5 results
Search Results
2. A Delphi survey of leadership attributes necessary for national nurse leaders' participation in health policy development: an East African perspective.
- Author
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Shariff, Nilufa Jivraj
- Subjects
COMMUNICATIVE competence ,DELPHI method ,TEST validity ,EXPERIMENTAL design ,INTERPERSONAL relations ,LEADERSHIP ,MANAGEMENT ,RESEARCH methodology ,HEALTH policy ,NURSES ,POLICY sciences ,QUESTIONNAIRES ,RESEARCH evaluation ,RESEARCH funding ,SELF-efficacy ,JUDGMENT sampling ,LEADERS ,THEMATIC analysis ,DESCRIPTIVE statistics - Abstract
Background: Nurses' involvement in health policy development ensures that health services are: safe, effective, available and inexpensive. Nursing history reveals several legendary nurse leaders who have influenced policy and the course of nursing and health care. In the recent times there have been concerns regarding the availability of effective leaders physically, symbolically and functionally at clinical, organizational and national levels, who can effectively influence health policy. Exerting influence in the policy arena requires that nurse leaders acquire attributes that enable them to be effective in policy development activity. This paper reports part of a larger study whose purpose included: “build consensus on leadership attributes necessary for nurse leaders' participation in health policy development in East Africa”. Method: A Delphi survey was utilized and included the following criteria: expert panelists, three iterative rounds, qualitative and quantitative analysis, and building consensus. The study included purposively selected sample of national nurse leaders (expert panelists) from the three East African countries of Kenya, Tanzania and Uganda. The study was conducted in three iterative rounds. Seventy eight (78) expert panelists were invited to participate in the study and 37 (47%) participated in the first round of these; 24 (64.8%) participated in the second round and all invited in the third round 24 (100%) participated. Data collection was done using questionnaires and collected qualitative and quantitative data. Data analysis was done utilizing the principles of qualitative analysis in the first round and descriptive statistics in the second and third rounds. Results: The study achieved consensus on the essential leadership attributes for nurse leaders' participation in health policy and include being able to: influence; communicate effectively; build relationships; feel empowered and demonstrate professional credibility. Conclusions: For nursing to participate in influencing the health policy and the health of the population, it will need to develop nurses with leadership attributes who are able to inspire change and influence the policy development process within the context where it exists. The leadership attributes identified in this study can be utilized to develop programmes geared to support nurses' participation in health policy activity. [ABSTRACT FROM AUTHOR]
- Published
- 2015
- Full Text
- View/download PDF
3. Interventions co-designed by healthcare providers and clients for improving therapeutic relationships in maternal and child healthcare: a pilot study using human centered design in rural Tanzania.
- Author
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Isangula, Kahabi, Pallangyo, Eunice S., and Ndirangu-Mugo, Eunice
- Subjects
MATERNAL-child health services ,PILOT projects ,OCCUPATIONAL achievement ,NURSING ,RURAL health services ,FOCUS groups ,NURSES' attitudes ,EMPATHY ,PROFESSIONS ,RESEARCH methodology ,RURAL nursing ,PATIENT-centered care ,INTERVIEWING ,EXECUTIVES ,NURSE-patient relationships ,HUMAN services programs ,QUALITATIVE research ,PATIENTS' attitudes ,DOCUMENTATION ,COMMUNICATION ,JOB satisfaction ,DESCRIPTIVE statistics ,RESEARCH funding ,LABOR discipline ,DATA analysis software ,THEMATIC analysis ,NURSING interventions - Abstract
Background: Research shows that poor provider–client interactions in maternity and child health (MCH) continue to affect health outcomes, service uptake, continuity of care, and trust in formal healthcare systems. Objective: The study's objective was to jointly create a prototype intervention package for enhancing nurse-client relationships using human centered design (HCD) approach. Methods: A five-step HCD methodology was used: (1) Community-driven discovery through qualitative descriptive research methods using 9 focus groups with nurses and clients and 12 key informant interviews with MCH administrators; (2) consultative ideation and co-creation meetings with 10 nurses, 10 clients, and 10 administrators to co-design a rough prototype model; (3) rough prototype validation through qualitative insight gathering using 6 FGDs with nurses and clients; (4) refinement and adaptation meetings with 14 nurses, 14 clients and 12 administrators; and (5) documentation and sharing of lessons learnt. Results: According to the community-driven research, poor service, a lack of concern, poor communication, a bad attitude, and unhappiness at work are the nurse factors that affect the relationships between nurses and their patients. Non-compliance with procedures, unfavorable attitudes, poor communication, low education, poverty, and faith in conventional healers were among the client-related factors. Inadequate funding, bad management techniques, improper policy execution, and a lack of an independent institution for handling complaints are the health system factors that affect nurse-client relationships. In response, three ideation and co-creating meetings resulted in 24 interventions. Seven (7) of these were rated as more acceptable and feasible in the local context and formed a rough prototype. During validation, there were some disagreements on the feasibility of curriculum and resource-related interventions. Refinement meetings resulted in a final prototype including four interventions: (i) promotion of patient-centred care; (ii) awards and recognition for nurses; (iii) strengthening complaints mechanisms and (iv) disciplinary measures for abusive nurses and clients. The lessons learnt have been shared through publications and institutional research meetings. Conclusions: HCD approach provides a novel entry point for providers and clients to examine the problems and design interventions for strengthening their therapeutic relationships in MCH care. Researchers, practitioners, and policy developers are welcome to consider the emerging prototype as it was deemed acceptable and potentially feasible in rural African contexts. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
4. The impact of facilitation in a problem-based pedagogy on self-directed learning readiness among nursing students: a quasi-experimental study in Tanzania.
