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Mike English - One of the best experts on this subject based on the ideXlab platform.

  • "I train and mentor, they take them": A qualitative study of nurses' perspectives of neonatal Nursing expertise and its development in Kenyan hospitals.
    Nursing open, 2020
    Co-Authors: Mary Nyikuri, Pratap Kumar, Mike English, Caroline Jones
    Abstract:

    Aims and Objectives Neonatal inpatient care is reliant on experienced Nursing care, yet little is known about how Kenyan hospitals foster the development of Newborn Nursing experience in Newborn units. Design A Qualitative ethnographic design. Methods Face to face 29 in depth interviews were conducted with nurses providing neonatal care in one private, one faith based and one public hospital in Nairobi, Kenya between January 2017 and March 2018. All data were transcribed verbatim, coded in the original language and analysed using a framework approach. Results Across the sectors, nurses perceived experience as important to the provision of quality care. They noted that hospitals could foster experience through recruitment, orientation, continuous learning and retention. However, while the private hospital facilitated experience building the public and faith-based hospitals experienced challenges due to human resource management practices and Nursing shortages. Conclusion Health sector context influenced how experience was developed among nurses. Implications Nurturing experience will require that different health sectors adopt better recruitment for people interested in NBU work, better orientation and fewer rotations even without specialist nurse training.

  • Exploring the space for task shifting to support Nursing on neonatal wards in Kenyan public hospitals.
    Human resources for health, 2019
    Co-Authors: Jacinta Nzinga, Jacob Mcknight, Joyline Jepkosgei, Mike English
    Abstract:

    Nursing practice is a key driver of quality care and can influence Newborn health outcomes where nurses are the primary care givers to this highly dependent group. However, in sub-Saharan Africa, Nursing work environments are characterized by heavy workloads, insufficient staffing and regular medical emergencies, which compromise the ability of nurses to provide quality care. Task shifting has been promoted as one strategy for making efficient use of human resources and addressing these issues. We aimed to understand the nature and practice of neonatal Nursing in public hospitals in Nairobi so as to determine what prospect there might be for relieving pressure by shifting nurses’ work to others. This paper is based on an 18-month qualitative study of three Newborn units of three public hospitals—all located in Nairobi county—using an ethnographic approach. We draw upon a mix of 32 interviews, over 250 h’ observations, field notes and informal conversations. Data were collected from senior Nursing experts in Newborn Nursing, neonatal nurse in-charges, neonatal nurses, Nursing students and support staff. To cope with difficult work conditions characterized by resource challenges and competing priorities, nurses have developed a ritualized schedule and a form of ‘subconscious triage’. Informal, organic task shifting was already taking place whereby particular Nursing tasks were delegated to students, mothers and support staff, often without any structured supervision. Despite this practice, nurses were agnostic about formal institutionalization of task shifting due to concerns around professional boundaries and the practicality of integrating a new cadre into an already stressed health system. Our findings revealed a routine template of neonatal Nursing work which nurses used to control unpredictability. We found that this model of Nursing encouraged delegation of less technical tasks to subordinates, parents and other staff through the process of ‘subconscious triage’. The rich insights we gained from this organic form of task shifting can inform more formal task-shifting projects as they seek to identify tasks most easily delegated, and how best to support and work with busy nurses.

  • Exploring the space for task shifting to support Nursing on neonatal wards in Kenyan public hospitals
    BMC, 2019
    Co-Authors: Jacinta Nzinga, Jacob Mcknight, Joyline Jepkosgei, Mike English
    Abstract:

    Abstract Background Nursing practice is a key driver of quality care and can influence Newborn health outcomes where nurses are the primary care givers to this highly dependent group. However, in sub-Saharan Africa, Nursing work environments are characterized by heavy workloads, insufficient staffing and regular medical emergencies, which compromise the ability of nurses to provide quality care. Task shifting has been promoted as one strategy for making efficient use of human resources and addressing these issues. Aims and objectives We aimed to understand the nature and practice of neonatal Nursing in public hospitals in Nairobi so as to determine what prospect there might be for relieving pressure by shifting nurses’ work to others. Methods This paper is based on an 18-month qualitative study of three Newborn units of three public hospitals—all located in Nairobi county—using an ethnographic approach. We draw upon a mix of 32 interviews, over 250 h’ observations, field notes and informal conversations. Data were collected from senior Nursing experts in Newborn Nursing, neonatal nurse in-charges, neonatal nurses, Nursing students and support staff. Results To cope with difficult work conditions characterized by resource challenges and competing priorities, nurses have developed a ritualized schedule and a form of ‘subconscious triage’. Informal, organic task shifting was already taking place whereby particular Nursing tasks were delegated to students, mothers and support staff, often without any structured supervision. Despite this practice, nurses were agnostic about formal institutionalization of task shifting due to concerns around professional boundaries and the practicality of integrating a new cadre into an already stressed health system. Conclusion Our findings revealed a routine template of neonatal Nursing work which nurses used to control unpredictability. We found that this model of Nursing encouraged delegation of less technical tasks to subordinates, parents and other staff through the process of ‘subconscious triage’. The rich insights we gained from this organic form of task shifting can inform more formal task-shifting projects as they seek to identify tasks most easily delegated, and how best to support and work with busy nurses

Jacinta Nzinga - One of the best experts on this subject based on the ideXlab platform.

