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- ItemAssessment of Level of Job Satisfaction And The Associated Factors Among Nurses In Uganda, A Case Of Nurses At Mulago National Referral Hospital (Mnrh), Uganda(King Ceasor University, Institutional Repository, 2024-07-24) Awor Molly & Kaweesa Simon Peter.Job satisfaction among nurses is known to be a crucial element in ensuring quality patient care and staff retention. The term generally refers to the degree to which people feel about their job and the different aspects of the job, which results from a combination of factors that are known to be both extrinsic and intrinsic. The overall aim of the study was ‘to assess the level of job satisfaction and the associated factors among Nurses in Mulago National Referral Hospital’. The study employed a quantitative survey method for investigation with a sample size identified using a combination of purposive and convenience sampling methods. Data were collected using a self-filled questionnaire. The study was guided and analyzed based on Herzberg’s two-factor conceptual framework that divides relevant factors into satisfaction and dissatisfaction factors. Satisfaction factors (also called satisfier, intrinsic, or motivator factors) make people satisfied and motivated include Achievement, Recognition, Work itself, Responsibility, Advancement, and Growth’; and dissatisfaction factors (also called hygiene or extrinsic factors) include Working conditions, Co-worker relations, and rules, Salary, Company policies, Supervision, Interpersonal relations, Status, and Job security. The study findings indicated a satisfactory level of job satisfaction among Nurses in Mulago National Referral Hospital with predictive variables of sex, marital status, working hours, and working conditions as significantly associated with overall job satisfaction. The author recommends the development of policy guidelines to facilitate a reward system; prioritization of conducive working conditions; and upscaling of research on job satisfaction targeting both private and public health facilities at national and regional levels including training institutions for a sustainable bridge to job satisfaction levels. Keywords: Job Satisfaction; Nurses Intrinsic and Extrinsic Factors;
- ItemClinical Waste Management in Heaqlth Facilities: Knowledge, Attitudes And Practices In Mulago National Referral Hospital, Pediatric Wards.(King Ceasor University, Institutional Repository, 2024-07-24) Night Clare & Dr. Martin Odoki.The study investigated the health workers’ knowledge, attitude, and practices regarding clinical waste management in the Mulago Hospital pediatric ward. The specific Objectives of the Study were; to examine workers’ knowledge about clinical waste management in the Mulago Hospital Pediatric Ward to determine the attitudes of healthcare workers about clinical management in the Mulago Hospital Pediatric Ward and to identify health workers’ practice about clinical management in the Mulago Hospital Pediatric Ward. The research employed a descriptive, cross-sectional design with quantitative research approaches. Data collection methods include questionnaires and key informant interviews. The sample size comprises 52 participants, including health workers at Mulago National Referral Hospital. The study revealed that the respondents demonstrate a strong understanding of key aspects such as standards and regulations, waste categorization, and proper segregation and disposal practices. However, there are areas where knowledge could be improved, particularly in responding to blood exposure accidents and segregating sharp clinical waste. The findings revealed that a significant proportion of respondents agreed with the importance of proper waste handling. For example, 56% believed that waste management in the pediatric ward is proper, indicating confidence in current practices. Additionally, 60% affirmed that waste management is their duty, reflecting a strong sense of responsibility. Respondents also demonstrated awareness of safety measures in waste management, with 77% agreeing that waste must be collected carefully. Moreover, 62% advocated for consistent glove usage to prevent exposure-related risks. The study findings also revealed that there is a mixed level of adherence to recommended practices. A significant proportion consistently use rubber gloves during medical services, indicating a positive approach to protecting against exposure to hazardous materials. Additionally, there is strong compliance with proper disposal practices for sharp clinical waste, with a majority consistently using hard containers. Respondents also demonstrate proactive behavior in promptly addressing spills of liquid clinical waste. However, areas for improvement exist, particularly regarding the consistent use of personal protective equipment when picking up trash and ensuring thorough hand hygiene after contact with medical waste. Finally, it was recommended that the hospital administration should ensure that adequate resources, including personal protective equipment (PPE), waste disposal containers, and signage, are readily available to support safe waste management practices. Investing in these resources not only enhances safety but also reinforces the positive attitudes observed among healthcare workers toward waste management. Keywords: Clinical Waste Management; Health Workers; Mulago Hospital Pediatric Ward
- ItemKnowledge, Attitudes And Practices Of Nurses In Resuscitating Casualties Involved In Road Traffic Accidents In Uganda: A Case Of Mulago National Referral Hospital(King Ceasor University, Institutional Repository, 2024-07-24) Ainembabazi Sylivia & Nsenga Marcella.According to the World Health Organization WHO (2022), Road Traffic Accidents (RTAs) stand as the primary cause of mortality among individuals aged 5 to 29 worldwide. Uganda faces significant challenges, including a 42% increase in accidents in 2021. Effective resuscitation is crucial in mitigating mortality and disability resulting from RTAs, underscoring the importance of assessing nurses' competencies and attitudes in emergency care provision. The purpose of the study was to establish the knowledge, attitudes, and practices of nurses, in resuscitating road traffic accident casualties, in the Accident and Emergency Ward, Mulago National Referral Hospital Uganda. The study utilized a cross-sectional descriptive design. Purposive sampling selected 36 registered nurses; data was collected using structured questionnaires and observation checklists. Ethical