Yayeh Melesse Belayneh, Dinkayehu Temesgien Ergetie, Endrias Eshetu Elfios, Assegie Mastewal Tamiru
Department of Public Health, School of Public Health, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, Ethiopia.
Department of Psychiatry, School of Medicine, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
BMC Health Serv Res. 2025 May 27;25(1):756. doi: 10.1186/s12913-025-12916-1.
Caring behaviors among nurses have positive and negative impacts on patient care quality and the essence of nursing leadership paradigms. Most studies on caring behavior among nurses in Ethiopia have reported inconsistent findings and are regionally dispersed. It is believed that combining regional evidence to obtain nationally representative information could help program implementers. Therefore, the objective of this review was to estimate the pooled prevalence of caring behaviors and associated factors among nurses working in Ethiopia.
PubMed, Scopus, Web of Science, EMBASE, Science Direct and African Journals Online were used to search for relevant studies. Additionally, studies were identified through manual reference searches. Data extraction was performed using Microsoft Excel, and analysis was conducted using STATA software V. 18. Funnel plots, Egger's test, and meta-regression were employed to assess publication bias. Heterogeneity (I²) and the overall estimate were calculated. Subgroup analysis was conducted based on study region and publication year. The pooled odds ratio was calculated for the main factors associated with caregiving behavior.
A total of 7 studies were included that involved 2,206 nursing professionals. According to the random effects model, the pooled prevalence of good care behavior was 63% (95% CI: 55%, 72%) among nurses. According to the subgroup analysis, the highest prevalence was observed in the Oromia region (80.3%), and studies with a sample size of 300 had a higher prevalence of 52% caring behavior. Higher professional satisfaction (AOR = 1.84; 95% CI 1.41, 2.27), higher job satisfaction (AOR = 3.04; 95% CI 1.13, 4.94), a low workload (OR = 3.14; 95% CI 2.04, 4.25) and good relationships with coworkers (AOR = 4.72; 95% CI 1.57, 7.87) were factors associated with caring behaviors among nurses working in Ethiopia.
Caring behavior among nurses is moderately good, with professional satisfaction, job satisfaction, low workload, and good relationships with workers that affect the caring behaviors among nurses working in Ethiopia. Strategies must be designed to improve satisfaction packages to improve caring behavior among nurses and ultimately improve the quality of nursing care.
The PROSPERO registration number is CRD42024570781.
护士的关怀行为对患者护理质量以及护理领导模式的本质有着积极和消极的影响。埃塞俄比亚关于护士关怀行为的大多数研究报告结果不一致，且在地区上分布分散。人们认为，整合区域证据以获取具有全国代表性的信息可能会对项目实施者有所帮助。因此，本综述的目的是估计埃塞俄比亚护士关怀行为的合并患病率及其相关因素。
使用PubMed、Scopus、科学网、EMBASE、Science Direct和非洲期刊在线数据库搜索相关研究。此外，通过手动参考文献搜索来识别研究。使用Microsoft Excel进行数据提取，并使用STATA软件V. 18进行分析。采用漏斗图、Egger检验和元回归来评估发表偏倚。计算异质性（I²）和总体估计值。根据研究地区和发表年份进行亚组分析。计算与护理行为相关的主要因素的合并比值比。
共纳入7项研究，涉及2206名护理专业人员。根据随机效应模型，护士中良好护理行为的合并患病率为63%（95%置信区间：55%，72%）。根据亚组分析，奥罗米亚地区的患病率最高（80.3%），样本量为300的研究中关怀行为的患病率较高，为52%。较高的职业满意度（调整后比值比[AOR]=1.84；95%置信区间1.41，2.27）、较高的工作满意度（AOR=3.04；95%置信区间1.13，4.94）、低工作量（比值比[OR]=3.14；95%置信区间2.04，4.25）以及与同事的良好关系（AOR=4.72；95%置信区间）是埃塞俄比亚护士关怀行为的相关因素。
护士的关怀行为中等良好，职业满意度、工作满意度、低工作量以及与同事的良好关系会影响埃塞俄比亚护士的关怀行为。必须设计策略来改善满意度套餐，以提高护士的关怀行为，最终提高护理质量。
PROSPERO注册号为CRD42024570781。
