检索结果-南通市图书馆

Experiences of Community Members on Reporting Community Maternal Deaths in Mangochi District of Malawi

Open Journal of Nursing 2015年第3期5卷 226-236页

作者： Jane Dzoole Mercy Pindani alfred maluwa Kamuzu Central Hospital Ethel Muthalika Maternity Wing Lilongwe Malawi Kamuzu College of Nursing University of Malawi Lilongwe Malawi

The purpose of this study was to explore and describe the experiences of community stakeholders on reporting community maternal deaths to relevant authorities in Mangochi District of Malawi. The study employed qualitative hermeneutic phenomenology approach to data collection, analysis and interpretation. It was conducted in three health zones of Mangochi district which are Monkey-bay, Mangochi boma and Namwera zones. Purposive sampling was used to select major community stakeholders on issues of safe motherhood and these were;Village heads, Health Surveillance Assistants (HSAs), safe motherhood volunteers and members of village health committees (VHCs). A total of eighteen in-depth interviews and three focus group discussions were conducted. Descriptive statistics were computed for the demographic variables and the qualitative data were analysed using modified Colaizzi (1978) method based on Heideggerian and Gademerian philosophy. Findings showed that community maternal deaths were not always reported because there were no records in the district. Most participants lacked knowledge on the process and their role in reporting community maternal deaths despite knowing the importance of reporting such deaths. However, findings indicated a positive perception of participants towards reporting community maternal deaths to authorities. The study recommends that health education be offered to community members and Health Surveillance Assistants regarding reporting maternal deaths to improve the situation.

关键词： Community Maternal Deaths Community Members Reporting Safe Motherhood Maternal Death Surveillance and Response Maternal Health

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Midwives’ Adherence to Preoperative Care Guidelines Prior to Emergency Caesarean Section at Bwaila Maternity Hospital in Malawi

引用

Open Journal of Nursing 2014年第11期4卷 754-761页

作者： Ruth Mwale alfred maluwa Address Malata Jon Odland Kamuzu College of Nursing University of Malawi Lilongwe Campus Lilongwe Malawi Norwegian Arctic University Tromso Norway

A study was conducted to describe midwives’ adherence to preoperative care during emergency caesarian section at Bwaila Maternity Wing in 2012 in Malawi. The study utilized a descriptive prospective and retrospective design. A structured questionnaire was administered to all 28 midwives who were directly involved in the preparation of clients for emergency caesarean section. Clients charts were also reviewed using a standard checklist to determine adherence to preoperative care. Data were analyzed using SPSS version 16.0 and descriptive statistics in the form of frequencies and percentages were computed for the dataset. A midwife was supposed to score at least 80% on each component of preoperative care guidelines to be compliant to the stipulated pre-operation standards. The midwives scored above 80% on only four of the 14 preoperative care guidelines which were;bladder catheterization (100%, n = 14), obtaining informed consent (92.9%, n = 12), administration of IV (96.4%, n = 13) and administration of preoperative antibiotics (82.1%, n = 11). Midwives however scored less than 80% on preoperative procedures that dealt with vital signs (28.6%, n = 4): BP check (28.6%, n = 4);Pulse rate check (25%, n = 3.5);respiration check (25%, n = 3.5) and temperature check (25%, n = 3.5). The midwives scored further below standard on blood specimen collection (78.6%, n = 11). Psychological support to clients was also below standard at 60.7%, n = 8. Other components of psychological support such as surgery information (57.1%, n = 8), allowing clients ask questions (28.6%, n = 4) and answering clients’ questions (25%, n = 3.5) were also scored below standard. Overall the standard of preoperative care was below standard at the facility. Most of the midwives were new graduates, who had never received any in-service training on preoperative care. Therefore in service training it is recommended for the midwives to provide good quality of care.

关键词： Emergency Caesarean Section Preoperative Care Guidelines Preoperative Vital Signs Check Preoperative Psychological Support Surgery Information Pre-Operation Education

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Utilization of Postpartum Family Planning Services between Six and Twelve Months of Delivery at Ntchisi District Hospital, Malawi

引用

Health 2014年第14期6卷 1724-1737页

作者： Chrissy Bwazi alfred maluwa Angela Chimwaza Mercy Pindani Kamuzu College of Nursing University of Malawi Lilongwe Malawi Ntchisi District Hospital Ntchisi Malawi

This study examined factors that determine utilization of postpartum family planning services at Ntchisi District Hospital in Malawi. The study design was descriptive and utilized quantitative methods of data collection and analysis. A random sample of 383 postpartum women was interviewed using a structured questionnaire. Data were analysed using SPSS version 16.0. Chi-square tests were used to establish relationships between utilization of Post Partum Family Planning services and demographic variables. Knowledge about family planning services was almost universal at 94.3% among the women. About 75% of the women were using the contraceptives within the first year after delivery however they started taking the contraceptives after they had already resumed sex. There was a significant association (P < 0.05) between utilization of post partum family planning services and the following: clarity of family planning information given, level of education, period for resuming sex, husband’s approval of family planning method, counselling on fertility intention, duration of lactation amenorrhoea, maternal age and parity. There is therefore a need to promote these factors to increase uptake of postpartum services.

