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Publication Open Access Impact of simulation-based training on nursing students' knowledge of chest respiratory assessment at Mount Kenya University(Journal of Medical and Biomedical Laboratory Sciences Research, 2024-07-12) Okoth, Vera Akinyi; Jivraj, Nilufar; Njoroge, GeorgeBackground: Simulation allows nursing students to perform skills they have learned in class. It allows them to apply theory into practice. The available manikin for simulation include low, medium and high fidelity manikin. Globally, simulation is among the teaching methods used to train nurses and other healthcare professionals. Despite the benefits of high fidelity simulation illustrated in other studies, there is paucity of research done on the effectiveness of simulation using medium fidelity manikin among nursing students. Currently, the healthcare education system focuses on basic science education and leaves most skills training in an unsystematic process and unstructured. Since the laboratory sessions are not examined or assessed for the students to \be awarded marks, students do not attend laboratory simulation sessions as expected. This study evaluated effectiveness of medium fidelity simulation. Methods: It adopted a cross-sectional quantitative pretest-posttest quasi experimental design. It was conducted at Mount Kenya University among undergraduate nursing students. Purposive sampling will be used. Simple random assignment was used to sort out the sample participants into control and experimental groups. Cluster randomization was used for quality assurance of control group. Data was collected through a pretest quiz, Structured Observation Checklist and Questionnaire. Data was analyzed using Statistical Package for Social Sciences. Results: On assessment of knowledge, experimental group had a mean score of 91.8% with Standard Deviation 9.68. Control group had a mean of 88.11% with Standard Deviation of 10.38. At 95% confidence level, p-value of 0.016 suggested that there was difference in knowledge on chest respiratory assessment between experimental and control groups. Clinical competency between the experimental and control groups was compared using an independent sample t-test. Experimental group had a mean of 92.67 with standard deviation of 6.602. Control group had a mean of 62.23 with standard deviation of 12.118. The Pvalue = .001. With 95% confidence level, there was statistical difference in clinical competency between the two groups. Conclusion: Students who participated in simulation displayed better performance in knowledge and clinical competency than those who did not participate in simulation. Further research can be done determine factors that can motivate nursing students to attend laboratory simulated sessionsPublication Open Access Association between nurses' perceived self-confidence in performing family witnessed resuscitation and implementation of the practice at Siaya County Referral Hospital in Kenya(International Journal of Nursing Sciences, 2022-12-24) Angute, Andrew; Gachathi, Daniel Muya; Ramani, RamalingamObjectives: This study aimed to identify the relationship between nurses' perceived self-confidence in performing family-witnessed resuscitation and the implementation of the practice among nurses and to describe nurses' preferences regarding family-witnessed resuscitation practice. Methods: This study was a cross-sectional survey. A stratified random sampling design was used to obtain study participants from various units within the medical-surgical departments of the hospital. Data was collected using the Family Presence Self-confidence Scale designed by Twibel et al. Chi-square test and binary logistic regression were used to analyze the association between levels of perceived self-confidence and the implementation of family-witnessed resuscitation practice. Results: There was a significant association between nurses' perceived self-confidence (χ 2 = 8.06, P = 0.01) and the implementation of family-witnessed resuscitation practice. The nurses who were quite/very confident were 4.9 times more likely to perform witnessed resuscitation than those who were somewhat confident (OR = 4.94, 95% CI 1.07-22.71). Conclusion: The perceived self-confidence in performing family-witnessed resuscitation varied widely among nurses. To achieve successful implementation of family-witnessed resuscitation practice, medical-surgical nurses should get higher levels of perceived self-confidence in the presence of patients' families through advanced specialized training and practice on resuscitation.Publication Open Access Determinants of Breastfeeding Practices among Women with Children Aged 6-12 Months Attending Well-baby Clinic at Nairobi Womens' Hospital, Kenya(World Journal of Pharmaceutical and Medical Research, 2021) Maweu, Daniel Mwendwa; Okova, Rosemary; Ritho, MuthoniBreast milk is considered the most optimal nutrition for infants due to the many health benefits for women, families, and communities. The study aimed at determining the factors influencing breastfeeding among mothers with children aged 6 - 12 months. The study used a cross-sectional survey design for 206 mothers attending Well- Baby Clinic at