Browsing by Author "Jivraj, Nilufa"

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    PublicationOpen Access
    Determinants of Alarm Fatigue among Nurses Working in Thika Level 5 Hospital, Kenya
    (Asian Journal of Research in Nursing and Health, 2024-06-20) Keya, Emmanuel; Jivraj, Nilufa; Njoroge, George
    Introduction:One of the main sources of health technology risks is clinical alarms, such as those for cardiac monitors and mechanical ventilation. Alarm Fatigue is the cause of these risks. Alarm weariness is the psychological result of too many alarms going off in a medical setting, which makes Nurses miss real alarms that are clinically meaningful, hence the objectives of this study was to assess the level of alarm fatigue among Nurses working and assess Alarm Management strategies utilized by Nurses working at ThikaLevel 5 Hospital, Kiambu Kenya. Methodology:The study design that was employed in this study is descriptive cross-sectional design. Structured self-administrated questionnaires were used to collect data. The researcher used census sampling where the entire population Registered Nurses working in the renal, theatre, casualty and emergency and critical care department. The data was analyzed using SPSS version 25.0. The findings were presented in tables, graphs and figures. The analysis comprised of descriptive statistics, frequencies, mean, and standard deviations. Inferential statistics included chi-square test for independence (X2). Results:The study participants consisted of 56 Nurses and the response rate in this study was 82.1%. The majority of respondents were female, constituting 76.1% of the respondents. The age group of 31-40 years comprises the majority of respondents, accounting for 78.3% of the total. The overwhelming majority of respondents rated mechanical ventilators as having the highest alarm frequency (95.7%) followed by 58.7% of the respondents monitors as the main source of alarms. 73.9% of participants identified mechanical ventilator alarms as the most challenging to troubleshoot or operate. Nearly half of the respondents (47.8%) indicated that they are likely to trust clinical alarms to some extent. Discussion: Majority of nurses (95.7%) encountered clinical alarms during their work shifts. Mechanical ventilators and cardiac monitors were rated as having the highest alarm frequency, while patient call systems and electrical beds were perceived to have the lowest alarm frequency.Recommendations:Offering training on alarm management, optimizing staffing levels, and streamlining equipment interfaces to mitigate alarm fatigue and enhance patient care quality.
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    PublicationOpen Access
    Determinants of Missed Nursing Care by Nurses at University Teaching and Referral Hospital of Kigali (CHUK) in Rwanda
    (Asian Journal of Research in Nursing and Health, 2022-06-12) Ntezimana, Faustin; Jivraj, Nilufa; Dominic, Mogere
    Introduction: Missed Nursing Care is a challenging concern in healthcare settings. Focusing on identifying them and their associated factors will assist healthcare providers to improving patient's outcomes. Objective: The aim of this study was to determine the levels, types and the factors that influence missed nursing care activities by nurses at the University Teaching and Referral Hospital of Kigali in Rwanda. Materials and Methods: This study was cross-sectional descriptive correlation design. The researchers used census method to obtain participants. The researchers used MISSCARE survey questionnaires for data collection. The data was analysed using SPSS version 26.0. descriptive and inferential statistics were computed to respond to research objectives. Results: Two hundred and one (201) nurses took part in the study, 56.7% were female and 46.3% were male. The majority were aged 31-40 years, 54.2% had Diploma, 42.3% had bachelor while 3.5% had master’s degree. The study showed that responding to call alarms within 5 minutes, monitoring intake and output, and patient health education were always being missed by nurses. Department where nurses work, gender, satisfaction with salary, level of education, and nursing communication were the most statistically significant factors associated with level of missed nursing care activities. Discussion: Majority, 46.73% of nurses viewed the level of missed nursing care as moderate at the hospital. The most nursing activities that have always been missed were responding to call alarms within 5 minutes, joining interdisplinary whenever held, monitoring intake and output, and patient health education. The study findings revealed that gender, level of education, and the department in which the nurses work were the most statistically significant factors contributing to missed nursing care at the hospital. Conclusions: Managers, nurse in-charges should enhance nursing communication among nurses and others health care professionals as this is the most significant factor leading to missed nursing care.
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    PublicationOpen Access
    Determinants of Nutritional Practices Among Pregnant Women Attending Antenatal Clinic at Ngao Sub-County Hospital, Tana River County
    (Journal of Nursing and Health Science, 2021-10-15) Murage, Benjamin Mwangi; Karonjo, Jane; Jivraj, Nilufa
    Background: Dietary practice among pregnant women is an observable action of behavior of dietary habit usually classified as good or bad dietary practices and usually influences both pregnancy and foetal outcome. Pregnancy presents a critical stage of development for both the mother and the developing foetus. The stage is equally nutritionally demanding with caloric intake requirements rising compared to that in pre-gravid state. Poor nutritional practices during this stage had previously shown devastating impact not only to the foetus but also to the mother. Malnutrition during this stage exposes the mother to conditions such as anaemia, diabetes among other dietary related conditions. Women in developing countries find themselves restricted by multiple factors that interfere with their capacity to meet the demands at this stage. Thus, this study sought to assess the determinants of dietary practices among expectant women visiting antenatal clinic in three dimensions that were individual factors, institutional linked factors, and socio-cultural factors The Health Belief model was the theoretical model utilized in this study. Materials and Methods: The study design was descriptive where the variables under investigation were described. The study design was a descriptive. The sampling method was census sampling. Data was collected using self-administered questionnaires. Data analysis was done using SPSS version 24.0 whereby calculations of mean, percentages, and frequencies was done. Results: The results indicated that majority of the respondents were aged between 21 and 25 years (32.6%), with 77.9% married and 31.4% had secondary level of education. On religion, majority were Christians (53.5%). The results showed that age of the mother, highest level of education, employment status of the mother, knowledge on balanced diet were the individual characteristics of the participants that were significant at p values <.05. Religious affiliation did not significantly affect nutritional practices but the cultural beliefs of the mothers were significantly associated with nutritional practices at p value< .05. On facility-linked factors; counselling the mothers on nutrition, using nutritional model to counsel the mothers and giving the mothers micronutrient supplements were all significant at p value<.05. Conclusion: The study indicated that an increase in education level of the pregnant mother determines their understanding of good nutritional practices; higher levels of education were associated with good nutritional practices. Therefore, health workers should endeavor to enlighten pregnant women on nutritional practices especially those with low levels of education or no formal education