Male Involvement in Family Planning: An Integrative Review

Purpose: The purpose of this review was to identify evidence about determinants of male engagement in family planning. Methods: An integrative review was used to assess the determinants of male engagement in family planning. Data search was between 2014 and 2019 using Google Scholar, Scopus, Web of Science, Science Direct, Pub Med, Medline, CINAHL, EBSCO, Cochrane, and EBSCO host. A total of 14 articles met the eligibility criteria. Results: The fourteen reviewed articles were adopted with mixed method designs, randomized controlled trial, quazi-experimental, and survey. Themes were: determinant of male engagement in family planning, women perception of male enrolment in family planning, and methods to enhance male use of family planning. Conclusion: Religion, large family size, culture, fear of side effect, access and exposure to information, attitudes, norms and self-efficacy and interaction with a health care provider are determinants of male involvement in family planning use. Interventional programs by health care providers and intensive education to men will positively increase prevalence of family planning use. It’s recommended to involve religious leaders in education. Implication: More attention is needed at community and governmental level to identify strategies to promote gender equity, shared decision making, shared responsibility and positive participation of men, empowering women, and to increase effectiveness of male participation.

Hermeneutics in Nursing Studies: An Integrative Review

Aim: To review nursing studies using hermeneutics as a methodology in different dimensions including practice, education, and administration. Background: Hermeneutics is a qualitative research methodology that focuses on interpreting the meanings of experiences in individual’s life. It is a major philosophy and research method in the humanities, human sciences and arts disciplines with a central goal of describing people’s experiences. Data sources: A review of relevant literature using electronics databases including EBSCO, SCOPUS, MEDLINE, CINAHL, and PUBMED. Review methods: Using an integrative method, peer-reviewed research and discussion papers published between 2013 and 2018 and listed in the CINAHL, SCOPUS, Science Direct, PubMed and Google Scholar databases were reviewed. Findings: A final review of 13 studies that used hermeneutic phenomenology as a philosophical background and research methods was done. Conclusions: Hermeneutic phenomenology has been used as a qualitative method in numerous nursing studies with different domain including practice, education and administration. The ability of the nurses to make decisions related to implementing evidence in education, practice, research, and admiration is reliant on the clinical expertise of the nurse. The review of the literature identified that the capability to correlate research findings to these three categories in nursing and the willingness and inclination to improve current practice were crucial factors for knowledge translation.

Adherence to Clinical Practice Guidelines during Antenatal Management of Gestational Diabetes Mellitus: An Integrative Review

The number of pregnant women affected by gestational Diabetes (GDM) is increasing globally with an estimated prevalence as high as 15%. Gestational Diabetes Miletus is associated with birth complications for women and newborn, includes development of type II diabetes, preeclampsia during pregnancy, increasing the risk of fetal loss, stillbirth and perinatal death. An integrative literature review applied, systematic search from different data base obtained from international and middle east countries to assess adherence level of guidelines. Clinical guidelines are set to ensure and assure homogeneity as well as the quality of provision of care. National and international consensus has yet to be achieved in the management of diabetes in pregnancy, adherence of recommended antenatal care content to a minimum level appears to be unmet. Complete provider adherence to first antenatal guidelines was 48.1%, Guideline dissemination alone does not change practice;assessment of barriers/enablers and implementation is important. Guidelines are useless when they are not used or adhered to. Each guideline needs an Appendix on how adherence has to be measured, there is a need for some uniformity across guidelines to measure adherence. Diabetes management is an essential constituent to prevent prognosis of diabetes complications.

Educational Experiences of Undergraduate Male Nursing Students: A Focus Group Study

Background: The educational experiences of undergraduate male nursing students in developing countries such as Jordan have yet to be fully investigated in the literature. Purpose: The purpose of this study was to explore the educational experiences of Jordanian undergraduate male nursing students. Methods: A qualitative research design using inductive content analysis approach was used to explore educational experiences of undergraduate male nursing students at a prominent public university. Focus group interviews were used to obtain information of an interactive, conversational nature from male nursing students and to gain in-depth insight regarding their educational experiences. Twenty undergraduate male nursing participants representing the four academic levels of a nursing program were recruited. Four focus groups ranging between 4 - 6 students were used to gather data. Inductive content analysis was used. Results: Three themes emerged from this study: “nursing: a deliberate choice”, “nursing is wonderful yet challenging”, and “nursing is not for men”. Students articulated that they deliberately chose to study nursing and to enter this academic field. Participants indicated that studying nursing was a wonderful experience that was intertwined with several challenges. Students from different levels explicitly emphasized that they were challenged and bombarded with enduring negative stereotypes and negative societal views regarding males in nursing. Conclusions and Implications: Findings illustrated that educational experiences of undergraduate male nursing students varied between wonderful experiences upon deliberate entry into nursing programs to enduring negative stereotypes and views regarding male nurses. Nursing educators are expected to comprehend the educational experiences of their students, particularly male students, and provide counseling, role-modeling and support as needed. Additionally, nurse educators should encourage all students to manage gender related problems by emphasizing a nurse’s role identity without gender segregation or discrimination.