of safe perioperative care. Despite the increasing demand for nurse anaesthetists in Nigeria, enrollment into the nursing anaesthesia programme remains low. Understanding nurses’ knowledge, attitudes, and perceived barriers to enrollment is essential for developing strategies to strengthen the anaesthesia workforce.
Objective: To assess the knowledge and attitude of staff nurses towards the nursing anaesthesia programme and identify factors influencing enrollment at the University of Ilorin Teaching Hospital, Ilorin, Nigeria.
Methods: A descriptive cross-sectional study was conducted among 261 staff nurses selected using a total enumeration sampling technique. Data were collected using a structured self-administered questionnaire comprising sections on socio-demographic characteristics, knowledge, attitude, perceived barriers to enrollment, and suggested strategies for improving enrollment. Descriptive statistics were used to summarize the data, while Chi-square tests were employed to examine the relationships between age and awareness and between gender and willingness to enroll. Statistical significance was set at p < 0.05.
Results: Respondents demonstrated a high level of awareness of the nursing anaesthesia programme, with 92.0% correctly identifying it as a nursing specialty. Overall, 88.1% exhibited a positive attitude and willingness to enroll in the programme. Respondents perceived nursing anaesthesia as offering opportunities for professional advancement, independent and collaborative practice, and improved remuneration. Financial constraints (36.4%), lack of flexible entry pathways (24.5%), distance to training institutions (13.0%), and family-related responsibilities (11.1%) were the leading barriers to enrollment. Preference for locally available specialty programmes (54.8%) was identified as the principal reason for the low number of nurse anaesthetists. Respondents strongly supported expanding training institutions, providing financial assistance, upgrading the programme to a master’s degree, and strengthening mentorship and clinical exposure as strategies for improving enrollment. A statistically significant relationship was observed between age and awareness (χ² = 30.12, df = 9, p < 0.05), whereas no significant relationship was found between gender and willingness to enroll (χ² = 6.82, df = 6, p > 0.05).
Conclusion: Staff nurses demonstrated high awareness and positive attitudes towards the nursing anaesthesia programme; however, enrollment remains constrained by financial, institutional, and accessibility barriers. Strengthening financial support, expanding training opportunities, improving awareness, and implementing supportive institutional policies may enhance enrollment and contribute to addressing the shortage of nurse anaesthetists in Nigeria.
Keywords: Nursing Anaesthesia Programme, Knowledge, Attitude, Enrollment, Nurse Anaesthetists, Nigeria.
Introduction: Open-heart surgery requires complex postoperative monitoring and prompt nursing interventions to prevent complications, reduce morbidity, and support recovery. However, in some settings, nurses' knowledge of evidence-based perioperative cardiac care may be insufficient. This study aims to assess nurses' knowledge and attitudes regarding postoperative open-heart surgery care and examine their associations with nurses’ demographic characteristics.Methods: A descriptive cross-sectional study was conducted among 50 intensive care unit nurses at AL-Nasiriyah Heart Centre in Iraq. Participants were recruited using purposive sampling. Data were collected from 25 June to 21 August 2023 using a self-administered questionnaire covering participants’ demographic characteristics, knowledge, and attitudes regarding postoperative open-heart surgery nursing care. Content validity was assessed by seven experts. Internal consistency was satisfactory, with Cronbach’s alpha coefficients of 0.78 for knowledge and 0.82 for attitude. Data were analysed using descriptive statistics and ordinal regression with SPSS version 23 and Excel 2010.Results: The mean knowledge score was 3.01 ± 1.18, indicating generally poor knowledge, with 58.0% of nurses classified as having poor knowledge. The mean attitude score was 24.03 ± 16.62, indicating a moderate attitude. No statistically significant associations were found between nurses’ demographic characteristics and knowledge or attitude scores.Discussion and conclusion: Nurses demonstrated limited knowledge and a moderate attitude towards postoperative open-heart surgery nursing care. Ongoing education is recommended to improve evidence-based postoperative cardiac nursing care.
H. A. Khudair, H. Thbeet· Obzornik zdravstvene nege· 0 citations
Targeted educational and stewardship programs are critical for strengthening nurses' involvement in preventing antibiotic resistance and improving patient outcomes.
Ritika Rocque, Rohisha I K· International Journal of Res...· 0 citations
Nursing professionals showed favourable attitudes toward evidence-based practice; however, organizational and educational barriers continue to hinder its implementation.
Medha Wadhwa, Apurvakumar Pandya, K. Gupta et al.· International Journal of Hea...· 0 citations
Background: Continuing Nursing Education (CNE) is essential for maintaining professional competence, enhancing clinical knowledge, and improving patient outcomes. Senior Nurse Managers (SNMs) play a crucial role in fostering professional development and strengthening educational initiatives within healthcare institutions. The present study aims to assess the perception and participation of Senior Nurse Managers regarding Continuing Nursing Education activities and to identify factors that promote or hinder their participation.