关键词： Postpartum Family Planning Contraception Social Networks Beliefs Past Behaviour and Habits Lactation Amenorrhoea Postpartum Sexual Activity

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Experiences of women with the support they received from their birth companions during labour and delivery in Malawi

引用

Health 2013年第1期5卷 45-52页

作者： Esther Kungwimba Address Malata alfred maluwa Ellen Chirwa Department of Maternal and Child Health University of Malawi Kamuzu College of Nursing Blantyre Malawi Department of Maternal and Child Health University of Malawi Kamuzu College of Nursing Lilongwe Malawi Malawi College of Health Sciences Blantyre Malawi Research Directorate University of Malawi Kamuzu College of Nursing Lilongwe Malawi

A study was conducted to describe the experiences of primiparous women with the support they received from their birth companions during labour and delivery in Malawi. The study design was descriptive and utilized qualitative data collection and analysis method on a sample of 20 primiparous women. The women were recruited from the postnatal ward of Bwaila hospital and were interviewed regarding their experiences on the support they received from their birth companions during labour and delivery using an open ended interview guide. Data was manually analyzed using content analysis. Primiparous women described the support they received from their birth companions as useful and beneficial. Birth companions provided advice, physical, emotional and spiritual support to the women during their labour and delivery. In addition, the birth companions were viewed as guardians of the women during labour and delivery. Results however, show that some women were not properly assisted by their companions because both the mothers and companions lacked knowledge on birth companionship. The results further show that birth companions play important roles during the birth and delivery of primiparous women and thereby improving birth outcomes. Therefore, there is a need to train the companions regarding support to a woman during labour and delivery. Primiparous women also need to be trained during antenatal care education so that they properly understand the roles of a birth companion as opposed to those of the midwives.

关键词： Primiparous Woman Birth Companion Labour Delivery Support Antenatal Clinic Education Birth Experience

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Factors Promoting and Hindering Performance of Unit Nurse Managers at Kamuzu and Queen Elizabeth Central Hospitals in Malawi

引用

Open Journal of Nursing 2014年第13期4卷 928-938页

作者： Caroline Chitsulo Mercy Pindani Idesi Chilinda alfred maluwa Kamuzu College of Nursing University of Malawi Lilongwe Malawi

Unit nurse managers in Malawi experience many challenges in the course of performing their roles. This affects their performance and service delivery including the quality of nursing care to patients. This study was conducted to determine the factors that hindered performance of unit managers in relation to expected quality of nursing services at two referral facilities (Kamuzu and Queen Elizabeth Central hospitals) in Malawi. These two central hospitals have the same structural settings and both offer specialized tertiary health services. A quantitative descriptive design was used to guide the planning and implementation of the study. Purposive sampling was used to select the two major hospitals in Malawi and all available 37 unit nurse managers during the time of the study at the two hospitals participated in the study. Data were collected using semi-structured questionnaires after seeking consent from the participants and were analyzed using SPSS version 16.0. The major roles identified by the unit managers were supervision (75.6%, n = 28) and coordination (70.3%, n = 26). Other roles such as team leader, liaison officer, research allocator, monitor and facilitator were rated by very few participants. Findings of the study showed that performance of unit nurse managers was affected by inadequate material (86.4%, n = 32) and human resources (94.5%, n = 35) and lack of managerial skills (5.4%, n = 2). In addition, the unit managers perceived their role to be stressful (38.9%, n = 14) and challenging (47.2%, n = 17). Therefore, there is a need to provide adequate material and human resources to the wards of the two central hospitals to enable the unit managers perform their duties efficiently.