Nairobi Women’s Hospital. The rate of exclusive breastfeeding was 82.6% and 77.2%mixed feeding after 6 months. Chi squared results for Maternal age (X2 = 10.78), level of education (X2 = 11.42), occupation (X2 = 14.23) and household income (X2 = 12.03) were significant (p< 0.05). Logistic regression showed that positive predictors of exclusive breastfeeding included age above 30 (AOR = 1.89; 95% CI [1.12, 4.02]) and tertiary education level (AOR = 2.02; 95% CI [1.06, 2.06]). Socio-demographic characteristics, Maternal knowledge& access to information are determinants of optimum breastfeeding practices. There is need for private hospitals in Nairobi to improve maternal knowledge and access to information for promoting exclusive breastfeeding among the breastfeeding mothers attending well baby clinics. The ministry of health should encourage and support community-based strategies involving religious leaders to promote breastfeeding anywhere at any time with no stigmatization to the mothers.Publication Open Access Monitoring strategies on patient safety practices among healthcare providers at Nakuru county referral hospital, Kenya(International Journal of Community Medicine and Public Health, 2020-06-29) Kipkech, Fancy J; Makindi, Stanley M; Juma, JosephBackground: Quality care is achieved through combined efforts which include integration of all the components within the healthcare delivery system. Patient safety is one of the dimensions of enhancing quality healthcare. It involves increasing the awareness about the errors made due to human factors in the process of delivering healthcare services that may lead to harm and other adverse effects. Methods: This study was on assessment of monitoring strategies on patient safety practices among healthcare providers at Nakuru County Referral Hospital, Kenya. The study was anchored on Donabedian model for assessment of quality of care. The study design was a descriptive cross-sectional study. The sampling technique was purposive, stratified random sampling and proportionate with a sample size of 310 healthcare providers drawn from various departments. Data collection tools were questionnaire, interview schedule and observational checklist. Quantitative data was analysed using descriptive statistics (mean, mode and standard deviation). Results: The results of the study indicated and concluded that there is adherence to standardized clinical care protocols and guidelines as well as continuous and constant surveillance with clear assessments and evaluation of patient safety practices, accurate collection, storage, analysis and sharing of information on patient safety issues. Conclusions: The paper recommends the need for policy reviews on healthcare so as to ensure that patient safety issues are reviewed so as to mitigate risks in handling patients. There is need to establish clear guidelines on monitoring and evaluation standards of patient safety practices.Publication Open 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, NilufaBackground: 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 educationPublication Open Access Preoperative Fasting among Adult Patients for Elective Surgeryin a Kenyan Referral Hospital(International Scholarly Research Notices, 2017-04-12) Njoroge, George; Bitok, Lucy Kivuti; Kimani, SamuelBackground. Preoperative fasting (POF) is physiologically and precautionary important during anesthesia and surgery. POF frommidnight has been practiced despite the recommended shorter practice. Objective. Assessing preoperative fasting among adultpatients scheduled for elective surgery at Kenyatta National Hospital (KNH). Methods. A descriptive cross-sectional study involving65 surgical patients. A questionnaire of mixed questions on demographics, reasons, source of instructions, opinion on instructions,time, premedication practices, outcome, and complains on NPO was used. Analysis was quantitatively done with SPSS v. 22. Ethicalapproval was obtained from KNH-UoN ERC. Results. Of the respondents 93.8% lacked knowledge on the correct reasons forPOF and felt that the instructions were unclear and less important <50%. POF instructions were administered by nurses 80%,anesthetists 15%, and surgeons 5%. Most of respondents (73.8%) fasted > 15 hours. The POF outcomes were rated moderatelychallenging as follows: prolonged wait for surgery 44.6%, thirst 43.1%, hunger 36.9%, and anxiety 29.2%. Conclusion. Nurses arecritical in providing POF instructions and care, and patient knowledge level is a mirror reflection of the quality of interventions. Thisunderscores the need to build capacity for nurses and strengthen the health system to offer individualized preoperative interventionsas well as monitoring and clinical auditing of fasting practices.Publication Open Access Adherence to Medication administration guidelines among Nurses in a Mission Hospital in Meru, Kenya(International Journal of Scientific and Research Publications, 2019-09) Mumbi, Mary; Mwenda, Catherine; Njoroge, George; Njau, StanleyErrors in medication administration are the most prevailing in medicine and can cause harm to the patient, morbidity and mortality as a result of negligence and failure to adhere to guidelines. A descriptive cross-sectional study was carried out among 117 nurses working at a mission hospital in Meru. A sample of 106 nurses was chosen using stratified and simple random sampling methods. Data was collected using a self-administered questionnaire and an observational checklist formulated from the Nursing Council of Kenya (NCK) manual of clinical procedures were used to collect data. Analysis was done using SPSS Version 21 software. 