scholarly journals Editorial Response—A systematic review and meta‐analysis of the effects of global health competency improvement programs on nurses and nursing students

2021 ◽  
Vol 78 (1) ◽  
Author(s):  
Jessie Telcide‐Desir
2020 ◽  
Author(s):  
Merga Bayssa ◽  
Sintayehu Yigrem ◽  
Simret Betsa ◽  
Adugna Tolera

AbstractIntroductionClimate change has devastating effects on livestock production and productivity, which could threaten livestock-based food security in pastoral and agro-pastoral production systems of the tropics and sub-tropics. Hence, to sustain livestock production in an environment challenged by climate change, the animals must have the ability to survive and produce under extreme conditions. Boran cattle breed is one of the hardiest Zebu cattle reared by Borana Oromo pastoralists for milk and meat production. This paper aims to compile the main production, reproduction and adaptation traits of Boran cattle based on systematic review amd meta-analysis of peer reviewed and published articles on the subject.MethodologyCombination of systematic review and meta-analysis based on PRISMA guideline was employed. Accordingly, out of 646 recorded articles identified through database searching, 64 were found to be eligible for production, reproduction and adaptation characteristics of the Boran cattle, twenty-eight articles were included in qualitative systematic review while 36 articles were used for quantitative meta-analysis.ResultBoran cattle have diversity of adaptation (morphological, physiological, biochemical, metabolic, cellular and molecular) responses to the effects of climate change induced challenges - notably high temperature and solar radiation, rangeland degradation, seasonal feed and water shortages and high incidences of tropical diseases. Meta-analysis using a random-effects model showed estimates of heritability and genetic correlations for reproduction and production traits. In addition, heritability and genetic-correlation estimates found in the present study suggest that there is high genetic variability for most traits in Boran cattle, and that genetic improvement is possible for all studied traits in this breed.ConclusionThe review revealed that Boran cattle exhibit better reproduction, production and adaption potentials as compared to other indigenous zebu cattle breeds in Ethiopia under low-land, poor pasture and water conditions. On other hand, the breed is currently challenged by adverse effects of climate change and other management factors such as high rate of genetic dilution, reduced rangeland productivity, lack of organized breed improvement programs and discriminate selection of gene pool. Thus, we recommend strategic breed improvement and genetic conservation program of Boran cattle breed in collaboration with Borana pastoralists through proper quantification of important traits and estimation of the pure Boran cattle population while controlled cross breeding strategy could be used in urban and peri-urban areas for maximum utilization of adapataion and production pottential of this breed.


2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Mohammad Nazarianpirdosti ◽  
Maryam Janatolmakan ◽  
Bahareh Andayeshgar ◽  
Alireza Khatony

Background. Self-directed learning plays an important role in nursing education and is associated with academic achievement, communication self-efficacy, assertiveness, responsibility, and students’ clinical competencies. This study was conducted to analyze the existing research on the level of self-directed learning in nursing students. Methods. In this systematic review and meta-analysis, all studies that had examined the level of self-directed learning in nursing students until March 2, 2020, were searched in Science Direct, Ovid, Scopus, PubMed, ProQuest, Web of Science, and Google Scholar databases. In the meta-analysis section, I2 index and the random effects model were used. Comprehensive Meta-Analysis software (version 2) was used for data analysis. Results. The mean score of self-directed learning in 12 articles with 3830 samples was 156.73 ± 1.47 out of 200 (95% CI: 153.3–160.1). These scores were 153.50 ± 2.71 (95% CI: 148.18–158.82) and 154.67 ± 1.32 (95% CI: 157.50–159.32) in the male and female students, respectively. There was a significant relationship between self-directed learning and sample size, year of study, and semester ( p < 0.05 ). Conclusion. The mean self-directed learning in nursing students was at a moderate level, which does not seem to be sufficient. Given the positive role of self-directed learning in nursing education, it is essential that nursing professors teach self-directed learning skills to students via training courses.


PLoS ONE ◽  
2015 ◽  
Vol 10 (5) ◽  
pp. e0125827 ◽  
Author(s):  
Elisa Damiani ◽  
Abele Donati ◽  
Giulia Serafini ◽  
Laura Rinaldi ◽  
Erica Adrario ◽  
...  

2020 ◽  
pp. 104655
Author(s):  
Adele Pei Ning Woon ◽  
Wen Qi Mok ◽  
Ying Jia Shermin Chieng ◽  
Hui Min Zhang ◽  
Patricia Ramos ◽  
...  

BMJ Open ◽  
2019 ◽  
Vol 9 (2) ◽  
pp. e025306 ◽  
Author(s):  
Carmen La Cerra ◽  
Angelo Dante ◽  
Valeria Caponnetto ◽  
Ilaria Franconi ◽  
Elona Gaxhja ◽  
...  

ObjectiveThe purpose was to analyse the effectiveness of high-fidelity patient simulation (HFPS) based on life-threatening clinical condition scenarios on undergraduate and postgraduate nursing students’ learning outcomes.DesignA systematic review and meta-analysis were conducted based on the Cochrane Handbook for Systematic Reviews of Interventions and its reporting was checked against the Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist.Data sourcesPubMed, Scopus, CINAHL with Full Text, Wiley Online Library and Web of Science were searched until July 2017. Author contact, reference and citation lists were checked to obtain additional references.Study selectionTo be included, available full-texts had to be published in English, French, Spanish or Italian and (a) involved undergraduate or postgraduate nursing students performing HFPS based on life-threatening clinical condition scenarios, (b) contained control groups not tested on the HFPS before the intervention, (c) contained data measuring learning outcomes such as performance, knowledge, self-confidence, self-efficacy or satisfaction measured just after the simulation session and (d) reported data for meta-analytic synthesis.Review methodThree independent raters screened the retrieved studies using a coding protocol to extract data in accordance with inclusion criteria.Synthesis methodFor each study, outcome data were synthesised using meta-analytic procedures based on random-effect model and computing effect sizes by Cohen’s d with a 95% CI.ResultsThirty-three studies were included. HFPS sessions showed significantly larger effects sizes for knowledge (d=0.49, 95% CI [0.17 to 0.81]) and performance (d=0.50, 95% CI [0.19 to 0.81]) when compared with any other teaching method. Significant heterogeneity among studies was detected.ConclusionsCompared with other teaching methods, HFPS revealed higher effects sizes on nursing students’ knowledge and performance. Further studies are required to explore its effectiveness in improving nursing students’ competence and patient outcomes.


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