Caring behaviors and its associated factors among nurses and midwives working at public health hospitals in Ethiopia: a systematic review and meta-analysis
Abstract Background 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 id...
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| Format: | Article |
| Language: | English |
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BMC
2025-08-01
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| Series: | BMC Nursing |
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| Online Access: | https://doi.org/10.1186/s12912-025-03738-x |
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| author | Yabibal Asfaw Derso Alemu Birara Zemariam Aynalem Yetwale Hiwot Abraham Dessie Gessesse Melesse Abiye Munie Tegene Atamenta Kitaw Habtamu Hurisa Dadi Wagaw Abebe Gizachew Yilak Molla Azemeraw Befkad Derese Tilahun Molalign Aligaz Adisu |
| author_facet | Yabibal Asfaw Derso Alemu Birara Zemariam Aynalem Yetwale Hiwot Abraham Dessie Gessesse Melesse Abiye Munie Tegene Atamenta Kitaw Habtamu Hurisa Dadi Wagaw Abebe Gizachew Yilak Molla Azemeraw Befkad Derese Tilahun Molalign Aligaz Adisu |
| author_sort | Yabibal Asfaw Derso |
| collection | DOAJ |
| description | Abstract Background 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. Methods 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. Results 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. Conclusion 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. Protocol registration CRD42024614975. |
| format | Article |
| id | doaj-art-1551a9136c7c4f74ba3cf2be2e2aa741 |
| institution | Kabale University |
| issn | 1472-6955 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Nursing |
| spelling | doaj-art-1551a9136c7c4f74ba3cf2be2e2aa7412025-08-20T03:42:48ZengBMCBMC Nursing1472-69552025-08-0124111210.1186/s12912-025-03738-xCaring behaviors and its associated factors among nurses and midwives working at public health hospitals in Ethiopia: a systematic review and meta-analysisYabibal Asfaw Derso0Alemu Birara Zemariam1Aynalem Yetwale Hiwot2Abraham Dessie Gessesse3Melesse Abiye Munie4Tegene Atamenta Kitaw5Habtamu Hurisa Dadi6Wagaw Abebe7Gizachew Yilak8Molla Azemeraw9Befkad Derese Tilahun10Molalign Aligaz Adisu11Department of Surgical Nursing, College of Health Science, Woldia UniversityDepartment of Pediatric and Child Health Nursing, College of Health Science, Woldia UniversityDepartment of Clinical Midwifery, College of Health Science, Woldia UniversityDepartment of Pediatric and Child Health Nursing, College of Health Science, Woldia UniversityDepartment of Nursing, College of Health Science, Woldia UniversityDepartment of Nursing, College of Health Science, Woldia UniversityDepartment of Surgical Nursing, College of Health Science, Wolaita Sodo UniversityDepartment of Medical Laboratory, College of Health Science, Woldia UniversityDepartment of Nursing, College of Health Science, Woldia UniversityDepartment of Pediatric and Child Health Nursing, College of Health Science, Woldia UniversityDepartment of Nursing, College of Health Science, Woldia UniversityDepartment of Pediatric and Child Health Nursing, College of Health Science, Woldia UniversityAbstract Background 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. Methods 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. Results 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. Conclusion 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. Protocol registration CRD42024614975.https://doi.org/10.1186/s12912-025-03738-xNurseMidwivesCaring behaviorsAssociated factorsPublic healthEthiopia |
| spellingShingle | Yabibal Asfaw Derso Alemu Birara Zemariam Aynalem Yetwale Hiwot Abraham Dessie Gessesse Melesse Abiye Munie Tegene Atamenta Kitaw Habtamu Hurisa Dadi Wagaw Abebe Gizachew Yilak Molla Azemeraw Befkad Derese Tilahun Molalign Aligaz Adisu Caring behaviors and its associated factors among nurses and midwives working at public health hospitals in Ethiopia: a systematic review and meta-analysis BMC Nursing Nurse Midwives Caring behaviors Associated factors Public health Ethiopia |
| title | Caring behaviors and its associated factors among nurses and midwives working at public health hospitals in Ethiopia: a systematic review and meta-analysis |
| title_full | Caring behaviors and its associated factors among nurses and midwives working at public health hospitals in Ethiopia: a systematic review and meta-analysis |
| title_fullStr | Caring behaviors and its associated factors among nurses and midwives working at public health hospitals in Ethiopia: a systematic review and meta-analysis |
| title_full_unstemmed | Caring behaviors and its associated factors among nurses and midwives working at public health hospitals in Ethiopia: a systematic review and meta-analysis |
| title_short | Caring behaviors and its associated factors among nurses and midwives working at public health hospitals in Ethiopia: a systematic review and meta-analysis |
| title_sort | caring behaviors and its associated factors among nurses and midwives working at public health hospitals in ethiopia a systematic review and meta analysis |
| topic | Nurse Midwives Caring behaviors Associated factors Public health Ethiopia |
| url | https://doi.org/10.1186/s12912-025-03738-x |
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