73.5% of the respondents adhered to hygiene measures, 65.5% adhered to medication safety guidelines while 65.9% adhered to medication record guidelines. Overall the adherence was poor with 37.6% (32) respondents had high adherence level while 62.4% (53) respondents had low adherence level. On observation the adherence level was 59.3%. An association was found between the mean of the two adherence levels (p=<0.001). Index terms-Medication errors, Medication administration guidelines, Adherence, patient safety, Nursing Council of Kenya I. I NTRODUCTION edication administration is a procedure that should be carried out with utmost care, since a small error can cause great harm or even death to the patient. The procedure is almost entirely the role of the nurse. Various bodies have stipulated guidelines for nurses to follow when administering medications. Hospitals have also designed and implemented policies, procedures and medication administration guidelines for practitioners in the clinical area, and come up with systems of risk management to help reduce medication errors [1]. Polypharmacy among patients, complex disease processes, multiple prescribers and a number of medical problems are among the factors that highly contributes to medication errors as nurses may fail to adhere to the guidelines as they deal with distinct matters. Irreversible consequences that are irreversible which may occur, as well as large sums of treatment costs every year as a result of malpractices in medication administration makes the matter to be of great importance [1]. According to [2], medication errors have been found to occur in 2 to 14% of the admitted patients with 1 to 2 per cent of them getting harm. It has been found that about 23,000 physical disabilities and 10,500 deaths occur every year in Iran due to medical errors that are approximated to be 55,000 [3]. In Ethiopia, medication administration error has been found to be approximately 51.8%. In Kenya, the prevalence has been found to be 20% despite that most errors are never documented, as reported in a study carried out in two referral hospitals [4]. The manual of clinical procedures by the Nursing Council of Kenya has stipulated various guidelines on medication administration. The manual is revised after every ten years as the profession advances and the last review was in 2009 [5]. Despite the guidelines being in place errors in medication administration have continued to occur with 20% prevalencePublication Open Access The Epidemiology of Alcohol use Disorder in the Covid-19 Pandemic: A Kenyan Perspective(International Journal of Advances inScientific Research and Engineering, 2021-10) Njoroge, George; Mwenda, Catherine; Mecha, Ezekiel; Waithaka, Stanley; Mungai, SamuelAims:During the covid-19 pandemic period restrictions on alcohol consumption have been imposed by various governments guided by World Health Organization Coronavirus disease (Covid-19) guidelines on public protection. The focus is to limit the spread of Coronavirus disease. The study aims at using an Alcohol Use Disorder Identification Test as a screening tool to explore experiences of alcohol consumption during the past one year of the Covid-19 pandemic among adults under rehabilitations in Kenyans. Methods: Descriptive cross sectional quantitative research design was used. Participants were sort from two Counties in Kenya with the highest rate of alcohol use while purposive sampling method was used to select two rehabilitation facilities with the highest number of admitted clients. Ninetythree respondents participated; this was 83% of the calculated sample size. Results: Study results tested hazardous alcohol use found that on the sequence of alcohol consumption, 71% of the participants consumed alcohol 4 or more times in a week. The test on dependence alcohol use found that on daily or almost daily most of the participants were unable to stop drinking once started, were unable to meet expectations due to drinking and needed a first drink in the morning after a heavy session, they were represented by 51.6%, 51.6% and 66.7% respectively. On harmful alcohol use 82% of the participants were concerned to cut down on their drinking. Conclusion:Alcohol Use Disorder Identification Test is an important tool to evaluate alcohol consumption duringthe covid-19 restrictions.Publication Open Access Guiding Principals For Eligibility Criteria On Alcoholic Liver Injury In Rehabilitation Centres: A Qualitative Study In Kenya(International Journal of Scientific and Research Publications, 2022-09-26) Njoroge, George; Mwenda, Catherine; Mecha, Ezekiel; Waithaka, StanleyAIM: United Nations Sustainable Development Goals with its 193 member states aimed to achieve reduced harmful alcohol use by year 2030. Among the key focal points were to develop alcohol care