  • Exploring the space for task shifting to support Nursing on neonatal wards in Kenyan public hospitals.
    Human resources for health, 2019
    Co-Authors: Jacinta Nzinga, Jacob Mcknight, Joyline Jepkosgei, Mike English
    Abstract:

    Nursing practice is a key driver of quality care and can influence Newborn health outcomes where nurses are the primary care givers to this highly dependent group. However, in sub-Saharan Africa, Nursing work environments are characterized by heavy workloads, insufficient staffing and regular medical emergencies, which compromise the ability of nurses to provide quality care. Task shifting has been promoted as one strategy for making efficient use of human resources and addressing these issues. We aimed to understand the nature and practice of neonatal Nursing in public hospitals in Nairobi so as to determine what prospect there might be for relieving pressure by shifting nurses’ work to others. This paper is based on an 18-month qualitative study of three Newborn units of three public hospitals—all located in Nairobi county—using an ethnographic approach. We draw upon a mix of 32 interviews, over 250 h’ observations, field notes and informal conversations. Data were collected from senior Nursing experts in Newborn Nursing, neonatal nurse in-charges, neonatal nurses, Nursing students and support staff. To cope with difficult work conditions characterized by resource challenges and competing priorities, nurses have developed a ritualized schedule and a form of ‘subconscious triage’. Informal, organic task shifting was already taking place whereby particular Nursing tasks were delegated to students, mothers and support staff, often without any structured supervision. Despite this practice, nurses were agnostic about formal institutionalization of task shifting due to concerns around professional boundaries and the practicality of integrating a new cadre into an already stressed health system. Our findings revealed a routine template of neonatal Nursing work which nurses used to control unpredictability. We found that this model of Nursing encouraged delegation of less technical tasks to subordinates, parents and other staff through the process of ‘subconscious triage’. The rich insights we gained from this organic form of task shifting can inform more formal task-shifting projects as they seek to identify tasks most easily delegated, and how best to support and work with busy nurses.

  • Exploring the space for task shifting to support Nursing on neonatal wards in Kenyan public hospitals
    BMC, 2019
    Co-Authors: Jacinta Nzinga, Jacob Mcknight, Joyline Jepkosgei, Mike English
    Abstract:

    Abstract Background Nursing practice is a key driver of quality care and can influence Newborn health outcomes where nurses are the primary care givers to this highly dependent group. However, in sub-Saharan Africa, Nursing work environments are characterized by heavy workloads, insufficient staffing and regular medical emergencies, which compromise the ability of nurses to provide quality care. Task shifting has been promoted as one strategy for making efficient use of human resources and addressing these issues. Aims and objectives We aimed to understand the nature and practice of neonatal Nursing in public hospitals in Nairobi so as to determine what prospect there might be for relieving pressure by shifting nurses’ work to others. Methods This paper is based on an 18-month qualitative study of three Newborn units of three public hospitals—all located in Nairobi county—using an ethnographic approach. We draw upon a mix of 32 interviews, over 250 h’ observations, field notes and informal conversations. Data were collected from senior Nursing experts in Newborn Nursing, neonatal nurse in-charges, neonatal nurses, Nursing students and support staff. Results To cope with difficult work conditions characterized by resource challenges and competing priorities, nurses have developed a ritualized schedule and a form of ‘subconscious triage’. Informal, organic task shifting was already taking place whereby particular Nursing tasks were delegated to students, mothers and support staff, often without any structured supervision. Despite this practice, nurses were agnostic about formal institutionalization of task shifting due to concerns around professional boundaries and the practicality of integrating a new cadre into an already stressed health system. Conclusion Our findings revealed a routine template of neonatal Nursing work which nurses used to control unpredictability. We found that this model of Nursing encouraged delegation of less technical tasks to subordinates, parents and other staff through the process of ‘subconscious triage’. The rich insights we gained from this organic form of task shifting can inform more formal task-shifting projects as they seek to identify tasks most easily delegated, and how best to support and work with busy nurses

Heidi A. Mennenga - One of the best experts on this subject based on the ideXlab platform.

