Sandhu Timar, Dr. Anirudh Gurpreet, Sandesh Casanueva Dr, Liston Sahal, Perkovic, Sandhu Timar Gurpreet, Dr. Anirudh Sandesh
Diabetes is a severe disease. It happens when the body cannot generate the needed amount of insulin and when the body does not utilize the insulin it produces. Thus, the study sought to examine whether diabetes impacts kidney failure among older adults in India. The study adopted the experimental research design. The data was collected from the doctors and nurses in Halasuru Referral Hospital. The study used the purposive sampling technique and collected the data. Notably, the researcher was able to get a sample size of 168 respondents. The collection of the data was done using questionnaires. The analysis of the data was done using descriptive and inferential statistics. It was found that when someone has diabetes, the blood glucose or blood sugar levels are too high. Over time, this can damage the kidneys. Kidney damage from diabetes is called diabetic nephropathy. Poorly controlled diabetes can cause damage to blood vessel clusters in your kidneys that filter waste from your blood. The study concluded that diabetes is positively and significantly related to kidney failure. High blood glucose levels, known as hyperglycemia, affect many central organ systems, particularly the kidney. The study recommended that high blood sugar be regulated to prevent damaging other body parts like the kidney. The elderly should be given tender care and ensure they eat foods with a low possibility if none that can lead to high blood sugar. People with diabetes should get regular screenings for kidney disease. Tests should be conducted regularly to examine how well the kidneys work. Effective communication between healthcare providers and people with diabetes is essential.
{"title":"Diabetes and Kidney Failure among Older Adults in India","authors":"Sandhu Timar, Dr. Anirudh Gurpreet, Sandesh Casanueva Dr, Liston Sahal, Perkovic, Sandhu Timar Gurpreet, Dr. Anirudh Sandesh","doi":"10.53819/81018102t50125","DOIUrl":"https://doi.org/10.53819/81018102t50125","url":null,"abstract":"Diabetes is a severe disease. It happens when the body cannot generate the needed amount of insulin and when the body does not utilize the insulin it produces. Thus, the study sought to examine whether diabetes impacts kidney failure among older adults in India. The study adopted the experimental research design. The data was collected from the doctors and nurses in Halasuru Referral Hospital. The study used the purposive sampling technique and collected the data. Notably, the researcher was able to get a sample size of 168 respondents. The collection of the data was done using questionnaires. The analysis of the data was done using descriptive and inferential statistics. It was found that when someone has diabetes, the blood glucose or blood sugar levels are too high. Over time, this can damage the kidneys. Kidney damage from diabetes is called diabetic nephropathy. Poorly controlled diabetes can cause damage to blood vessel clusters in your kidneys that filter waste from your blood. The study concluded that diabetes is positively and significantly related to kidney failure. High blood glucose levels, known as hyperglycemia, affect many central organ systems, particularly the kidney. The study recommended that high blood sugar be regulated to prevent damaging other body parts like the kidney. The elderly should be given tender care and ensure they eat foods with a low possibility if none that can lead to high blood sugar. People with diabetes should get regular screenings for kidney disease. Tests should be conducted regularly to examine how well the kidneys work. Effective communication between healthcare providers and people with diabetes is essential.","PeriodicalId":354548,"journal":{"name":"Journal of Medicine, Nursing & Public Health","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131376660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Female Genital Mutilation refers to the procedures alter or cause injury to the female genital organs in the form of circumcision or clitoridectomy for no known medical reasons. This study aimed to determine the factors that influence the persistent practice of Female Genital Mutilation in Kenya, a case study of Tigania East Sub-county, Meru County. This was done by determining the contribution of the cultural practices to the persistent practice of FGM, determining the influence of environmental factors to the practice of FGM, assessing the contribution of agencies towards the persistent practice of FGM, and determining the influence of awareness on the practice of FGM in the study area. The study employed the cross-sectional research design and used a sample size of 384 study participants. This study used both stratified random and purposive sampling to identify the participants. Both qualitative and quantitative methods of data collection were used in the study, with the use of questionnaires and focused group discussions. Quantitative data was analyzed using the SPSS version 22.0 where the data