关键词： Unit Nurse Manager Quality of Nursing Care Managerial Skills Level of Performance Role of Nurse Managers Effective Performance

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Comparison of Nurses’ and Families’ Perception of Family Needs in Critical Care Unit at Referral Hospitals in Malawi

引用

Open Journal of Nursing 2014年第4期4卷 312-320页

作者： Rodwell Gundo Feggie Feggie Bodole Edoly Lengu alfred alfred maluwa Department of Medical-Surgical Nursing Kamuzu College of Nursing Lilongwe Malawi Queen Elizabeth Central Hospital Blantyre Malawi Research Directorate Kamuzu College of Nursing Lilongwe Malawi

This study compared needs of family members as perceived by nurses and the family members themselves. The study design was descriptive and utilized quantitative data collection and analysis method. Nurses (n = 62) working in the Intensive Care Units (ICU) and High Dependency Units (HDU) of three tertiary health facilities in Malawi at the time of the study consented to participate in the study. In addition, family members (n = 62) who were looking after a critically sick relative in the ICU and HDU in the same tertiary facilities consented and participated in the study. Data were collected using a questionnaire developed from the Critical Care Family Needs Inventory for a period of 7 days. STATA version 10 was used to analyze data. The rank correlation between the mean scores of perceived needs across major need categories of support, comfort, information, proximity and assurance between the nurses and family members was significantly different from zero (r = 0.97, p = 0.005). Nurses and family members, respectively ranked assurance (90% and 92%) as the highest priority need, followed by information (78% and 85%) and comfort (78% and 84%) and then support (70% and 73%) and proximity (66% and 69%). The ranking however between the 2 groups on 16 out of 45 individual needs were significantly different (p < 0.05). Among the nurses, the rankings by registered nurses were significantly higher (p < 0.05) from those of nurse midwife technicians. There were also significant differences (p < 0.05) in the mean scores between the gender of family members with men demanding more “comfort” than females. Results show a need for facility authorities to formulate ICU policies and strategies that ensure provision of friendly services to family members of critically ill patients.

关键词： Critical Illness Family Needs Nurses Perceptions Intensive Care Unit High

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Stigma and Discrimination against People Living with HIV and AIDS in Malawi

引用

World Journal of AIDS 2014年第2期4卷 123-132页

作者： Mercy Pindani Makhubela Nkondo alfred maluwa Sadandaula Muheriwa Kamuzu College of Nursing University of Malawi Lilongwe Campus Lilongwe Malawi University of South Africa Pretoria South Africa

A study was conducted to explore stigma and discrimination among people living with HIV and AIDS who were on home based care in the Lilongwe district of Malawi. The study design was descriptive through sectional and utilized qualitative data collection and analysis method. Fifteen people living with HIV and AIDS, aged between 15 and 60 years were purposively sampled from three organizations, which were: Light House, National Association for people living with HIV and AIDS in Malawi and Lilongwe Diocese. Qualitative data were collected using an open ended interview guide during in-depth face to face interviews with the participants. The data were analysed using ATLAS. ti 5.0. Results show that all the participants were facing stigma and discrimination because they were living with HIV and AIDS. Distant relatives were the main source of stigma and discrimination followed by friends and church members. Most participants indicated that they felt they were discriminated because HIV infection is associated with bad behaviours such as prostitution or promiscuity. However some of them complained that they contracted the virus from their married partners and hence they did not deserve to be stigmatized or discriminated against. Results show that there is a need for creation of awareness among community members on the transmission of HIV and the need for home based care for the chronically ill people living with HIV and AIDS.

关键词： People Living with HIV and AIDS Community Home Based Care Stigma and Discrimination Primary Care Providers HIV Transmission and Prevention

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Factors That Influence Anti-Retroviral Therapy Adherence among Women in Lilongwe Urban Health Centres, Malawi

引用

World Journal of AIDS 2013年第1期3卷 16-25页

作者： Noel Dzimnenani Mbirimtengerenji Getrude Jere Shyle Lengu alfred maluwa Kamuzu Central Hospital Lilongwe Malawi Kamuzu College of Nursing Lilongwe Malawi

Introduction: Sub-SaharanAfricaremains most severely affected, with nearly1 inevery 20 adults (4.9%) living with HIV and this is accounting for 69% of the people worldwide. Although the regional prevalence of HIV infection is nearly 25 times higher in sub-Saharan Africa than in Asia, almost 5 million people are living with HIV in South, South-East and East Asia combined. Purpose: The purpose of this study was to find out the factors that influence anti-retroviral therapy adherence among women in Lilongwe Urban,Malawi. Methods: a descriptive cross-sectional design was used to study multi sites using quantitative methods. The sites were ART clinics at Area 18 health centre, and Area 25 health centre. A questionnaire was used to a convenient sample of 118 HIV positive women. Quantitative data from close-ended questions were coded and analyzed using the Statistical Package for Social Science (SPSS), version 16. Logistic regression model was used to execute the potential covariates. Findings: ART adherence among women is influenced by knowledge levels on: perceived importance and consequences for not adhering to ART;Short waiting time;good relationships with the next of kin and service providers;trust and effective coping mechanisms to stressful events. Source of information was highly associated with adherence in the logistic regression OR ≤ 2.89;CI (1.66 ± 5.38);p (0.039). Moreover, Short waiting time of the women at the hospital during the ARV refill period is highly associated with ART adherence level OR ≤ 4.11;CI (2.05 ± 6.12);p (0.021). On the other hand, factors that contribute to non-adherence are reduced knowledge level p0.002;Side effects of ART;bad relationships with service providers and relationship with the next of kin as well as occupation of the clients (women). Conclusion: Despite stressful events to HIV positive living women, this study revealed that the majority of these participants would continue taking ART if the factors are very minimal. Encouragin

