Browsing by Author "Shidende, Paul"

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    Healthcare providers’ utilization of nonpharmacological methods in managing labor pain: an integrative review
    (Pain management nursing, 2024-06-13) Haruna, Tausi S.; Shidende, Paul
    Background The management of labor pain is a critical aspect of maternal care, with implications for the well-being of both the mother and the newborn. Nonpharmacological pain management (NPPM) offers a safe and more accessible option to labor pain management in African healthcare settings. Objective This review aims to determine the facilitators of and barriers to using NPPM during labor among healthcare professionals (HCPs) in Africa. Methods This integrative review was done using articles that focused on NPPM and published between 2013 and 2023. Databases searched include PubMed, CINAHL, SCOPUS, and EMBASE. Content analysis was done independently by two reviewers using inductive coding to generate categories. Findings Three main themes emerged: Perceived barriers to the utilization of NPPM among HCPs, categories that emerged under this theme include lack of training, resource limitation, lack of priority, cultural norms and beliefs, and lack of awareness. The second theme is potential facilitators to the utilization of NPPM among HCP, the categories generated include healthcare provider’ knowledge, positive attitude of healthcare providers, family support, infrastructure/working environment, experiences of HCPs, and client preferences. The third theme that emerged is the most utilized methods of NPPM among HCPs, with back massage and psychological support being the most used, whereas music and exercise were the least NPPM methods used by HCPs.
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    Overcoming cultural barriers to managing labor pain among Tanzanian women using non-pharmacological interventions
    (Pain Management Nursing, 2025-06-03) Shidende, Paul; Msenga, Ummy
    Managing labor pain effectively is crucial for ensuring positive maternal health outcomes. In Tanzania, cultural barriers often hinder the acceptance and utilization of non-pharmacological pain management interventions. Aim This clinical consultation explored strategies for overcoming these cultural barriers to improve labor pain management among Tanzanian women using non-pharmacological interventions. A comprehensive literature review of existing research on non-pharmacological pain management techniques and cultural influences on pain perception and management was conducted, and an observed case study regarding the need to utilize nonpharmacological pain management interventions was also added. Results Studies indicated that non-pharmacological interventions such as massage, breathing techniques, and relaxation methods are effective and can be culturally adapted to fit Tanzanian women's beliefs and practices. Key barriers to using these interventions include lack of awareness, limited access to training for healthcare providers, and cultural stigmas associated with pain expression. Successful strategies to overcome these barriers involve community education, involvement of traditional birth attendants, training healthcare providers in cultural competence, and engaging community leaders and family members. Future research should explore the cultural adaptation and effectiveness of these interventions to ensure their sustainable integration into maternal care practices in countries with limited resources.