was subjected to scientific methods of calculations such as means, frequencies, standard deviations, and percentages, and then presented using frequency tables and pie charts in form of descriptive and inferential statistics using the Pearson’s correlation. Qualitative data was analyzed and presented using the relevant themes. The study revealed that all the female respondents involved in the data collection process through the survey had undergone FGM. In the sample of women, 74.2% had circumcised their daughters whereas 25.8% had not. The persistence of FGM was attributed to cultural beliefs. The study found that 76.2% of girls and women interviewed had undergone FGM willingly compared to 23.8% who were forced. This was enhanced through socialization within the community that reinforces the stereotypes against uncircumcised girls or women. In regard to the effect of FGM the study found that of all the women and girls who had undergone FGM, 51.3% indicated excessive bleeding, 12.2% were obstructed labor, and 34.9% were sexual complications. The study draws the following recommendations: the girls should be empowered to refuse the practice of FGM and the community at large should join the efforts to fight the practice of FGM by abolishing harmful cultural beliefs and myths. In addition, the government should develop and enforce policies and frameworks to create awareness against FGM, the NGOs should empower the community through creating awareness against FGM and the health workers should educate the community on the harmful effects of FGM so as to promote the eradication of the practice. Keywords: Female Genital Mutilation, Cultural practices, Agencies, Awareness
{"title":"Factors that Influence the Persistent Practice of Female Genital Mutilation. A Case of Tigania People, Meru County.","authors":"Andrew M’Mutuera,, K. Njoroge, E. Nyavanga","doi":"10.53819/81018102t6036","DOIUrl":"https://doi.org/10.53819/81018102t6036","url":null,"abstract":"Female Genital Mutilation refers to the procedures alter or cause injury to the female genital organs in the form of circumcision or clitoridectomy for no known medical reasons. This study aimed to determine the factors that influence the persistent practice of Female Genital Mutilation in Kenya, a case study of Tigania East Sub-county, Meru County. This was done by determining the contribution of the cultural practices to the persistent practice of FGM, determining the influence of environmental factors to the practice of FGM, assessing the contribution of agencies towards the persistent practice of FGM, and determining the influence of awareness on the practice of FGM in the study area. The study employed the cross-sectional research design and used a sample size of 384 study participants. This study used both stratified random and purposive sampling to identify the participants. Both qualitative and quantitative methods of data collection were used in the study, with the use of questionnaires and focused group discussions. Quantitative data was analyzed using the SPSS version 22.0 where the data was subjected to scientific methods of calculations such as means, frequencies, standard deviations, and percentages, and then presented using frequency tables and pie charts in form of descriptive and inferential statistics using the Pearson’s correlation. Qualitative data was analyzed and presented using the relevant themes. The study revealed that all the female respondents involved in the data collection process through the survey had undergone FGM. In the sample of women, 74.2% had circumcised their daughters whereas 25.8% had not. The persistence of FGM was attributed to cultural beliefs. The study found that 76.2% of girls and women interviewed had undergone FGM willingly compared to 23.8% who were forced. This was enhanced through socialization within the community that reinforces the stereotypes against uncircumcised girls or women. In regard to the effect of FGM the study found that of all the women and girls who had undergone FGM, 51.3% indicated excessive bleeding, 12.2% were obstructed labor, and 34.9% were sexual complications. The study draws the following recommendations: the girls should be empowered to refuse the practice of FGM and the community at large should join the efforts to fight the practice of FGM by abolishing harmful cultural beliefs and myths. In addition, the government should develop and enforce policies and frameworks to create awareness against FGM, the NGOs should empower the community through creating awareness against FGM and the health workers should educate the community on the harmful effects of FGM so as to promote the eradication of the practice. Keywords: Female Genital Mutilation, Cultural practices, Agencies, Awareness","PeriodicalId":354548,"journal":{"name":"Journal of Medicine, Nursing & Public Health","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129142788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Infections of the lower reproductive tract are a public-health concern. However, in Sub-Saharan Africa, the link between menstrual