teams whose interest is to reduce acute admissions to hospitals that relate to alcohol, reduce mortality and improve on quality alcohol care. It is agreed that clinician's multidisciplinary teams should be included to integrate alcohol related treatments across all primary, secondary and tertiary health institutions. The team should formulate and coordinate alcohol related policies in their countries. METHODS: During the in-depth interview, the voices of the participants were recorded using tape recorders. The recorded voices from indepth interviews were transcribed into verbatim using NVivo 12 software. The transcriptions were first read for familiarization and check for accuracy of the collected data. The qualitative data was grouped into different thematic, coding and indexing of similar statements was done. Emerging themes were analyzed and common statements included in the conclusion.Publication Open Access Occupational Stress Among Nurses Working in the Operating Theatres at Kenyatta National Hospital(International Research Journal Publishers, 2023-01) Mutua, Dominic; Singh, Pramod; Njoroge, GeorgeThe purpose of this study was to determine occupational stress levels and contributing factors among nurses working in the operating theatres at Kenyatta National Hospital. Occupational stress reflects an undesirable response to an imbalance between job demands, and coping abilities of persons involved leading to burn out. The operating theatres have recorded steady increases in workload against a declining number of nurses in post thus posing higher risk for occupational stress. The particular objectives of the study were to determine the levels of occupational stress and the influence of individual, organizational and job factors. The study design was a descriptive cross-sectional where data was obtained at a point in time. Fisher’s formula was used to calculate the sample size from the current 180 nurses. Data was collected using a structured questionnaire. Pretesting was done in prime care theatre. Data was analyzed using SPSS version 25. Analysis entailed descriptive measures and tests of hypotheses including correlation analysis and ANOVA, at a confidence of 95% and significance level of 0.05. Results were presented in form of tables. The study found mixed findings on the association between individual factors and occupational stress. There was a difference in occupational stress between the gender, the education and age groups. However, there was no difference in occupational stress between marital status groups. There was no statistically significant relationship between individual internal factors and occupational stress among nurses working in the operating theatres at Kenyatta National Hospital (r=-.110, p=.269). There was a statistically significant relationship between organizational factors and occupational stress among nurses working in the operating theatres at Kenyatta National Hospital (r=.716, p=.000). The study established a serious staff shortage that has adverse effects on the nurses’ occupational stress. There is a statistically significant relationship between job factors and occupational stress among nurses working in the operating theatres at Kenyatta National Hospital(r=.874, p=.000). The study recommends that the Hospital management carries out a workload analysis in an effort to address the staffing shortage and thus reduce the occupational related stress. The study also recommends adoption of measures to enhance staff retention. These measures can include access to appropriate social welfare facilities, and performance evaluations leading to job enlargement, opportunities for promotions and other forms of recognition.Publication Open 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, GeorgeIntroduction: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.Publication Open Access Institutional Factors that Influence Pain Valuation for Severely Sick Patients among Nurses at Selected Hospitals in Kiambu County, Kenya(Asian Journal of Research in Nursing and Health, 2024-08-14) Kinyua, Anna Wangechi; Jivraj, Nilufar; Njoroge, GeorgeThe incidence of pain ranges from 47% to 100%, presenting a challenge across all demographics. Inadequate pain assessment can delay management, increasing anguish and potentially worsening pain. Nurses have professional and ethical responsibilities to ensure effective pain relief, relying on their understanding, consistent assessment, and documentation. This study aims to assess institutional factors influencing pain assessment and understand nurses’ factors affecting pain assessment in selected hospitals in Kiambu County, Kenya. Utilizing a descriptive research design, the study focused on 168 nurses selected through a census technique. A five-point Likert scale questionnaire was administered, and data were analyzed using SPSS Version 22 with descriptive statistics, including mean, percentages, tabulations, and frequencies. Findings revealed that hospitals employ various pain assessment tools for critically ill patients, with the behavioral painassessment tool being the most common, followed by the critical-care pain observational tool and nonverbal pain assessment tool. Institutional factors such as