Evidence map›Paper›PMID 40050847›Full record

ArticleBMC medical education2025

Development of a training programme to improve health literacy and respectful compassionate care competencies among undergraduate student nurses: a quantitative study.

Paulo L Kidayi, Eyeshope J Dausen, Menti Ndile, Jane Sixsmith, Zuhura M Mawona, Karin Berntsen, Saturini E Manangwa, Joya M Smit, Jane Rogathi, Janine de Zeeuw

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Article in BMC medical education, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Paulo L KidayiFaculty of Nursing, Kilimanjaro Christian Medical University College, P.O.Box 2240, Moshi, Kilimanjaro, United Republic of Tanzania. paulo.kidayi@kcmuco.ac.tz.
Eyeshope J DausenDepartment of Clinical Nursing, Catholic University of Health and Allied Sciences, P.O.Box 1464, Mwanza, United Republic of Tanzania.
Menti NdileDepartment of Clinical Nursing, Muhimbili University of Health and Allied Sciences, P.O Box 65004, Dar es Salaam, Tanzania.
Jane SixsmithHealth Promotion Research Centre, University of Galway, University Road, Galway, H91 TK33, Ireland.
Zuhura M MawonaMuhimbili National Hospital, P.O Box 65000, Dar es Salaam, Tanzania.
Karin BerntsenDepartment of Nursing - and Health Sciences, University of South-Eastern Norway, Kjølnes Ring 56, Porsgrunn, 3918, Norway.
Saturini E ManangwaDepartment of Nursing and Midwifery Services, Ministry of Health, P. O. Box 743, Dodoma, Tanzania.
Joya M SmitSchool of Nursing, Hanze University of Applied Sciences, Groningen, The Netherlands.
Jane RogathiFaculty of Nursing, Kilimanjaro Christian Medical University College, P.O.Box 2240, Moshi, Kilimanjaro, United Republic of Tanzania.
Janine de ZeeuwDepartment of Health Sciences, Global Health Unit, University Medical Center Groningen, Hanzeplein 1, Groningen, 9700 RB, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTanzania has embarked on health service developments advancing the quality of respectful and compassionate nursing care provision through training in health literacy and respectful and compassionate care. The undergraduate nursing program, while technically sound is inadequate in these areas. Through an EU + funded collaborative partnership between universities in Europe and Tanzania with associated training hospitals, modules in the topic areas were developed, implemented, and clinical learning environments assessed. The study aim was to ascertain the development of compassionate and respectful nursing care and health literacy competencies of undergraduate nursing students in Tanzania following completion of an education program. A secondary aim was to evaluate the suitability and capacity of the clinical learning environment to optimize the learning process for student nurses undertaking the program.

methodsA pragmatic approach was used, drawing on formative evaluation through the phased development and implementation of an education program for undergraduate student nurses using a pretest-posttest design. A questionnaire survey was undertaken with student nurses (n = 151) in three Tanzanian universities before and after the education program was delivered.

resultsNursing students' knowledge, skills and attitudes related to Health Literacy all showed statistically significant improvement two weeks after the education program. For Respectful and Compassionate Care, no statistically significant difference was found. In the referral hospitals clinical learning environments, nursing students rated the overall subcategory "Satisfaction" at 41,6% on Strongly Agree/Agree.

conclusionsThe development and implementation of an education program for undergraduate nursing students in Tanzania resulted in improved health literacy competencies. However, it did not produce the same outcome in competency development for respectful and compassionate care. Active inclusion and integration of respectful and compassionate care into the hospital setting with development of the learning environment can facilitate nurse's competency development. Supportive clinical learning environment boost students in their learning process.

Indexed as

Clinical CompetenceEducation, Nursing, BaccalaureateEmpathyHealth LiteracyStudents, NursingAdultCurriculumFemaleHealth Knowledge, Attitudes, PracticeHumansMaleProgram DevelopmentRespectSurveys and QuestionnairesTanzaniaYoung AdultCompassionate careCompetency based educationHealth literacyNursing educationRespectful

Identifiers

PMID40050847
PMCPMC11887184

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.