hygiene, water, sanitation and hygiene variables and lower reproductive tract infection has not been appropriately explored. This study sought to determine the menstrual hygiene management practices associated with occurrence of lower reproductive tract infections among adolescent girls in Informal Settlements in Nakuru County. The study used a community-based cross-sectional design targeting adolescent girls in informal settlements in Nakuru County. Multi-stage and simple random sampling methods were used to obtain a sample size of 385 adolescent girls. The findings showed that the proportion of lower respiratory tract infections (LRTIs) among the participants was 59.71% Regarding the menstrual hygiene management practices, adolescents who changed absorbent material more than twice a day were 0.22 times less likely to report experiencing a LRTI compared to those who changed once a day, (p=0.005), those who dried their reusable absorbent material outside the house were 0.26 times less likely to be infected with LRTI compared to those who dried inside the house, (p=0.014), and those who reported bathing 3times during menstruation were 0.27 less likely to report occurrence of LRTI compared to those who bath once, (p=0.012). The study found significant association between type of absorbent material, frequency of changing absorbent material, frequency of bathing, presence of hand washing equipment and presence of anal cleansing material in toilets and lower reproductive tract infections. A study in this population that incorporate comprehensive microbiological and clinical assessments so as to get a better estimate of the prevalence of LRTI would be recommended, this will also support development of public health interventions. Keywords: Menstrual Hygiene Management, Lower Reproductive Tract Infections, Adolescent Girls
{"title":"Relationship between Menstrual Hygiene Management and Lower Reproductive Tract Infections among Adolescent Girls in Informal Settlements in Nakuru County, Kenya","authors":"Virginia Ngaruiya, R. Mutisya, J. Ngeranwa","doi":"10.53819/81018102t6035","DOIUrl":"https://doi.org/10.53819/81018102t6035","url":null,"abstract":"Infections of the lower reproductive tract are a public-health concern. However, in Sub-Saharan Africa, the link between menstrual hygiene, water, sanitation and hygiene variables and lower reproductive tract infection has not been appropriately explored. This study sought to determine the menstrual hygiene management practices associated with occurrence of lower reproductive tract infections among adolescent girls in Informal Settlements in Nakuru County. The study used a community-based cross-sectional design targeting adolescent girls in informal settlements in Nakuru County. Multi-stage and simple random sampling methods were used to obtain a sample size of 385 adolescent girls. The findings showed that the proportion of lower respiratory tract infections (LRTIs) among the participants was 59.71% Regarding the menstrual hygiene management practices, adolescents who changed absorbent material more than twice a day were 0.22 times less likely to report experiencing a LRTI compared to those who changed once a day, (p=0.005), those who dried their reusable absorbent material outside the house were 0.26 times less likely to be infected with LRTI compared to those who dried inside the house, (p=0.014), and those who reported bathing 3times during menstruation were 0.27 less likely to report occurrence of LRTI compared to those who bath once, (p=0.012). The study found significant association between type of absorbent material, frequency of changing absorbent material, frequency of bathing, presence of hand washing equipment and presence of anal cleansing material in toilets and lower reproductive tract infections. A study in this population that incorporate comprehensive microbiological and clinical assessments so as to get a better estimate of the prevalence of LRTI would be recommended, this will also support development of public health interventions. Keywords: Menstrual Hygiene Management, Lower Reproductive Tract Infections, Adolescent Girls","PeriodicalId":354548,"journal":{"name":"Journal of Medicine, Nursing & Public Health","volume":"790 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123283304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Birth preparedness enhances readiness to handle pregnancy complications and probable delays experienced in seeking obstetric care. Male partners in the society are key influencers of maternal health outcome due to their financial power and cultural endowment that male figures command in the society hence impact on birth preparedness. In Kenya, there is limited data on male involvement in birth preparedness through health facility community dialogue. The study thematic area explored the influence of male partner factors on birth preparedness through health facility community dialogue in Kajiado County- Kenya. The study employed explorative-descriptive qualitative research design. The target population was households with male partners/spouses, married