41 hasil untuk "Michuki Maina"
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Artikel Jurnal Teks lengkap
Perceptions and uptake of health insurance for maternal care in rural Kenya: a cross sectional study
INTRODUCTION: in Kenya, maternal and child health accounts for a large proportion of the expenditures made towards healthcare. It is estimated that one in every five Kenyans has some form of health insurance. Availability of health insurance may protect families from catastrophic spending on…
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Artikel Jurnal
External validation of an admission risk score for predicting inpatient paediatric mortality in two Kenyan public hospitals. [version 1; peer review: 2 approved]
Background Early identification of children at risk of mortality during hospitalization is crucial in preventing mortality in low-and middle-income countries (LMICs). This study aimed to externally validate an admission risk score for predicting inpatient paediatric mortality in resource-limited…
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Artikel Jurnal
Evaluating the effects of supplementing ward nurses on quality of newborn care in Kenyan neonatal units: protocol for a prospective workforce intervention study
Abstract Background Data from High Income Countries have now linked low nurse staff to patient ratios to poor quality patient care. Adequately staffing hospitals is however still a challenge in resource-constrained Low-middle income countries (LMICs) and poor staff-to-patient ratios are largely…
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Artikel Jurnal
Vitamin D Review: The Low Hanging Fruit for Human Health
Vitamin D is an important hormone that is known for the regulation of calcium and phosphate metabolism. Vitamin D deficiency leads to rickets in children and osteoporosis in adults leading to poor bone mineralisation and can also lead to serious dental complications in the same population. Recent…
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Artikel Jurnal
Infection prevention and control during the COVID-19 pandemic: challenges and opportunities for Kenyan public hospitals [version 1; peer review: 2 approved]
Background: Infection prevention and control, and water sanitation and hygiene have an essential role in ensuring the quality of care and patient outcomes in hospitals. Using a modification of the World Health Organization’s water sanitation and hygiene facility improvement tool, we undertook…
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Artikel Jurnal
Nurse staffing and patient care outcomes: protocol for an umbrella review to identify evidence gaps for low and middle-income countries in global literature [version 2; peer review: 3 approved]
Background: Adequate staffing is key to the delivery of nursing care and thus to improved inpatient and health service outcomes. Several systematic reviews have addressed the relationship between nurse staffing and these outcomes. Most primary studies within each systematic review are likely to be…
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Artikel Jurnal
Missed nursing care in acute care hospital settings in low-middle income countries: a systematic review protocol [version 2; peer review: 2 approved]
Background: Missed nursing care (care left undone or task incompletion) is viewed as an important early predictor of adverse patient care outcomes and is a useful indicator to determine the quality of patient care. Available systematic reviews on missed nursing care are based mainly on primary…
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Artikel Jurnal
Nurse staffing and patient care outcomes: protocol for an umbrella review to identify evidence gaps for low and middle-income countries [version 1; peer review: 2 approved, 1 approved with reservations]
Background: Adequate staffing is key to the delivery of nursing care and thus to improved inpatient and health service outcomes. Several systematic reviews have addressed the relationship between nurse staffing and these outcomes. Most primary studies within each systematic review are likely to be…
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Artikel Jurnal
A systematic review of neonatal treatment intensity scores and their potential application in low-resource setting hospitals for predicting mortality, morbidity and estimating resource use
Abstract Background Treatment intensity scores can predict mortality and estimate resource use. They may therefore be of interest for essential neonatal care in low resource settings where neonatal mortality remains high. We sought to systematically review neonatal treatment intensity scores to (1)…
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Artikel Jurnal
Heavy Rainfall and Flooding Effects on Maternal Health Service Delivery During Pregnancy and Childbirth in LMICs: A scoping review protocol. [version 1; peer review: 2 approved]
Introduction Climate change is a major global health challenge of the 21st century associated with the increasing frequency and severity of extreme weather events, including heavy rainfall and flooding. These extreme weather events are particularly disruptive in low- and middle-income countries…
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Artikel Jurnal
Missed nursing care in acute care hospital settings in low-income and middle-income countries: a systematic review
Abstract Background Missed nursing care undermines nursing standards of care and minimising this phenomenon is crucial to maintaining adequate patient safety and the quality of patient care. The concept is a neglected aspect of human resource for health thinking, and it remains understudied in…
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Artikel Jurnal
Identifying gaps in global evidence for nurse staffing and patient care outcomes research in low/middle-income countries: an umbrella review
Objective To identify nurse staffing and patient care outcome literature in published systematic reviews and map out the evidence gaps for low/middle-income countries (LMICs).Methods We included quantitative systematic reviews on nurse staffing levels and patient care outcomes in regular ward…
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Artikel Jurnal
Characterising support and care assistants in formal hospital settings: a scoping review
Abstract Background A 15 million health workforce shortage is still experienced globally leading to a sub-optimal healthcare worker-to-population ratio in most countries. The use of low-skilled care assistants has been suggested as a cost-saving human resource for health strategy that can…
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Artikel Jurnal
Scoping review of interventions to improve continuity of postdischarge care for newborns in LMICs
Introduction Neonatal mortality remains significant in low-income and middle-income countries (LMICs) with in-hospital mortality rates similar to those following discharge from healthcare facilities. Care continuity interventions have been suggested as a way of reducing postdischarge mortality by…
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Artikel Jurnal Teks lengkap
Basic newborn resuscitation guidelines for healthcare providers in Maragua District Hospital: a best practice implementation project
OBJECTIVE: The overall aim of this project was to assess compliance with evidence-based criteria regarding newborn resuscitation among healthcare workers in the maternity units in Maragua District Hospital (a busy district hospital in Kenya). INTRODUCTION: Globally, a majority of deaths under five…
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Artikel Jurnal Teks lengkap
Evaluating the foundations that help avert antimicrobial resistance: Performance of essential water sanitation and hygiene functions in hospitals and requirements for action in Kenya
Background: Water Sanitation and Hygiene (WASH) in healthcare facilities is critical in the provision of safe and quality care. Poor WASH increases hospital-associated infections and contributes to the rise of antimicrobial resistance (AMR). It is therefore essential for governments and hospital…
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Artikel Jurnal
Evaluating hospital performance in antibiotic stewardship to guide action at national and local levels in a lower-middle income setting
Background Inappropriate use of antibiotics can lead to the development of resistant pathogens. Ensuring proper use of these important drugs in all healthcare facilities is essential. Unfortunately, however, very little is known about how antibiotics are used in LMIC clinical settings, nor to what…
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Artikel Jurnal
Antibiotic use in Kenyan public hospitals: Prevalence, appropriateness and link to guideline availability
Objective: To examine prescription patterns and explore to what extent guidelines are available and how they might influence treatment appropriateness among hospitalised patients in Kenyan hospitals. Methods: Data on antimicrobial usage were collected from hospitalised patients across 14 Kenyan…