关键词： ARV Adherence Anti-Retroviral Therapy Urban Health Centres

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Birth preparedness and complication readiness among postnatal mothers in Malawi

引用

Health 2013年第9期5卷 1486-1493页

作者： Alliet Kupatsa Botha alfred maluwa Mercy Pindani Kaye Bultemeier Georgetown University Washington DC USA Office of the Dean of Faculty Kamuzu College of Nursing Lilongwe Malawi Research Directorate Kamuzu College of Nursing Lilongwe Malawi Salima District Hospital Salima Malawi

This study was conducted to assess birth preparedness and complication readiness among postnatal mothers at Khombedza Health Centre in Salima District, Malawi. The study design was descriptive cross sectional and utilized qualitative data collection and analysis method on a random sample of 15 postnatal mothers. A semi structured questionnaire was used to assess birth preparedness and complication readiness among the postnatal mothers during their most recent pregnancy and child birth. The findings indicate that overall, all the mothers had attended antenatal care and were aware of the importance of seeking health facility delivery. The mothers were also conversant with the items to bring with them during labour and delivery. Results further show that the participants had some knowledge of danger signs during postpartum and also for the new born baby but had limited knowledge of danger signs during antenatal, labour and delivery. Although the mothers had planned to deliver at the hospital, they did not save money for transport. There is therefore a need to strengthen antenatal care education on birth preparedness and complication readiness. Such knowledge would assist pregnant mothers to identify danger signs during antenatal, labour and delivery and therefore seek emergency obstetric care on time to minimize maternal and neonatal mortalities.

关键词： Birth Preparedness Complication Readiness Danger Signs of Pregnancy Antenatal Care Education Postpartum Period Maternal and Neonatal Mortalities

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Midwives’ adherence to guidelines on the management of birth asphyxia in Malawi

引用

Open Journal of Nursing 2012年第4期2卷 351-357页

作者： Bertha Chikuse Ellen Chirwa alfred maluwa Address Malata Jon Odland Department of Maternal and Child Health University of Malawi Kamuzu College of Nursing Blantyre Malawi Department of Maternal and Child Health University of Malawi Kamuzu College of Nursing Lilongwe Malawi Faculty of Health Sciences University of Tromso Norwegian Agency for Development Cooperation Tromso Norway Ntcheu District Hospital Ntcheu Malawi Research Directorate University of Malawi Kamuzu College of Nursing Lilongwe Malawi

A study was conducted to determine midwives adherence to guidelines on management of birth asphyxia at Queen Elizabeth Central Hospital in Blantyre district, Malawi. The study design was descriptive cross sectional using quantitative data analysis method on 75 midwives that were working in the maternity unit of the hospital. A structured questionnaire was used to collect data on participant’s demographic characteristics and midwives’ comprehension of birth asphyxia and an observational check list was used to observe midwives’ adherence to WHO resuscitation guidelines. In addition midwives were observed on their adherence to the Integrated Maternal and Neonatal Health guidelines that were developed by the Malawi Ministry of Health. The findings indicate that the midwives had knowledge of birth asphyxia in general. However, there were gaps in their ability to identify warning signs of birth asphyxia through partograph use. In addition the midwives did not adhere to 9 out of the 21 steps of the resuscitation guideline. Generally there was substandard adherence to guidelines on identification of warning signs of birth asphyxia and neonatal resuscitation. On the other hand, the facility did not have adequate resuscitation equipment and supplies. The results are discussed in relation to the importance of adhering to resuscitation guidelines in the management of birth asphyxia for babies that do not breathe at birth. Training of the midwives on partograph use and resuscitation to improve neonatal outcomes is recommended. It is recommended further that the health facility should have adequate resuscitation equipment and supplies.

关键词： Birth Asphyxia Resuscitation Guidelines Neonates Use of Partograph Virginia Apgar Scoring

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：