men who had children aged 0-2 years, aged 18 years and above. The study concluded that male partner perception, level of education, age at marriage, communication among partners and economic status had negatively influenced male partner involvement in birth preparedness. The study recommended that the County Government of Kajiado to come up with community engagement forums to dialogue with the community on birth preparedness through open maternity day forums and change the male perception on birth preparedness. The study also recommended that the Ministry of Education to empower the boy child by retention in school, the way it has system in place to track the status of the girl child in school for nomadic communities, this will avert early school dropout that leads to early marriages and high index of poverty levels. Finally, the male partners should foster communication between spouses to improve on pregnancy outcome. Keywords: Male Involvement, Birth Preparedness, Health Facility Community Dialogue
{"title":"Male Involvement in Birth Preparedness through Health Facility Community Dialogue in Kajiado County- Kenya","authors":"Mutsi Hellen, P. Kabue, Ngatia Justus","doi":"10.53819/81018102t6029","DOIUrl":"https://doi.org/10.53819/81018102t6029","url":null,"abstract":"Birth preparedness enhances readiness to handle pregnancy complications and probable delays experienced in seeking obstetric care. Male partners in the society are key influencers of maternal health outcome due to their financial power and cultural endowment that male figures command in the society hence impact on birth preparedness. In Kenya, there is limited data on male involvement in birth preparedness through health facility community dialogue. The study thematic area explored the influence of male partner factors on birth preparedness through health facility community dialogue in Kajiado County- Kenya. The study employed explorative-descriptive qualitative research design. The target population was households with male partners/spouses, married men who had children aged 0-2 years, aged 18 years and above. The study concluded that male partner perception, level of education, age at marriage, communication among partners and economic status had negatively influenced male partner involvement in birth preparedness. The study recommended that the County Government of Kajiado to come up with community engagement forums to dialogue with the community on birth preparedness through open maternity day forums and change the male perception on birth preparedness. The study also recommended that the Ministry of Education to empower the boy child by retention in school, the way it has system in place to track the status of the girl child in school for nomadic communities, this will avert early school dropout that leads to early marriages and high index of poverty levels. Finally, the male partners should foster communication between spouses to improve on pregnancy outcome. Keywords: Male Involvement, Birth Preparedness, Health Facility Community Dialogue","PeriodicalId":354548,"journal":{"name":"Journal of Medicine, Nursing & Public Health","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124054945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Influence of Women Group Activities on Maternal Health Service Utilization in Owich Sub-location, Nyatike Sub-county of Kenya","authors":"","doi":"10.53819/81018102t3050","DOIUrl":"https://doi.org/10.53819/81018102t3050","url":null,"abstract":"","PeriodicalId":354548,"journal":{"name":"Journal of Medicine, Nursing & Public Health","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125362263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Liberia registers an exponential mortality rate in developing Sub-Saharan countries in Africa. Inadequate utilization of antenatal care is a leading cause of the higher infant mortality rates recorded in Liberia. Thus, this study seeks to assess knowledge and socio-demographic factors that thwart the utilization of ANC services among women between 15 and 49 years in Nimba County, Liberia. The study applied quantitative and qualitative research design. A sample of 167 was selected using a systematic sampling technique. The SPSS Software Version 23.0 was used to analyze the data collected statistically. Results indicated that 54.5 % of the sample were between 15 – 25 years. Socio-demographic characteristics such as age (χ 2= 0.902), df= 3, P= 0.825), were not significant with ANC attendance and the level of knowledge was significant (χ 2=5.653 df =1 P=0.017). Further, 150 women in the sample had adequate knowledge of ANC services. The high level of knowledge among respondents was significant (χ 2=5.653 df =1 P=0.017) with ANC attendance. In addition, 83.8% attended ANC services, and 77.8% delivered their babies at health centres. One of the noticeable challenges cited by respondents in this study was the distance to facilities with 64%. Most people were knowledgeable about ANC services, which affected their decision to utilize ANC services, while demographic factors were not significant. However, the study has established inadequate medication and distance to the nearest facility foiled the utilization of ANC services. Therefore, this study recommends that the government ensures that rural Liberia’s health facilities are equipped with medicines and accessible and aggressively conducts civic education or campaigns to create awareness about the ANC services. Keywords: Antenatal care, pregnancy, health workers
