World Journal of Nursing Research

Background: Malawi has a rudimentary NHS providing government-funded haemodialysis for approximately 100 patients. Aim: To explore the feasibility of establishing a peritoneal dialysis (PD) service in Malawi. Methods: An explorative, qualitative design was used. Face-to-face interviews collected data from 16 patients and 9 healthcare professionals. Interviews were audio-recorded, transcribed verbatim, and analyzed using reflexive thematic analysis. Results: Understanding of dialysis... Background: Malawi has a rudimentary NHS providing government-funded haemodialysis for approximately 100 patients. Aim: To explore the feasibility of establishing a peritoneal dialysis (PD) service in Malawi. Methods: An explorative, qualitative design was used. Face-to-face interviews collected data from 16 patients and 9 healthcare professionals. Interviews were audio-recorded, transcribed verbatim, and analyzed using reflexive thematic analysis. Results: Understanding of dialysis was excellent. Many of the nurses had provided PD in the past. Lack of surgical and community expertise; risk of infections when living conditions are poor and availability of affordable consumables were identified as potential barriers. Patients were self-motivated and welcomed a home-based regimen with cost-savings on travel. PD was viewed as an opportunity to expand dialysis provision, especially for those who live remotely. Conclusion: There is need and willing to expand renal services in Malawi. Accurate, transparent records of renal disease and allocation of dialysis provision are essential. This must be prioritized in plans to improve renal care. PD could provide an effective dialysis modality. Concerns regarding education, sanitation and consumables are not unsurmountable. Read more

Background: Type 2 diabetes requires sustained self-care, yet the relationship between specific self-care behaviors and quality of life may vary across populations and care contexts. Evidence focused on Filipino men remains limited. Objective: To describe dietary, exercise, medication, and glucose-monitoring adherence and examine their relationships with quality of life among Filipino men with type 2 diabetes in Manila, Philippines. Methods:... Background: Type 2 diabetes requires sustained self-care, yet the relationship between specific self-care behaviors and quality of life may vary across populations and care contexts. Evidence focused on Filipino men remains limited. Objective: To describe dietary, exercise, medication, and glucose-monitoring adherence and examine their relationships with quality of life among Filipino men with type 2 diabetes in Manila, Philippines. Methods: This quantitative cross-sectional study analyzed questionnaire data from 31 adult Filipino men with type 2 diabetes. Seven adapted diabetes self-care items assessed diet, exercise, medication use, and home glucose monitoring. Quality of life was assessed with the World Health Organization Quality of Life-BREF. Descriptive statistics and two-tailed Pearson correlations were used. Results: Overall self-care adherence was moderate (M = 3.00). Dietary adherence (M = 3.11) and exercise adherence (M = 3.02) were moderate, whereas the combined medication and glucose-monitoring domain was low (M = 2.57). Mean quality of life was moderate (M = 3.11). Diet (r = -.002, p = .99), exercise (r = .31, p = .09), and medication/glucose-monitoring adherence (r = -.006, p = .97) were not significantly correlated with quality of life. Conclusion: The findings identify actionable gaps in structured exercise, medication-taking, and glucose monitoring but do not support a statistically significant relationship between measured self-care adherence and quality of life. Larger, analytically robust studies should examine clinical, psychological, social, and economic determinants alongside self-care. Read more

Background: The rising prevalence of diabetes mellitus and its adverse effects on pregnancy outcomes have made pre-pregnancy care (PPC) a critical component of diabetes management among women of reproductive age. Diabetes poses significant risks during pregnancy, but PPC provides an opportunity to prevent complications. Despite these benefits, Nigerian women of childbearing-age living with diabetes still miss out on these advantages... Background: The rising prevalence of diabetes mellitus and its adverse effects on pregnancy outcomes have made pre-pregnancy care (PPC) a critical component of diabetes management among women of reproductive age. Diabetes poses significant risks during pregnancy, but PPC provides an opportunity to prevent complications. Despite these benefits, Nigerian women of childbearing-age living with diabetes still miss out on these advantages due to poorly defined and imperfect integration of PPC into the country’s healthcare system by Health Birth professionals (HBPs). Therefore, their understanding of PPC and the integration of PPC into routine diabetes management practices for childbearing women is essential. The study, therefore, aims to explore HBPs’ provision of PPC for women with pre-existing diabetes in Lagos, Nigeria. Methodology: A qualitative exploratory research design was conducted at two tertiary health institutions in Lagos. A total of 20 participants were purposively selected among doctors and nurse/midwives. The data collected through in-depth semi-structured interviews were transcribed verbatim and analyzed thematically. The trustworthiness of this study was established following the criteria of trustworthiness (credibility, dependability, transferability, and conformability), authenticity was added based on the research worldview. Result: Five themes and eleven subthemes emerged from the analysis. The main themes were clinical importance of PPC for women with diabetes, pregnancy-intention screening for diabetic women, PPC as standard care practice for women with diabetes, raising awareness of PPC, and the enablers of PPC provision. Conclusion: The study emphasized the clinical significance of PPC for women with diabetes; the need for pregnancy-intention screening among diabetic women; the need to make PPC a standard of care for women with diabetes; the importance of raising awareness; and the enablers of PPC. The study highlighted the significance of PPC and the factors that would facilitate its integration PPC into Nigeria's healthcare system. The provision of PPC for women of childbearing potential living with diabetes, as it is key to improving obstetric outcomes and reducing the risks associated with diabetes in pregnancy. It would also be beneficial for leaders at various levels of healthcare institutions to seek the necessary regulatory approvals from the Nigerian government to establish PPC. Read more