considerations were upheld, and dissemination plans included conferences, publications, and library submissions. The study revealed nurses' demographics as 24(66.7%) aged 30-40 years, 29(80.6%) female. Most hold a Diploma 21(58.3%) and have over 10 years of experience 20(55.6%). Regarding knowledge, 22(61.1%) knew CPR, and 31(86.1%) understood compression-to-ventilation ratio. Attitudes varied: 20(55.6%) felt prepared, while 11(30.6%) agreed on promptly responding to RTA emergencies. Practices showed 20(55.6%) encountering RTA casualties frequently, but only 12(33.3%) monitored deterioration signs effectively. Overall, 30(83.3%) rated their performance positively. The majority of nurses demonstrated a high level of knowledge and positive attitudes toward the management of RTA emergencies; however, there are evident gaps in practice. Addressing these gaps requires comprehensive training programs focusing on trauma management and resuscitation techniques, emphasizing hands-on training and continuous professional development opportunities. There is a need to develop strategies to promote a proactive attitude towards preparedness and prompt response to RTA emergencies among nurses Keywords: Road Traffic Accidents; Nurses' Competencies; Emergency Resuscitation
- ItemHealthcare professionals’ knowledge of and compliance with the ASCO/ESMO/GLIM guidelines for the diagnosis and management of cancer cachexia (CC): the ASSIST-CC baseline findings in Uganda.(King Ceasor University, Institutional Repository, 2024-07-26) Atuhe, I., Jatho, A., Nalwadda, B., Asasira, J., Nantayi, M., Semujju, J., & Orem, J.Background: More than 50% of people with advanced cancer suffer from cancer-related cachexia (CC) – a major contributor to morbidity and mortality. Despite the lack of local guidelines on CC diagnosis and management in Uganda, the American Society of Clinical Oncology (ASCO), the European Society for Medical Oncology (ESMO) and the Global Leadership Initiative on Malnutrition (GLIM) developed guidelines on CC screening and management. However, the level of knowledge on CC and compliance with the available guidelines among Ugandan oncology health professionals is unknown. This study aimed to assess the level of awareness and knowledge of CC diagnosis and management and compliance with the ASCO/ESMO/GLIM guidelines on CC among healthcare professionals (HCPs) involved in the care of cancer patients. Methods: In this phase one, a self-administered structured questionnaire developed using the ASCO/ESMO and GLIM guidelines on diagnosis and management of CC was used to assess the level of awareness, and knowledge of 200 health professionals from three hospital settings on CC, and compliance with the ASCO/ESMO/GLIM guidelines on CC related core communication, barriers to communication, clinician training in communication, discussing goals of care, treatment options and meeting the needs of the underserved populations. The data were entered into Research Electronic Data Capture software and analyzed using STATA version 18.0 software. Results: The overall objectively correct knowledge score of CC diagnosis criteria was 67.5% (n = 135), yet there was a much lower level of awareness about ASCO/ESMO/GLIM guidelines on CC at 30% (n = 60) and only 21% (n = 42) of the HCPs have ever assessed Quality of life of CC patients. The compliance with ASCO/ESMO/GLIM guidelines on nutritional interventions for patients with CC varied across the variables markedly, ranging from 25.1% (n = 50) to 81% (n = 162) for the specific ASCO/ESMO/GLIM guidelines’ recommendations. Whereas compliance with the guidelines on discussing goals of care, prognosis, treatment options, and end-of-life care scored the highest in most variables, most HCPs exhibited low compliance with the discussion about patients’ end-of-life preferences early in the course of incurable illness (49.8%, n = 99). There were statistically significant differences between the mean scores of only two variables among the three hospitals in compliance with ASCO/ESMO/GLIM guidelines on the provision of additional calories by feeding tubes (p = 0.038), and the available evidence to recommend medication to improve CC outcomes (p = 0.0286). On discussing goals of care, prognosis, treatment options, and end-of-life care there was a statistically significant difference between the mean scores of only one variable; clinician’s simplicity of providing information to patients (p = 0.0132) among the HCPs in the three hospital settings. Conclusion: This study indicated that the overall objectively correct knowledge of CC diagnosis criteria was inadequate, with a much lower level of awareness about the ASCO/ESMO/GLIM guidelines on CC and a handful of the HCPs have ever assessed the quality of life of CC patients. Quality improvement interventions on CC diagnosis and management should prioritize improving the level of knowledge on CC, diagnostic criteria, and patient-clinician communication, including discussion about patients’ end-of-life care using standardized tools such as ASCO/ESMO or GLIM guidelines on CC using a multidisciplinary team approach. Keywords: cancer cachexia, cancer cachexia diagnosis, cancer cachexia management
- ItemFactors Influencing Child Sexual Abuse In Mulago Zone, Kampala City, Uganda(King Ceasor University, Institutional Repository, 2024-07-24) Kihembo Hilder & Amos Ronald KalukusuChild sexual abuse is a significant concern in Mulago Zone, Kampala City, Uganda, with local police records indicating an average of 54 reported cases weekly. This study aimed to understand the factors contributing to this issue. Through interviews with 60 residents, we explored family dynamics, child-related factors, and cultural influences associated with child sexual abuse. Our findings revealed that factors such as parental substance abuse, domestic violence, and parental mental health significantly increased the risk of child sexual abuse, as evidenced by Adjusted Odds Ratios (AORs) of 1.75, 1.42, and 1.63, respectively. Additionally, children's age, gender, and previous abuse history were influential, with corresponding chi-square (χ²) values indicating statistical significance (p < 0.05). Cultural norms, including patriarchal values and media portrayals of violence, also played a role, with associated AORs and chi-square values. We recommend targeted interventions, including legal reforms, improved healthcare services, and community awareness programs, to address these root causes and safeguard children's well-being. Keywords: Child Sexual Abuse; Risk Factors; Mulago Zone