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Nursing

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https://hdl.handle.net/10388/13651

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Browsing Nursing by Subject "Culture"

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    A comparative analysis and evaluation of PEN-3 cultural model and Leininger’s theory
    (International Journal of Africa Nursing Sciences, 2024-06) Opara, Uchechi; Bassendowski, S; Petrucka, Pammla
    Using a theoretical framework in nursing research is vital to promote understanding of a theory, its major concepts, and the relationship between concepts in research. We propose to conduct a study focusing on “Women’s Experiences of Cultural Beliefs and Practices that Influence Their Use of Maternal Health Services in Nigeria.” The PEN-3 cultural model, a non-nursing theory that exhibits the characteristics of mid-range nursing theories, will be used as a theoretical framework. As a nursing research, Leininger’s Culture Care Diversity and Universality Theory also known as Culture Care Theory would have been best suited for the proposed research. However, as a grand theory, the Culture Care Theory has limited applicability in the proposed study due to its abstraction and complexity. A critical analysis and evaluation of both theories were conducted to enhance a deep understanding of the PEN-3 cultural model and the Culture Care Theory in supporting the proposed research. This critical evaluation is vital, especially for potential users of the PEN-3 cultural model, to understand the model’s potential usefulness in guiding nursing research and explaining nursing situations.
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    Cultural and religious structures influencing the use of maternal health services in Nigeria: a focused ethnographic research
    (Reproductive Health, 2024-12) Opara, Uchechi Clara; Iheanacho, Peace Njideka; Petrucka, Pammla
    Background Cultural and religious structures encompass a set pattern of values, beliefs, systems and practices that define a community's behaviour and identity. These structures influence women's health-seeking behaviour and access to maternal health services, predisposing women to preventable maternal health complications. However, most maternal health policies have focused on biomedical strategies, with limited attention to women’s cultural challenges around childbirth. The overall aim of this paper is to provide a thick description and understanding of cultural and religious structures in Nigeria, their meaning and how they influence women’s use of maternal health services. Methods Roper and Shapira’s (2000) focused ethnography comprising 189 h of observation of nine women from the third trimester to deliveries. Using purposive and snowballing techniques, 21 in-depth interviews and two focus group discussions comprising 13 women, were conducted in two Nigerian primary healthcare facilities in rural and urban area of Kogi State. Data was analyzed using the steps described by Roper and Shapira. Results Using the PEN-3 cultural model, nine themes were generated. Positive factor, such as the language of communication, existential factor, such as religion, and negative factors, such as the use of prayer houses and lack of women’s autonomy, were either positive or negative enablers influencing women’s use of maternal health services. Additionally, women's perceptions, such as their dependency on God and reliance on cultural norms were significant factors that influence the use of maternal health services. We also found that the use of herbal medicine was a negative enabler of women’s access to facility care. At the same time, family support was also a positive and a negative nurturer that could influence how women use facility care. Finally, factors such as religion, Ibegwu, and male child syndrome were negative nurturers influencing women’s contraceptive use. Conclusion Cultural and religious structures are significant factors that could promote or limit women’s use of maternal health services. Further studies are needed to understand culturally focused approaches to enhance women’s use of maternal health services in Nigeria.
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    Visible and invisible cultural patterns influencing women’s use of maternal health services among Igala women in Nigeria: a focused ethnographic study
    (BMC Public Health, 2025-01) Opara, Uchechi; Iheanacho, Peace Njideka; Petrucka, Pammla
    Background Explicit and implicit cultural patterns are critical cultural norms, beliefs, and practices that determine women’s health-seeking behaviour. These cultural patterns could limit women’s use of maternal health services, resulting in maternal health complications. The study aims to provide an in-depth understanding of explicit and implicit cultural patterns, their meanings and how they influence women’s use of maternal health services among Igala women in Nigeria. Methods Roper and Shapira’s (2000) focused ethnography was employed with 43 women aged 18–43 years recruited using the purposive and snowballing technique. The study was conducted with 21 women for one-on-one interviews and two focus group discussions with six women in the rural area and seven women in the urban area. In addition, participant observation of nine women from the third trimester to birth was conducted, yielding 189 h of observation in two primary healthcare facilities in rural and urban areas. Data analysis was conducted using Roper and Shapira’s (2000) method. Result Three themes were generated using the PEN3 cultural model: perceptions, enabler, and nurturers. Subthemes generated under the theme of perception were, Belief in witchcraft, Pregnancy announces itself, I cannot tell people I am in labour, and Unspoken acquiescence to the culture. Under the theme of nurturer, Home birth was found to limit access to maternal health services. The theme of enabler yielded subthemes such as You are not woman enough; I want my placenta and Rising matriarchs. Conclusion Implicit and explicit cultural patterns significantly influence women’s use of maternal health services. Given the complexity of culture and its influence on women’s use of maternal health services, multifaceted strategies tailored to the cultural needs of communities are needed to enhance the realization of Sustainable Development Goal #3:1 in Nigeria.