Derso Yabibal Asfaw, Zemariam Alemu Birara, Hiwot Aynalem Yetwale, Gessesse Abraham Dessie, Munie Melesse Abiye, Kitaw Tegene Atamenta, Dadi Habtamu Hurisa, Abebe Wagaw, Yilak Gizachew, Azemeraw Molla, Tilahun Befkad Derese, Adisu Molalign Aligaz
Department of Surgical Nursing, College of Health Science, Woldia University, Woldia, Ethiopia.
Department of Pediatric and Child Health Nursing, College of Health Science, Woldia University, Woldia, Ethiopia.
BMC Nurs. 2025 Aug 13;24(1):1065. doi: 10.1186/s12912-025-03738-x.
Caring behaviors among nurses and midwives are essential for quality patient care, yet factors influencing these behaviors in Ethiopian public hospitals remain poorly understood. This systematic review and meta-analysis aimed to determine the prevalence of caring behaviors and identify associated factors among Ethiopian nurses and midwives.
We searched five electronic databases (MEDLINE, Scopus, Web of Science, Cochrane Library, Hinari) and grey literature sources. Studies were included if they examined caring behaviors among nurses/midwives in Ethiopian public hospitals. Two independent reviewers were involved in the study selection, data extraction, and quality assessment, resolving discrepancies by the inclusion of a third reviewer. Meta-analysis was conducted using random-effects models, with heterogeneity assessed using I² statistics.
Seven cross-sectional studies involving 2,410 nurses and midwives across four Ethiopian regions(List the regions) were included. The pooled proportion of caring behaviors was 66.14% (95% CI: 58.26-74.01%) with substantial heterogeneity (I² = 94.45%). Job satisfaction (AOR = 1.84, 95% CI: 1.48-2.21), positive coworker relationships (AOR = 2.98, 95% CI: 1.80-4.17), and manageable workloads (AOR = 2.73, 95% CI: 1.44-4.02) were significantly associated with caring behaviors.
Approximately two-thirds of Ethiopian nurses and midwives demonstrate caring behaviors, with significant variation between studies. Workplace factors including job satisfaction, collegial relationships, and workload management appear important for caring behavior. However, the limited evidence base and high heterogeneity indicate need for more comprehensive research before definitive policy recommendations.
CRD42024614975.
护士和助产士的关怀行为对于优质的患者护理至关重要，但埃塞俄比亚公立医院中影响这些行为的因素仍知之甚少。本系统评价和荟萃分析旨在确定埃塞俄比亚护士和助产士关怀行为的患病率，并确定相关因素。
我们检索了五个电子数据库（MEDLINE、Scopus、Web of Science、Cochrane图书馆、Hinari）和灰色文献来源。如果研究考察了埃塞俄比亚公立医院护士/助产士的关怀行为，则纳入研究。两名独立的评审员参与了研究选择、数据提取和质量评估，通过纳入第三名评审员解决分歧。使用随机效应模型进行荟萃分析，使用I²统计量评估异质性。
纳入了涉及埃塞俄比亚四个地区（列出地区）的2410名护士和助产士的七项横断面研究。关怀行为的合并比例为66.14%（95%CI：58.26-74.01%），存在显著异质性（I²=94.45%）。工作满意度（AOR=1.84，95%CI：1.48-2.21）、积极的同事关系（AOR=2.98，95%CI：1.80-4.17）和可管理的工作量（AOR=2.73，95%CI：1.44-4.02）与关怀行为显著相关。
约三分之二的埃塞俄比亚护士和助产士表现出关怀行为，不同研究之间存在显著差异。包括工作满意度、同事关系和工作量管理在内的工作场所因素似乎对关怀行为很重要。然而，证据基础有限且异质性高表明，在提出明确的政策建议之前，需要进行更全面的研究。
CRD42024614975。
