Department of Nursing Collections
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Item WORK-RELATED MUSCULOSKELETAL DISORDERS FROM GENDER PERSPECTIVE AMONG STAFF OF BISHOP STUART UNIVERSITY(Bishop Stuart University, 2023) Alex, Ogbe; Kazibwe, Francis; Anne, Otwine TweheyoIn this work, various work-related musculoskeletal disorders were conscientiously studied from a gender perspective among the staff of Bishop Stuart University. A total of 112 staff members consented to participate in the study. 62 were females and 50 were males. The majority of our participants were within the age range of 30-39. The academic staff were 68 and the non-academic staff were 44. The Krejcie and Morgan Table of 1970 was used to determine the sample size. The supporting staff members, visiting lecturers, and part-time staff were excluded from the study. The study was cross sectional and the tool of data collection was Self structured, validated questionnaire. The data collection exercise lasted for 6 weeks, after which the collected data were analysed with SPSS version 25. The results revealed Low back pain, blurred vision, upper back pain, neck pain and shoulder/wrist pain were the common work-related musculoskeletal disorders suffered by the staff members. The study findings revealed that more male academic staff members suffered from work-related musculoskeletal disorders than their female counterparts. Conversely, the result of the study showed also that among the non academic staff, there were more female sufferers of work-related musculoskeletal disorders than their male counterparts. Nevertheless, it was also noted that there was a concatenation of factors among other things that brought about the work-related musculoskeletal disorders, among staff members judging from Ergonomics standpoint. Such concatenation of factors was poor ergonomic knowledge application at workstation practices, lack of orientation on ergonomics, ergonomically designed working environment, etc.Item KNOWLEDGE AND PRACTICES OF NURSING STUDENTS TOWARDS KANGAROO MOTHER CARE (KMC) AMONG TWO SELECTED NURSING INSTITUTIONS IN MBARARA MUNICIPALITY. A CROSS-SECTIONAL DESCRIPTIVE STUDY.(Student’s Journal of Health Research Africa, 2023-06) Lukowe, Hadijah; Andrew, NatwijukaBackground: Globally 25 million infants (17%) are born with a low birth weight (LBW) and most of these occur in low-income countries. LBW infants suffer from high rates of morbidity and mortality. Therefore, low-income countries have recognized kangaroo mother care (KMC) as a necessity to promote positive neonatal health under adverse conditions. Methods: A cross-sectional study was conducted using a quantitative approach. A total of three hundred twenty-six (326) nursing students participated in the study and they were selected by simple random sampling method. Data were collected through self-administered questionnaires. Data were checked for completeness, cleaned, and entered in SPSS for further analysis. Data analysis was conducted by using descriptive statistics and a chi-square test to show the association between variables. Results: Three hundred nineteen (319) fully completed the study, yielding a response rate of 97.8%. The ma jority of subjects were aged between 24 to 29 years (34.8%), belonged to the protestant religion (40.8%) and there were more females (56.4%). The majority of the nursing students were pursuing a certificate level of Ugandan education (29.5%) and most of them had two years of studying (52.6%). students in the second year (49.2%) had the highest percentage of nursing students with good to excellent knowl edge as compared to the rest. Characters of age (P value=0.001), religion (P value=0.000) course of study (P value=0.000), and year of study (P value=0.007) were found significant with knowledge of nursing students on KMC. Recommendations: It is crucial to establish suitable guidelines and a specialized Kangaroo Mother Care unit in all health facilities in Uganda. Conclusion: The general level of knowledge and behavior toward KMC was deemed adequateItem Enrollment and retention of female sex workers in HIV care in health facilities in Mbarara city(2023) Arinaitwe, Bridget; Ariho, Philbert; Naturinda, Christine Hilda; Byoleko, Brian; Base, Anitah; Atwijukiire, Humphrey; Matavu, Hariat; Kabami, Jane; Obua, Celestine; Wakida, Edith K.; Otwine, AnneBackground: Sex work is a global driver of the HIV epidemic, and the risk of acquiring HIV is 13 times higher for female sex workers (FSWs) compared to the general population. The enrollment and retention of FSWs in HIV care is a challenge and has been a major contributing factor to increased new HIV infections. Methods: We conducted a qualitative study among 30 FSWs and 21 healthcare