Background: Antimicrobial resistance (AMR) is a major global public health threat that compromises the effectiveness of antimicrobial therapy. Nurses play a critical role in antimicrobial stewardship (AMS); however, evidence regarding their knowledge, attitudes, and practices (KAP) in the Philippine setting remains limited. Objective: To determine the knowledge, attitudes, and practices regarding antimicrobial stewardship among bedside nurses employed in selected tertiary... Background: Antimicrobial resistance (AMR) is a major global public health threat that compromises the effectiveness of antimicrobial therapy. Nurses play a critical role in antimicrobial stewardship (AMS); however, evidence regarding their knowledge, attitudes, and practices (KAP) in the Philippine setting remains limited. Objective: To determine the knowledge, attitudes, and practices regarding antimicrobial stewardship among bedside nurses employed in selected tertiary hospitals in Baguio City, Philippines, and to examine the relationships between selected socio-demographic characteristics and AMS competencies. Methods: A quantitative descriptive cross-sectional correlational study was conducted among 119 bedside nurses from two tertiary hospitals in Baguio City. Data were collected using a modified, validated self-administered questionnaire. Descriptive statistics summarized respondents' characteristics and KAP scores. The Shapiro–Wilk test assessed normality. Univariate linear regression examined associations between socio-demographic characteristics and KAP outcomes. Statistical significance was set at p < 0.05. Results: Most respondents demonstrated moderate knowledge, highly positive attitudes, and favorable antimicrobial stewardship practices. Greater knowledge was significantly associated with better stewardship practices. Likewise, positive attitudes were positively associated with stewardship practices. Previous antimicrobial stewardship education and selected socio-demographic characteristics were associated with improved KAP outcomes. Conclusion: Bedside nurses demonstrated positive attitudes and favorable antimicrobial stewardship practices despite moderate knowledge levels. Strengthening competency-based antimicrobial stewardship education may enhance nurses' participation in stewardship initiatives and improve patient safety while contributing to national and global efforts to combat antimicrobial resistance. Read more

Hypertension remains a leading cause of cardiovascular morbidity and mortality. Although effective antihypertensive therapies are available, sustained blood pressure control remains suboptimal due to inconsistent medication use. Most adherence research is quantitative and offers limited understanding of how individuals interpret lifelong treatment within daily life, particularly in culturally grounded contexts. To explore the lived experiences of Filipino adults taking antihypertensive... Hypertension remains a leading cause of cardiovascular morbidity and mortality. Although effective antihypertensive therapies are available, sustained blood pressure control remains suboptimal due to inconsistent medication use. Most adherence research is quantitative and offers limited understanding of how individuals interpret lifelong treatment within daily life, particularly in culturally grounded contexts. To explore the lived experiences of Filipino adults taking antihypertensive medication. A qualitative study grounded in Heideggerian interpretive phenomenology was conducted. Ten Filipino adults diagnosed with hypertension were purposively recruited from outpatient clinics in Manila, Philippines. In-depth semi-structured interviews were transcribed verbatim and analyzed using the six-step IPA framework. Analysis revealed six interconnected themes describing how participants interpreted and sustained medication use: (1) Diagnosis as Disruption; (2) Medication as Protection and Responsibility; (3) The Paradox of the Silent Illness; (4) Everyday Barriers to Sustained Treatment; (5) Constructing Routine and Adaptive Self-Management; and (6) Family as Anchor within Cultural Contexts. These themes reflected emotional adjustment, symptom-driven adherence, financial and work-related barriers, adaptive coping strategies, and strong family-centered motivation. Medication-taking was experienced as an ongoing negotiation shaped by bodily cues, daily demands, and relational obligations. Conclusion: Antihypertensive medication use is shaped by relational, cultural, and socioeconomic contexts, underscoring the need for family-inclusive and culturally responsive hypertension care. Read more

This paper describes the current status of research on disease distress in elderly type 2 diabetic patients at home and abroad, with a view to developing targeted interventions for diabetic patients, improving self-management behavioral ability and quality of life in elderly type 2 diabetic patients, and improving patients' glycemic control.