Abebe Moges Tadesse, Zeleke Agerie Mengistie, Ferede Yeshiwas Ayale, Gonete Yosef Aragaw, Tassew Worku Chekol
Department of Pediatric and Child Health Nursing, College of Health Science, Debark University, Debark, Ethiopia.
Department of Clinical Midwifery, College of Health Science, Debark University, Debark, Ethiopia.
BMC Nurs. 2025 Jan 27;24(1):95. doi: 10.1186/s12912-025-02713-w.
A higher level of nursing professionalism improves autonomy among nurses, the quality of nursing care, and patient outcomes. However, inconsistent findings on the prevalence of nursing professionalism and associated factors have been reported among studies conducted in Ethiopia, and a meta-analysis of pooled results have not been performed. Therefore, the aim of this systematic review and meta-analysis was to determine the pooled prevalence of higher levels of nursing professionalism and factors associated with it.
PubMed, Science Direct, HINARI, African Journals Online, Google Scholar, and university online institutional repositories in Ethiopia were accessed from 15/10/2024-30/10/2024. The items were assessed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The quality of the included studies was assessed via the Newcastle-Ottawa Scale. Cross-sectional studies were included without time period limits. Data extraction was conducted via Microsoft Excel and analyzed with STATA 17. The Galbraith plot, I statistic and meta-regression were used to determine heterogeneity. We used a random effects model in the presence of heterogeneity. Publication bias was assessed via funnel plots and Egger's based regression. We also computed a sensitivity analysis and subgroup analysis by sample size and study period.
Twelve primary studies involving 3710 nurses were included in this systematic review and meta-analysis. The pooled prevalence of higher levels of nursing professionalism was 43%. Bachelor's degree and above educational status (POR: 1.80, CI: 1.38, 2.33), learning from government colleges (POR: 2.14, CI: 1.34, 3.42), better payment (POR: 1.85, CI: 1.16, 2.98), long years of work experience (POR: 2.15, CI: 1.73, 2.68), positive self-image (POR: 3.85, CI: 2.17, 6.84), job satisfaction (POR: 2.42, CI: 1.49, 3.95) and training opportunities (POR: 2.88, CI: 1.14, 7.32) were factors that determined higher levels of nursing professionalism in Ethiopia.
The pooled prevalence of higher levels of nursing professionalism in Ethiopia was low. Educational status, and attending college, payment, work experience, self-image, job satisfaction, and training were factors that determined the level of professionalism. These factors can be modified to increase the level of nursing professionalism in Ethiopia.
更高水平的护理专业素养可提高护士的自主性、护理质量及患者预后。然而，埃塞俄比亚开展的研究中关于护理专业素养的患病率及相关因素的研究结果并不一致，且尚未进行汇总结果的荟萃分析。因此，本系统评价和荟萃分析的目的是确定更高水平护理专业素养的汇总患病率及其相关因素。
于2024年10月15日至2024年10月30日访问了PubMed、Science Direct、HINARI、非洲期刊在线、谷歌学术以及埃塞俄比亚各大学的在线机构知识库。根据系统评价和荟萃分析的首选报告项目指南对条目进行评估。通过纽卡斯尔-渥太华量表评估纳入研究的质量。纳入无时间限制的横断面研究。通过Microsoft Excel进行数据提取，并使用STATA 17进行分析。使用加尔布雷斯图、I统计量和元回归来确定异质性。在存在异质性的情况下，我们使用随机效应模型。通过漏斗图和基于埃格的回归评估发表偏倚。我们还按样本量和研究时期进行了敏感性分析和亚组分析。
本系统评价和荟萃分析纳入了12项涉及3710名护士的原始研究。更高水平护理专业素养的汇总患病率为43%。本科及以上学历（比值比：1.80，可信区间：1.38，2.33）、在政府院校学习（比值比：2.14，可信区间：1.34，3.42）、薪酬更高（比值比：1.85，可信区间：1.16，2.98）、工作年限长（比值比：2.15，可信区间：1.73，2.68）、积极的自我形象（比值比：3.85，可信区间：2.17，6.84）、工作满意度（比值比：2.42，可信区间：1.49，3.95）和培训机会（比值比：2.88，可信区间：1.14，7.32）是决定埃塞俄比亚更高水平护理专业素养的因素。
埃塞俄比亚更高水平护理专业素养的汇总患病率较低。教育程度以及就读院校、薪酬、工作经验、自我形象、工作满意度和培训是决定专业素养水平的因素。可对这些因素进行调整，以提高埃塞俄比亚护理专业素养的水平。