pain evaluation procedures, communication channels, staffing levels, availability of equipment, teamwork, supervision, work regulations, and hospital environment significantly influenced pain assessment. Additionally, nurses’ demographic factors, including experience and personal pain encounters, impacted assessment practices. Statistical analysis showed a significant relationship between pain assessment tools and outcomes, highlighting the importance of tool selection for effective pain management. The study concludes that tool types, institutional factors, and nurses’ characteristics influence pain assessment and management among critically ill patients in Kiambu County. Recommendations include implementing capacity-building programs for nurses and prioritizing staffing, ethical practices, equipment provision, work culture, and safety. Incorporating pain management education into training for healthcare practitioners is also advised.Publication Open Access Determinants of Routine Health Information Utilization Among Healthcare Professionals in Public Health Facilities in Kiambu County, Kenya(International Research Journal of Medicine and Health Sciences, 2024-05-27) Njeru, Jackline Wanja; Mathai, Ronald; Kerochi, AteiBackground: Quality health care is data or evidence-driven. While Kenya has increasingly invested in strengthening HIS including the adoption of robust and sophisticated technology such as DHIS2 used to manage routine well-being info, utilization of routine information remains a major setback. The main objective of this study was to determine routine health information utilization among healthcare professionals in public health facilities in Kiambu County, Kenya. Methods: This study adopted an analytical research design. The study employed a quantitative research approach where self-administered questionnaires were used to collect data. Stratified sampling was employed in this study. Frequency and percentage were used to examine descriptive data while the association between two or more variables of interest was examined using logistic forward linear regression. Results: From this study, there was a frequent utilization of routine health information systems by healthcare professionals with a majority of 89%. On the relationship between the behavioral factors and utilization of HMIS. there was a statistically significant influence on behavioral factors on utilization of HMIS, F [78.251], (p = 0.000<0.05). There was a statistically significant influence of technical factors on the utilization of HMIS, F [25.760], (p = 0.000 < 0.05). Lastly, there was a statistically significant influence on organizational factors on the utilization of HMIS, F [21.808], (p = 0.000 < 0.05). Conclusion: From this study, the overall HMIS data utilization was 89%. There was a statistical association between, organization, behavioral, and technical factors and the utilization of routine health information systems among healthcare professionals.Publication Open Access Client Related Factors Influencing Post-Natal Care Utilization Among Women Aged 18-49 Years In Ngong Ward, Kajiado County, Kenya(International Research Journal of Medicine and Health Sciences, 2024-05-24) Wairimu, Mundia Anne; Karonjo, Jane; Okova, RosemaryIn spite of evidence showing that Post Natal Care (PNC) reduces mother and baby mortality and morbidity, it is underutilized. In Kenya, only around 51% of women have access to these kinds of treatments from a trained professional. Limiting our understanding of the variables that influence the frequency with which these services are used. The objective of the study was to investigate client related factors that influence postnatal care services utilization. 354 mothers were surveyed using a cross-sectional descriptive research design in the Ngong ward. Household mothers who had a kid less than one year old were considered for participation. Quantitative data was examined using SPSS version 21, and information was gathered via the use of a structured questionnaire. At the 95% confidence level, the differences were seen as meaningful. Fisher's Exact Test and Chi-Square Test Chi-squared test was used to determine associations between independent variables and postnatal care utilization. PNC utilization was positively associated with those who have ever heard about postnatal care services (Fischer’s exact= 0.000), information about postnatal care services (p=0.003), and if postnatal care services are important (0.008) However PNC utilization and postnatal care visits attended (Fischer’s exact= 0.099), duration of waiting to be attended by the nurse midwife (0.204), and the reasons why PNC is important (p=1.000) showed no association. Through community-based methods, the county government should increase the use of PNC services; these initiatives should concentrate on those with low levels of education and socioeconomic status. The patients must be told about PNC services, and appointments must be made, by the healthcare professionals. There has to be better communication inside the facilities regarding PNC services.Publication Open 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, MogereIntroduction: 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.