{"title":"An assessment of knowledge, utilization, and perceptions on antenatal care services among women in Nimba County, Liberia","authors":"E. Smythe, E. Kabiru, J. Osero","doi":"10.53819/81018102t6021","DOIUrl":"https://doi.org/10.53819/81018102t6021","url":null,"abstract":"Liberia registers an exponential mortality rate in developing Sub-Saharan countries in Africa. Inadequate utilization of antenatal care is a leading cause of the higher infant mortality rates recorded in Liberia. Thus, this study seeks to assess knowledge and socio-demographic factors that thwart the utilization of ANC services among women between 15 and 49 years in Nimba County, Liberia. The study applied quantitative and qualitative research design. A sample of 167 was selected using a systematic sampling technique. The SPSS Software Version 23.0 was used to analyze the data collected statistically. Results indicated that 54.5 % of the sample were between 15 – 25 years. Socio-demographic characteristics such as age (χ 2= 0.902), df= 3, P= 0.825), were not significant with ANC attendance and the level of knowledge was significant (χ 2=5.653 df =1 P=0.017). Further, 150 women in the sample had adequate knowledge of ANC services. The high level of knowledge among respondents was significant (χ 2=5.653 df =1 P=0.017) with ANC attendance. In addition, 83.8% attended ANC services, and 77.8% delivered their babies at health centres. One of the noticeable challenges cited by respondents in this study was the distance to facilities with 64%. Most people were knowledgeable about ANC services, which affected their decision to utilize ANC services, while demographic factors were not significant. However, the study has established inadequate medication and distance to the nearest facility foiled the utilization of ANC services. Therefore, this study recommends that the government ensures that rural Liberia’s health facilities are equipped with medicines and accessible and aggressively conducts civic education or campaigns to create awareness about the ANC services. Keywords: Antenatal care, pregnancy, health workers","PeriodicalId":354548,"journal":{"name":"Journal of Medicine, Nursing & Public Health","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130381291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Practices of health Care Workers towards Integrating Oral Health into Primary Health Care in Imenti North District, Kenya","authors":"","doi":"10.53819/81018102t5093","DOIUrl":"https://doi.org/10.53819/81018102t5093","url":null,"abstract":"","PeriodicalId":354548,"journal":{"name":"Journal of Medicine, Nursing & Public Health","volume":"216 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115002174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Suitability Assessment of Underground Water Quality and Thermal Tolerant Coliform (TTC) Levels in Kisumu Water","authors":"","doi":"10.53819/81018102t5095","DOIUrl":"https://doi.org/10.53819/81018102t5095","url":null,"abstract":"","PeriodicalId":354548,"journal":{"name":"Journal of Medicine, Nursing & Public Health","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116677141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The purpose of this study was to evaluate determinants for utilization of alcohol use screening tools by nurses at Mathari Hospital. The study employed analytical cross sectional study design. Participants were practising nurses deployed at Mathari Hospital. 159 respondents formed the sample size. The study utilised simple random sampling. The average age for most nurses was 42 (±10.6) years, had 18 (±10.6) years’ experience in nursing profession, had 10 (±8.1) years’ experience in mental health and psychiatry nursing. Majority (98.1%, 156) of the nurses had cared for a patient with potentially harmful alcohol use and initiated screening for alcohol use on the patient (56.6%, 90). The findings revealed that majority of the nurses were female (76.1%), Christians (97.5%), diploma holders (47.8%), aged was 42 years, 18 years’ experience in nursing profession, and 10 years’ experience in mental health and psychiatry nursing. In addition, education level of nurses was positively and significantly (r=0.164, p=0.039) related with utilization of SBIRT screening tool. The respondents highlighted the following as key enabling factors: Management support (52.8%), motivation (51.6%), Champion (44.7%) and training (44.7%). Management support was positively and significantly (r=0.322, p=0.000) related with utilization of SBIRT screening tool. Identified barriers to utilization of the SBIRT screening tool were nurses’ own alcohol use (44%), competency gaps (32.7%) and