workers (HCWs) working in antiretroviral therapy (ART) clinics at the selected three primary health facilities in Mbarara City, Southwestern Uganda. The study participants were enrolled by both purposive and snowball sampling techniques. We obtained informed consent from all the participants, and data were collected using in-depth interviews and thematically analyzed. Results: Three themes emerged as facilitators toward enrollment and retention of FSWs into HIV care, namely, (1) good health living, (2) receptive HCWs and availability of health services, and (3) community outreach services and peer support. The barriers are summarized into four major themes: (1) stigma, community discrimination, and beliefs; (2) social obstacles; (3) adverse effects of ART; and (4) inadequate services at the health facilities. Conclusion: FSWs are challenged by unsupportive environments and communities where they live and work, which hinders their enrollment and retention in HIV care. Creating awareness of the utilization of HIV care services and extending such services to hotspot communities could enhance the response of HIV-positive FSWs to ARTItem Providing education and tools increases nurses’ and midwives’ assessment for puerperal sepsis in a regional referral hospital in South Western Uganda(Elsevier, 2022) Rachel, Luwaga; Esther, Beebwa; Joseph, Ngonzi; Timothy, Nduhukire; Laura, BrennamanBackground: Puerperal sepsis causes at least 75,000 maternal deaths every year, mostly in low-income countries. Early identification of sepsis and initiation of sepsis care bundles are crucial the survival of patients. Education about the surviving sepsis campaign guidelines is critical for nurses to understand the indicators for sepsis that inform accurate screening and initiation of life-saving interventions. We sought to establish the effect of an education intervention and implementation of screening tools on maternal sepsis screening in a Regional Referral hospital in South Western Uganda. Methods: A pretest–posttest quasi-experimental study design was employed to determine the change in the level of knowledge regarding sepsis among a purposively selected sample of 16 midwives and 2 intern nurses. Translation of knowledge to practice was determined by pre-intervention retrospective chart review and post intervention evaluation of the maternal sepsis screening. The statistically significant change in knowledge and practice following the educational intervention was determined by Paired t-tests and Chi-square tests using SPSS version 16. Results: There was an improvement in knowledge scores post the educational intervention from a mean score of 5.78 to 7.13. There was a statistically significant difference in the documentation of vital signs observed between the retrospective chart review and the screening done after the education intervention. Conclusion: This study demonstrated that the provision of education and sepsis screening tools created an in cremental improvement in puerperal sepsis screening which is an important step toward reducing maternal mortality.Item Socio-Economic Factors Hindering Utilization of Insecticide Treated Nets in Households with Children under Five Years of Age in Rwentuha Town Council, Bushenyi District, Uganda(International Journal of Scientific Research and Engineering Development, 2022-02) Francis, Kazibwe; Abel, TumushabeInsecticide treated nets (ITNs) are the powerful tools used in prevention of malaria and this has attracted Government of Uganda to distribute free ITNs at household level using its village health facilities. Despite the distribution of free ITNs, there have been cases of malaria among children under five years of age. This makes the basis for examining the socio-economic factors hindering the utilization of the ITNs among such children in Rwentuha Town Council, Bushenyi District. The study used a cross-sectional design, employing quantitative method for data collection and analysis. Data was checked for competences and analyzed using STATA version 13 to generate both descriptive and inferential statistics using a binary regression analysis. The study found that education levels significantly hinder utilization of ITNs since its P<0.05 (P = .030). It was also found that, the household size (P=.008); the seasons where participants were not using ITNs (P=.011) and the lighting system (P= .021) were also significant factors that could hinder the utilization of ITNs. The study affirms that there are socio economic factors hindering utilization of insecticide in Rwentuha Town Council. These factors vary from household to another and hinder utilization differently which has made malaria persistent among the under five. The study recommends that plans be made