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Research Article
Caring for the Carers: A Call to End Violence in Healthcare
Issue:
Volume 15, Issue 2, April 2026
Pages:
19-24
Received:
12 July 2025
Accepted:
18 August 2025
Published:
4 March 2026
Abstract: Healthcare workers enter the profession with purpose, compassion, and a drive to heal—but too often, we are met with workplace violence (WPV). Nurses and other frontline staff are five times more likely to be injured on the job than workers in other fields, yet incidents remain underreported and inadequately addressed. Drawing on both lived experience and existing literature, this paper highlights the profound personal, professional, and systemic consequences of WPV. Evidence shows that while tools exist to assess patient violence risk, few mechanisms support the staff who endure it. Survivors are frequently met with silence, blame, or institutional gaslighting instead of trauma-informed support. I share my own experience as a psychiatric nurse practitioner and advocate alongside data demonstrating the human and economic costs of WPV, including burnout, turnover, and billions in financial losses. Real change requires believing healthcare workers when they report violence, providing trauma-informed interventions, and enacting policies that ensure accountability and safety. Preventing violence and supporting staff is not optional—it is essential for sustaining a healthy workforce and safe, high-quality patient care.
Abstract: Healthcare workers enter the profession with purpose, compassion, and a drive to heal—but too often, we are met with workplace violence (WPV). Nurses and other frontline staff are five times more likely to be injured on the job than workers in other fields, yet incidents remain underreported and inadequately addressed. Drawing on both lived experie...
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Research Article
Attitude Towards Midwives and Utilization of Antenatal Care by Pregnant Women in Utan Community Attending Selected Health Centres in Jos North L.G.A.
Gaknung Bonji Kopdimma*
,
Nwachukwu Jennifer Chioma,
Sunday Jacob,
Oyedele Emmanuel Adetunji,
Tuamlong Tobias Agyo,
Goyit Samson Stephen
Issue:
Volume 15, Issue 2, April 2026
Pages:
25-34
Received:
18 November 2025
Accepted:
15 December 2025
Published:
16 March 2026
Abstract: Background: Antenatal care (ANC) is essential for promoting the health and well-being of mothers and their babies. Despite ongoing global efforts, ANC uptake remains below optimal levels in many parts of Nigeria. This study assessed the attitudes of pregnant women toward midwives and how these attitudes influence their use of ANC services in the Utan community, attending selected health centres in Jos North Local Government Area, Plateau State. A descriptive cross-sectional survey was carried out among 73 pregnant women aged 18 years and above. A structured questionnaire was used to collect from the participants who were selected through a multistage random sampling by first stratifying them into separate streets and using simple balloting to select a proportionate sample from each stratum, and the collected data were analyzed using SPSS version 27 at significant level of 0.05. Findings showed that most women expressed positive attitudes toward midwives, with 72.6% strongly agreeing that professional competence was the most important factor influencing their perception. ANC utilization was generally encouraging: 42.5% strongly agreed that they attended appointments regularly, and 41.1% reported that they consistently followed advice from midwives and attended routine health checks. Access to necessary tests and screenings was confirmed by 37.0% of respondents. However, only 23.3% strongly agreed that the ANC services they received fully met their needs, indicating gaps in service adequacy. Economic challenges (54%), transportation difficulties (57%), and long distances to health facilities (41%) were identified as major barriers to ANC utilization. There was no significant relationship between attitudes toward midwives and ANC use (X2 (Exact Test) = 2.749, df= 2, p= 0.239). Though pregnant women in the Utan community had a positive view towards midwives, financial and logistic barriers hinder their ANC attendance. There should be an Improved ANC services, expanded access, and an improved maternal health outcome at community level.
Abstract: Background: Antenatal care (ANC) is essential for promoting the health and well-being of mothers and their babies. Despite ongoing global efforts, ANC uptake remains below optimal levels in many parts of Nigeria. This study assessed the attitudes of pregnant women toward midwives and how these attitudes influence their use of ANC services in the Ut...
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Review Article
Age-specific Nursing Management for Sodium Taurocholate Cotransporting Polypeptide Deficiency:
A Narrative Review
Issue:
Volume 15, Issue 2, April 2026
Pages:
35-43
Received:
19 March 2026
Accepted:
3 April 2026
Published:
23 April 2026
DOI:
10.11648/j.ajns.20261502.13
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Abstract: Background: Sodium taurocholate cotransporting polypeptide (NTCP) deficiency (NTCPD) is a rare hereditary bile acid metabolism disorder caused by mutations in the SLC10A1 gene. Patients exhibit distinct clinical phenotypes across developmental stages, including neonatal cholestatic jaundice and hyperbilirubinemia, toddler-onset pruritus, school-age vitamin D insufficiency, and adult asymptomatic hypercholanemia or intrahepatic cholestasis of pregnancy. High symptom heterogeneity, frequent diagnostic delays, and the absence of standardized age-specific nursing protocols present significant challenges in clinical management. Purpose: This review aims to describe the clinical characteristics and nursing needs of NTCPD patients across the lifespan and to propose a practical, age-specific nursing management framework. Methods: A systematic literature search was conducted across PubMed, CINAHL, Embase, and CNKI in 2025 with no restriction on publication start date; 38 references were ultimately included from 312 initial records, supplemented by evidence from analogous cholestatic conditions where NTCPD-specific data were unavailable. Conclusions: An age-specific nursing management framework covering four developmental stages, with core components encompassing dynamic monitoring of bile acids and fat-soluble vitamins, individualized nutritional support, structured family health education, and caregiver psychological screening. This framework provides a theoretical basis for improving family caregiving capacity and optimizing patient outcomes, while highlighting the urgent need for prospective, multi-center research and the development of NTCPD-specific nursing guideline.
Abstract: Background: Sodium taurocholate cotransporting polypeptide (NTCP) deficiency (NTCPD) is a rare hereditary bile acid metabolism disorder caused by mutations in the SLC10A1 gene. Patients exhibit distinct clinical phenotypes across developmental stages, including neonatal cholestatic jaundice and hyperbilirubinemia, toddler-onset pruritus, school-age...
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