a b s t r a c tBackground: Utilization of the nursing process in many low and middle income countries has been a challenge. In Kenya, nursing process was modified to operationalize its implementation and hence the name ''Kenya-Nursing Process (Kenya-NP)''. Purpose: The authors aim to publicize their experiences in mainstreaming nursing process in clinical settings in Kenya. Methodology: The Harris et al. (2012), Health Promotion Research Center dissemination framework has been used in mainstreaming Kenya-NP since the year 2010. Mainstreaming Kenya-NP involves two-weeks of training in theory followed by two months of supervised practice and a practical assessment. A certificate of competence is awarded to those who pass according to the set criteria. Results: Preliminary results indicate a positive change of attitude towards the nursing process among nurses and students. Mainstreaming nursing process has been strengthened by its adoption as the official framework for nursing practice in Kenya. Reports from the health sector reforms supervisory visits indicate some improvement in the quality of nursing care in hospitals that implement Kenya-NP especially in documentation. Significance: The authors anticipate that this article will be significant to nurse clinicians, educators and administrators who experience challenges in implementing nursing process in their countries. Additionally, nurse scholars could be interested in trying the modifications made in the structure and phases of the nursing process as well as administrative and policy integration used in mainstreaming the Kenya-NP to provoke further research. Conclusion: It is possible to mainstream a contextualized nursing process in clinical settings using a relevant knowledge dissemination framework.
Objective:The survival rate for children with leukemia has increased dramatically since the late 1990s; treatment effects of the disease can be extremely stressful for families. Research on psychological and socioeconomic effects of leukemia treatment had been conducted in Western countries, but little is known within Africa including Kenya.Methods:This was a cross-sectional study with a sample of 62 out of 72 parents of children undergoing leukemia treatment at Kenyatta National Hospital. Data were collected between May and August 2015 using structured questionnaires while qualitative data were collected using focus group discussions. This manuscript is based on quantitative data which were entered into EpiData version 3.1 and analyzed using SPSS version 20. Psychological distress index was created by counting the number of psychological experiences reported by respondents. Kendall's tau-b was used to test the association between the psychological distress index and socioeconomic characteristics; P ≤ 0.05 was considered statistically significant.Results:The respondents experienced anxiety, shock, and fatigue. Spending a higher proportion of family's income was associated with higher psychological distress index (P = 0.009). The economic challenge led to significantly heightened tension in the family (P = 0.021).Conclusions:Financial challenge is a major cause of psychological distress thus needs for financial support through collaboration with government institutions, for example, NHIF, development agencies, and nongovernment organization who can contribute toward the treatment cost. Need to decentralize effective leukemia treatment centers. Psychological support and counseling should be done to alleviate tension. The nurse needs to be empathetic when caring for the child and family as well as to apply the ethical principles of justice and beneficence so that the child gets the best care despite the financial challenge.
Abstract:Intimate Partner Violence (IPV) constitute physical, sexual, social or psychological harm by a current or former partner or spouse. Many researchers have observed that intimate partner violence is directly associated with negative maternal and neonatal health outcomes. The purpose of this study was to assess nurse's perception on non-disclosure of IPV by pregnant women. A mixed method was used to collect both quantitative and qualitative data. A demographic questionnaire was used to collect demographic data and a Likert scale was used to collect quantitative data. A structured interview schedule was used to gather qualitative data. 125 nurses and midwives were voluntarily recruited for this study. The results of this study showed that 52% (n=65) of the respondents had worked for more than 12 years and a majority (62.6%, n=77) were community health nurses. The nurses perceived that non-disclosure of IPV by pregnant was because of various barriers. Majority (n=86, 69.9%) agreed that the reason why they did not disclose IPV was because the abused survivor would still stay with the abuser after disclosure, and 66.7% (n=82) agreed that stigmatizing attitudes towards the IPV survivors from the society prevented disclosure. About 65.3% of the respondents agreed that survivors are not aware of their rights in regard to IPV reporting and that survivor's view IPV abuse as normal. The results from this study point to the need of addressing barriers that emanate from the survivors of IPV themselves if IPV screening is to be achieved.
To explore structure and process factors which influence patients' perception of quality inpatient psychiatric nursing care at Mathari hospital. This was a cross-sectional study of 236 inpatients selected by stratified random sampling. Competence to give consent was determined by a minimum score of 24 on Mini Mental State Examination. Patients were interviewed using a semi-structured questionnaire. Differences in proportions of variables were determined by calculating confidence interval and summary chi-squared statistics. P-values of < or =0.05 were considered significant. Majority of patients (87%) were aged 20-49 years with 43% having stayed in the ward for over a month. Structure factors related to patients' perception of care included physical environment, being happy with the way the ward looked was significantly related to satisfaction with care (chi(2) = 5.506, P = 0002). Process factors significantly related to patients' satisfaction with care included nurses providing patients with information on prescribed medicines (chi(2) = 10.50, P = 00012). Satisfaction with care was positively related to ability to recommend someone for admission in the same ward (chi(2) = 20.2, P = 00001). Structure and process factors identified as influencing patients' perception of care were physical environment and nurses' qualities that fit within the characteristics of Peplau's Interpersonal Relations Theory.
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