- Author
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Millanzi, Walter C., Herman, Patricia Z., and Hussein, Mahamudu R.
- Subjects
PSYCHOLOGY of college students ,MEDICAL quality control ,NURSING ,SELF-Directed Learning Readiness Scale ,CONFIDENCE intervals ,RESEARCH evaluation ,CLINICAL trials ,RESEARCH methodology ,MULTIPLE regression analysis ,PROBLEM-based learning ,MEDICAL care costs ,CURRICULUM ,REGRESSION analysis ,BACCALAUREATE nursing education ,QUANTITATIVE research ,AUTODIDACTICISM ,COST benefit analysis ,SOCIOECONOMIC factors ,T-test (Statistics) ,PRE-tests & post-tests ,COMPARATIVE studies ,CRONBACH'S alpha ,DESCRIPTIVE statistics ,SCALE analysis (Psychology) ,CHI-squared test ,NURSING students ,NURSING ethics ,DATA analysis software ,ODDS ratio ,STATISTICAL sampling ,PROBABILITY theory - Abstract
Background: Self-directed learning is important in nursing as it is associated with improved clinical and moral competencies in providing quality and cost-effective care among people. However, unethical professional conduct demonstrated by some graduate nurses is linked with the way they are developed in schools alongside the content and pedagogies prescribed in nursing curricula. Pedagogical transformations appear to be inevitable to develop enthusiastic nursing students who can work independently in delivering quality and cost-effective nursing services to people. This study intended to examine the impact of facilitation in a problem-based pedagogy on self-directed learning readiness among undergraduate nursing students in Tanzania. Methods: A controlled quasi-experimental design was conducted in Tanzanian higher training institutions from January to April 2019. A 40-item Self-directed learning Readiness scale for nursing education adopted from previous studies measured self-directed learning and the Student A descriptive analysis via a Statistical Package for Social Sciences software program (version 23) was performed to establish nursing students' socio-demographic characteristics profiles. Independent samples t-test determined mean scores difference of self-directed learning readiness among nursing students between groups while regression analysis was performed to discriminate the effect of an intervention controlled with other co-related factors. Results: The post-test results of self-directed learning readiness showed that nursing students scored significantly higher [(M = 33.01 ± 13.17; t (399) = 2.335; 95%CI: 0.486,5.668)] in the intervention group than their counterparts in the control. Findings of SDL readiness subscales were significantly higher among students in the intervention including self-management [(M = 10.11 ± 4.09; t (399) = 1.354; 95%CI: 0.173,4.026)], interest learning [(M = 9.21 ± 2.39; t (399) = 1.189; 95%CI: 0.166,4.323)] and self-control [(M = 13.63 ± 5.05; t (399) = 2.335; 95%CI: 0.486,5.668)]. The probability of nursing students to demonstrate self-directed learning readiness was 1.291 more times higher when exposed to the intervention (AOR = 1.291, p < 0.05, 95%CI: 0.767, 2.173) than in the control. Conclusion: Facilitation in a problem-based pedagogy promises to change the spectrum of nursing learning habits potentially to their academic and professional achievements. Nurse tutors need to be empowered with it to prepare nursing students to meet their academic and professional potentials. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
5. Parents and nurses telling their stories: the perceived needs of parents caring for critically ill children at the Kilimanjaro Christian Medical Centre in Tanzania.
- Author
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Saria, Vivian Frank, Mselle, Lilian Teddy, and Siceloff, Birgit Anne
- Subjects
CAREGIVERS ,CHILD care ,HOSPITAL care of children ,CONTENT analysis ,CRITICAL care medicine ,CRITICALLY ill ,FAMILY medicine ,FOCUS groups ,HOSPITALS ,INTENSIVE care units ,RESEARCH methodology ,MEDICAL personnel ,NEEDS assessment ,NURSES ,NURSES' attitudes ,PSYCHOLOGY of parents ,PATIENTS ,RESEARCH funding ,VISITING the sick ,QUALITATIVE research ,JUDGMENT sampling ,SOCIAL support ,PARENT attitudes ,PATIENTS' families ,DESCRIPTIVE statistics ,CHILDREN - Abstract
Background: Parents have significant responsibility in the care of their critically ill children who have been admitted to the intensive care unit (ICU). When staying with their children in the hospital, they also have particular needs that should be adequately acknowledged and responded to by healthcare providers. Moreover, when their needs are not identified and addressed, parents may experience stress and anxiety as a result. This study describes the needs of parents caring for hospitalized critically ill children, as perceived by parents and nurses. Methods: This study used a descriptive qualitative research design. Five focus group discussions with nurses and parents of critically ill children, who were purposefully recruited, were conducted at the Kilimanjaro Christian Medical Centre Hospital. A qualitative content analysis guided the analysis of the data. Results: Two themes emerged from the perceptions of parents and nurses about the needs of parents caring for hospitalized critically ill children. These were: "engaging parents in the care of their children" and "receiving psychosocial support". Both parents and nurses identified the importance of providing adequate information about their children's progress, encouraging and involving parents in the care of their children and having flexible visiting time for parents was vital when caring for critically ill children. Conclusions: This study provides an in-depth understanding of parents' needs when caring for critically ill children in the hospital setting. Nurses caring for these children should understand the needs of parents and integrate the parents into the daily care of their children. Nurses should also continuously support, inform and engage parents during child-caring procedures. Finally, visiting times for intensive care units should be flexible and allow more time for parents to connect with their hospitalized children. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
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