Methods: A quantitative, non-experimental descriptive survey design was employed. The study was conducted among 55 Senior Nurse Managers using total enumeration sampling. Data were collected using a structured self-administered questionnaire comprising sections on demographic characteristics, perception and participation in Continuing Nursing Education (CNE) activities, and practices related to CNE programs. Data were analysed using descriptive statistics (frequency and percentage) and inferential statistics using the Chi-square test to determine associations between selected variables.
Results: Most participants were aged 56–60 years (41.81%), and the majority held a General Nursing and Midwifery qualification (92.72%). Nearly all respondents expressed interest in Continuing Nursing Education (94.54%), and 92.73% had participated in at least one CNE activity. Workshops were the most commonly attended programs (85.45%). Key motivating factors included updating advanced knowledge (81.81%), employer financial support (80%), and personal interest (78.18%). Major barriers to participation were work schedule constraints (56.36%), family responsibilities (41.81%), and staff shortages (32.72%). Also, demonstrated a significant association between age and participation as well as designation and participation while educational qualification showed no significant association.
Conclusion: Senior Nurse Managers demonstrate positive perceptions toward continuing nursing education and recognize its importance in professional growth and quality patient care. However, participation is influenced by both organizational and personal barriers.
Dr. Rathi Balachandran, Anjali Arora, Jyoti Sherawat et al.· International journal of res...· 0 citations
Background: Self-medication is an expanding global public health concern, particularly among healthcare undergraduates
who possess early academic exposure to pharmacological concepts. Nursing undergraduates represent the future frontline
of clinical drug administration, patient compliance monitoring, and bedside therapy. Their independent health-seeking
behaviours and personal drug utilization patterns directly influence institutional healthcare standards and the safety of
patient counselling.
Objectives: To evaluate the Knowledge, Attitude, and Practice (KAP) regarding self-medication among undergraduate
nursing students in a tertiary care teaching hospital in Northern India, to analyse associations with sociodemographic
factors, and to identify the primary clinical drivers and therapeutic classes involved.
Methods: A descriptive, prospective, cross-sectional, questionnaire-based study was executed within the Department of
Pharmacology in coordination with the affiliated nursing college infrastructure. Following provisional clearance from the
Institutional Ethics Committee (IEC), Government Medical College, Jammu (Ref No: IEC/GMCJ/2026/2014, Cat-C,
Protocol C-689), a pre-validated, structural, 26-item digital survey instrument was administered. Universal sampling
captured a definitive cohort of 206 nursing undergraduates. Raw data were processed via descriptive and inferential
statistics (Pearson’s Chi-Square test) using SPSS 2.0 Version 26.0, with significance set at p < 0.05.
Results: Out of N=206 participants, the definitive prevalence of self-medication within the preceding 12 months was 92.2%
(n=190). The study group had a mean age of 21.42 ± 1.45 years, with a high proportion of females (82.5%, n=170) and
individuals from rural backgrounds (67.0%, n=138). Theoretical knowledge assessments showed high baseline awareness:
98.5% (n=203) accurately defined self-medication, 95.1% (n=196) recognized that incomplete courses of antibiotics
accelerate antimicrobial resistance (AMR), and 98.5% (n=203) verified product expiration dates before use.
However, significant permissive attitudes were observed: 79.6% (n=164) held the view that self-medication is acceptable
for minor clinical conditions, and 45.1% (n=93) believed herbal or alternative remedies are entirely free from toxicity risks.
Fever and common cold/cough (89.5%, n=170) were the leading clinical indications prompting self-care. Antipyretics
(94.7%, n=180) and systemic antibiotics (69.5%, n=132) were the dominant therapeutic classes utilized. Previous
prescriptions (67.9%, n=129) served as the primary source of drug information. Advanced academic training (4th year)
showed a significant statistical correlation with higher practice rates (χ2 = 8.52, p = 0.036).
Conclusion: The prevalence of self-medication is remarkably high among nursing undergraduates. While theoretical
awareness regarding drug expiration and antibiotic resistance is strong, clinical practice patterns reveal significant issues
with independent antibiotic use. This study highlights the need to introduce formal clinical pharmacology workshops,
prescription compliance ethics, and antibiotic stewardship early into the nursing curriculum.
B. P. Singh, Vikram Sharma, Ajay Kumar· International Journal of Dru...· 0 citations
To achieve universal health coverage in Nigeria, it is necessary to address workload problems, offer incentives, enhance drug supply, and engage nurses in decision making to achieve universal health coverage.
J. Jacob, Elizabeth M. Samuel, B. Okwara et al.· International journal of res...· 0 citations