lack of knowledge (49.7%). Nurse’s characteristics had a positive and significant influence on the utilization of alcohol use screening tool (β = 0.612, p= 0.000) at 95% confidence interval. Enabling factors had a positive and significant influence on utilization of alcohol use screening tool (β = 0.226, P= 0.061) at 90% confidence interval. Barriers had a negative and significant influence on utilization of alcohol use screening tool (β = -0.261, P= 0.065) at 95% confidence interval. The adjusted R squared (0.243) revealed that jointly, nurses’ characteristics, enabling factors and barriers explain 24.3% of variations in the utilization of alcohol use screening tool. Enabling factors were observed to have a positive and significant relationship with utilization of alcohol use screening tool (r=0.359, P=0.000) at 99% confidence interval. Barriers have a negative and significant relationship with utilization of alcohol use screening tool (r= -0.132, P=0.097) at 95% confidence interval. The three determinants (nurses’ characteristics, enabling factors, and barriers) only explained eighteen percent of changes in utilization of SBIRT suggesting the existence of other factors that may account for changes in utilization of the screening tool. Keywords: Screening tool, alcohol use, SBIRT, barriers, enabling factors, nurse’s characteristics
{"title":"Determinants for Utilization of Alcohol Use Screening Tool by Nurses at Mathari Hospital, Nairobi City County, Kenya","authors":"Pius Mwangi, L. Onsongo, C. Mwenda","doi":"10.53819/81018102t6019","DOIUrl":"https://doi.org/10.53819/81018102t6019","url":null,"abstract":"The purpose of this study was to evaluate determinants for utilization of alcohol use screening tools by nurses at Mathari Hospital. The study employed analytical cross sectional study design. Participants were practising nurses deployed at Mathari Hospital. 159 respondents formed the sample size. The study utilised simple random sampling. The average age for most nurses was 42 (±10.6) years, had 18 (±10.6) years’ experience in nursing profession, had 10 (±8.1) years’ experience in mental health and psychiatry nursing. Majority (98.1%, 156) of the nurses had cared for a patient with potentially harmful alcohol use and initiated screening for alcohol use on the patient (56.6%, 90). The findings revealed that majority of the nurses were female (76.1%), Christians (97.5%), diploma holders (47.8%), aged was 42 years, 18 years’ experience in nursing profession, and 10 years’ experience in mental health and psychiatry nursing. In addition, education level of nurses was positively and significantly (r=0.164, p=0.039) related with utilization of SBIRT screening tool. The respondents highlighted the following as key enabling factors: Management support (52.8%), motivation (51.6%), Champion (44.7%) and training (44.7%). Management support was positively and significantly (r=0.322, p=0.000) related with utilization of SBIRT screening tool. Identified barriers to utilization of the SBIRT screening tool were nurses’ own alcohol use (44%), competency gaps (32.7%) and lack of knowledge (49.7%). Nurse’s characteristics had a positive and significant influence on the utilization of alcohol use screening tool (β = 0.612, p= 0.000) at 95% confidence interval. Enabling factors had a positive and significant influence on utilization of alcohol use screening tool (β = 0.226, P= 0.061) at 90% confidence interval. Barriers had a negative and significant influence on utilization of alcohol use screening tool (β = -0.261, P= 0.065) at 95% confidence interval. The adjusted R squared (0.243) revealed that jointly, nurses’ characteristics, enabling factors and barriers explain 24.3% of variations in the utilization of alcohol use screening tool. Enabling factors were observed to have a positive and significant relationship with utilization of alcohol use screening tool (r=0.359, P=0.000) at 99% confidence interval. Barriers have a negative and significant relationship with utilization of alcohol use screening tool (r= -0.132, P=0.097) at 95% confidence interval. The three determinants (nurses’ characteristics, enabling factors, and barriers) only explained eighteen percent of changes in utilization of SBIRT suggesting the existence of other factors that may account for changes in utilization of the screening tool. Keywords: Screening tool, alcohol use, SBIRT, barriers, enabling factors, nurse’s characteristics","PeriodicalId":354548,"journal":{"name":"Journal of Medicine, Nursing & Public Health","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128500007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effects of COVID 19 on Hospitalization Rate Among Diabetic People in Brazil","authors":"","doi":"10.53819/81018102t5078","DOIUrl":"https://doi.org/10.53819/81018102t5078","url":null,"abstract":"","PeriodicalId":354548,"journal":{"name":"Journal of Medicine, Nursing & Public Health","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125928726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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