  • Team-based learning: an innovative approach to teaching maternal-Newborn Nursing care.
    The Journal of nursing education, 2013
    Co-Authors: Paula Lubeck, Lois Tschetter, Heidi A. Mennenga
    Abstract:

    Nursing education programs are charged with the task of transforming the way future nurses are educated to better meet the demands of an ever-changing health care system. The tradition of lecture-based theory courses and on-site clinical experiences is slowly being replaced by evidence-based teaching formats that focus on actively engaging students in their own learning. This article describes the process of integrating a new teaching strategy-team-based learning-into a maternal-Newborn Nursing course at a midwestern baccalaureate Nursing program.

Kristin Sanchez - One of the best experts on this subject based on the ideXlab platform.

Jacob Mcknight - One of the best experts on this subject based on the ideXlab platform.

  • Exploring the space for task shifting to support Nursing on neonatal wards in Kenyan public hospitals.
    Human resources for health, 2019
    Co-Authors: Jacinta Nzinga, Jacob Mcknight, Joyline Jepkosgei, Mike English
    Abstract:

    Nursing practice is a key driver of quality care and can influence Newborn health outcomes where nurses are the primary care givers to this highly dependent group. However, in sub-Saharan Africa, Nursing work environments are characterized by heavy workloads, insufficient staffing and regular medical emergencies, which compromise the ability of nurses to provide quality care. Task shifting has been promoted as one strategy for making efficient use of human resources and addressing these issues. We aimed to understand the nature and practice of neonatal Nursing in public hospitals in Nairobi so as to determine what prospect there might be for relieving pressure by shifting nurses’ work to others. This paper is based on an 18-month qualitative study of three Newborn units of three public hospitals—all located in Nairobi county—using an ethnographic approach. We draw upon a mix of 32 interviews, over 250 h’ observations, field notes and informal conversations. Data were collected from senior Nursing experts in Newborn Nursing, neonatal nurse in-charges, neonatal nurses, Nursing students and support staff. To cope with difficult work conditions characterized by resource challenges and competing priorities, nurses have developed a ritualized schedule and a form of ‘subconscious triage’. Informal, organic task shifting was already taking place whereby particular Nursing tasks were delegated to students, mothers and support staff, often without any structured supervision. Despite this practice, nurses were agnostic about formal institutionalization of task shifting due to concerns around professional boundaries and the practicality of integrating a new cadre into an already stressed health system. Our findings revealed a routine template of neonatal Nursing work which nurses used to control unpredictability. We found that this model of Nursing encouraged delegation of less technical tasks to subordinates, parents and other staff through the process of ‘subconscious triage’. The rich insights we gained from this organic form of task shifting can inform more formal task-shifting projects as they seek to identify tasks most easily delegated, and how best to support and work with busy nurses.

  • Exploring the space for task shifting to support Nursing on neonatal wards in Kenyan public hospitals
    BMC, 2019
    Co-Authors: Jacinta Nzinga, Jacob Mcknight, Joyline Jepkosgei, Mike English
    Abstract:

    Abstract Background Nursing practice is a key driver of quality care and can influence Newborn health outcomes where nurses are the primary care givers to this highly dependent group. However, in sub-Saharan Africa, Nursing work environments are characterized by heavy workloads, insufficient staffing and regular medical emergencies, which compromise the ability of nurses to provide quality care. Task shifting has been promoted as one strategy for making efficient use of human resources and addressing these issues. Aims and objectives We aimed to understand the nature and practice of neonatal Nursing in public hospitals in Nairobi so as to determine what prospect there might be for relieving pressure by shifting nurses’ work to others. Methods This paper is based on an 18-month qualitative study of three Newborn units of three public hospitals—all located in Nairobi county—using an ethnographic approach. We draw upon a mix of 32 interviews, over 250 h’ observations, field notes and informal conversations. Data were collected from senior Nursing experts in Newborn Nursing, neonatal nurse in-charges, neonatal nurses, Nursing students and support staff. Results To cope with difficult work conditions characterized by resource challenges and competing priorities, nurses have developed a ritualized schedule and a form of ‘subconscious triage’. Informal, organic task shifting was already taking place whereby particular Nursing tasks were delegated to students, mothers and support staff, often without any structured supervision. Despite this practice, nurses were agnostic about formal institutionalization of task shifting due to concerns around professional boundaries and the practicality of integrating a new cadre into an already stressed health system. Conclusion Our findings revealed a routine template of neonatal Nursing work which nurses used to control unpredictability. We found that this model of Nursing encouraged delegation of less technical tasks to subordinates, parents and other staff through the process of ‘subconscious triage’. The rich insights we gained from this organic form of task shifting can inform more formal task-shifting projects as they seek to identify tasks most easily delegated, and how best to support and work with busy nurses