to increase the number of free ITNs distributed to all households, increase in community education and public awareness on ITNs useItem An Assessment of the Socio-Demographic Factors Affecting Utilization of Focused Antenatal Care at Mbaare Health Centre III Isingiro District, Uganda(Bishop Stuart University, 2020) Akankwasa, J; Atukunda, G; Waswa, B.LBackground: Focused Antenatal care is an effective health intervention for averting maternal morbidity and mortality. Although there has been progressed improvement in antenatal care and access in Uganda, the use of FANC services remains low. The study was on the assessment of the factors affecting utilization of focused antenatal care at Mbaare Health Centre III Isingiro District. The specific objectives were to; determine socio-demographic, cultural behavioral, and health facility-based factors affecting the utilization of focused antenatal care services. Methods: The study was cross-sectional and employed both qualitative and quantitative approaches for data capture and analysis. Information was captured from 359 women attending ANC using questionnaires and interviews. Data were analyzed using STATA version 13 to generate both descriptive and inferential statistics. Results: the study found out main socio-demographic factors associated with the utilization of FANC services included level of education [AOR = 2.624; (95% CI: 1.056 – 6.516); p = 0.038], marital status [AOR = 0.47; (95% CI: 0.275 – 0.804); p = 0.006], and employment [AOR = 1.58; (95% CI: 1.014 – 2.46); p = 0.043] The study also identified tribe [AOR = 1.71; (95% CI: 1.11 – 2.641); p = 0.016] as the main cultural obstacle to FANC service utilization at the Health Centre. The study further identified poor behavior of the health workers [AOR = 0.51; 95% CI: 0.302 – 0.851; p = 0.01], long waiting time at the facility [AOR = 2.013; 95% CI: 1.12 – 3.62; p = 0.019] and un-flexible clinical hours [AOR = 2.72; 95% CI: 1.52 – 4.851; p = .001] as the main health facility based factors that affect utilization of focused antenatal care services. Conclusion: as a result of the significant results, the study concludes that there are different socio-demographic, cultural behavioral, and health facility-based factors associated with the utilization rate of FANC services at Mbaare Health Centre III Isingiro District. Therefore, the study recommends Ministry of Health increases regular community sensitization campaigns to ensure greater awareness of the importance of ANC services among the vulnerable groups. It also recommends behavior change strategies through behavior change campaigns at the community level to provide a platform for both the health care workers to learn about the perceptions of women to get to know them better and also to use that opportunity to educate women on the benefits of FANC servicesItem Factors that influence transition to advanced roles by RN to BSN nurses, in three selected hospitals of Central-Uganda(BMC Nursing, 2019) John Baptist, Asiimwe; Mercy, Muwema; Karen, DrakeBackground: Despite the global rise in the number of nurses upgrading from Registered Nursing (RN) to a Bachelor of Science in Nursing (BSN), studies have indicated that successful role transition is difficult once the nurses return to their previous workplaces. Guided by the Transitional Theory, this study investigates the factors that influence the transition from basic to advanced roles among RN to BSN nurses in Uganda, Africa. Methods: This study employed a descriptive correlational design. Using convenience sampling, fifty-one (51) RN to BSN nurses completed the semi-structured questionnaires. Results: All the study participants (100%) described themselves as having transitioned from RN to BSN role. In bivariate linear regression, personal factors that were found to predict successful role transition included holding a managerial role, being aware and prepared for the role transition, and positive role transition experiences. Role transition motivators that predicted successful role transition included: job promotion, internal desire for self development, and career development. One community factor – that is the support of doctors/physicians during the RN to BSN transition – predicted unsuccessful role transition. Societal factors deterring successful role transition included lack of support from other colleagues and the perception that BSN learning was not applicable to the RN clinical setting. In multivariate linear regression, only sub-scales of personal factors such as advanced skills mastery and positive personal experiences predicted successful role transition. Conclusion: The study suggests that personal factors influence successful role transition more than external factors