Kenyan nurses' involvement in managing hospitalized diabetic patients

Abstract

Diabetes is a global public health concern because the incidence, prevalence and financial burden are rapidly increasing. Clinical nursing research in developing countries is rare. This study examines nurses' involvement in the management of diabetic patients in a western Kenya Hospital. A descriptive exploratory design is used, data were collected in structured interviews with 15 registered nurses using an investigator-designed instrument. Content analysis produced eight categories of nurses' involvement in managing hospitalized diabetic patients. Facilitators and barriers to managing diabetic care are presented from the perspective of the nurse, hospital, patient, family and community. Workforce redesign is needed to cope with nursing shortages.

Exploring Cultural Influences of Self-Management of Diabetes in Coastal Kenya

“…Mutea and Baker (2008) suggest that illiteracy, poverty, nursing shortages, lack of diabetes policies/guidelines, and inadequate medical resources impede people’s management of diabetes in Kenya. What has not been explored in Kenya is the role of cultural beliefs and practices in self-management of type 2 diabetes (e.g., healthy eating, staying active, monitoring blood glucose, taking medications, and monitoring for diabetes complications and risks).…”

Searching for collaboration in international nursing partnerships: a literature review

“…The only qualitative study among the nine studies analysed in this literature review served as a platform for the voices of 15 Kenyan nurses to discuss barriers and facilitators that exist in caring for people living with diabetes in Kenya. The study, led by a Kenyan nurse, was conducted in response to the significant health sequelae associated with people living with diabetes in Kenya (Mutea & Baker 2008). The nurses who participated in the study identified staff shortages, low staff morale, patient overcrowding and poverty of their patients as the most significant barriers to providing adequate diabetes care.…”

“…2007). Some articles also addressed the emotional burden of working with patients whose health was ravaged by inadequate food and housing, among other resources (Kemp & Tindiweegi 2001; Mutea & Baker 2008; Vitols et al. 2007).…”

“…These challenges included lack of resources to conduct research and lack of supplies and education materials for nurses from LIC, which were rectified through the formation of respective nursing partnerships (Bender et al 2011;Lasater et al 2012;Malloy et al 2011;Parfitt et al 2008;Plager & Razaonandrianina 2009;Vitols et al 2007). Some articles also addressed the emotional burden of working with patients whose health was ravaged by inadequate food and housing, among other resources (Kemp & Tindiweegi 2001;Mutea & Baker 2008;Vitols et al 2007).…”

Factors influencing nurses’ knowledge acquisition of diabetes care and its management: A qualitative study

“…Some differences were noted in the barriers encountered by nurses in different countries: While poor attendance at continuing education programmes was identified as the main reason for poor diabetes knowledge by British nurses (Nash, 2009), nurses working in developing countries were less likely to have access to educational materials and resources and appropriate diabetes training programmes (Oyetunde & Famakinwa, 2014). The wider employment milieu was also an influence, with nursing shortages, high workloads and consequent low job morale identified as barriers to nurses' acquisition of adequate diabetes knowledge (Alotaibi, Al-Ganmi, Gholizadeh, & Perry, 2016;Mutea & Baker, 2008).…”