Nurses’ and midwives’ participation and utilization of health-related research in Kenya: Implications for evidence-based practice

Nzengya, Daniel M.; Mutisya, Albanus K.; Wagoro, MiriamC.A.; Secor-Turner, Molly; Edwards, Joan E.

doi:10.1016/j.ijnss.2023.02.001

Cited by 5 publications

(5 citation statements)

References 22 publications

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“…This study utilized a cross‐sectional Delphi survey with two rounds of electronic data collection from expert nurses and midwives in Kenya's national and regional public, private, and faith‐based hospitals as well as mid‐level, baccalaureate, and postgraduate nurse training institutions across all counties. Conducting and reporting Delphi studies (CREDES) guidlines (Junger et al., 2017) were used to guide the study, and the rationale for this method is described elsewhere (Nzengya et al., 2023).…”

Section: Methodsmentioning

confidence: 99%

“…Nurses’ and midwives’ scope of practice and proximity to individuals and communities strategically positions them to identify research priorities, undertake research, and utilize research findings in nursing education, management, and practice to improve client health outcomes (Al‐Yateem, 2019; Sun & Prufeta, 2019; Sun et al., 2019). Despite the demonstrated effectiveness of nursing and midwifery research to inform quality healthcare and improved health outcomes, there is a paucity of nurses’ and midwives’ participation in research especially in low‐ and middle‐income countries (LMIC), including countries in Africa such as Kenya (Nzengya et al., 2023; Sun et al., 2015). In these countries, nurses and midwives comprise over half of the healthcare workforce and meet over 90% of the population's healthcare needs; hence, their potential to significantly impact patient outcomes is great (WHO, 2021).…”

Section: Introductionmentioning

confidence: 99%

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Nursing and midwifery research priorities for Kenya: Results from a national Delphi survey

Mutisya,

Wagoro,

Nzengya

et al. 2023

International Nursing Review

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BackgroundThe International Council of Nurses and the World Health Organization have prioritized evidence‐based nursing and midwifery practice derived from nurse‐led research. However, in a low‐resource country like Kenya, there is a need to identify research priorities to optimize utilization of limited existing research infrastructure and funding. Kenya lacks a nursing and midwifery research strategy to guide research prioritization.IntroductionThe goal of this study was to identify and describe nursing and midwifery research priorities for Kenya.MethodsA cross‐sectional Delphi survey using two iterative rounds of electronic data collection was used to reach a consensus about priorities for nursing and midwifery research in Kenya. NVivo‐12 was used to analyze the qualitative data to identify categories, sub‐themes, and themes; descriptive statistics were used to analyze quantitative data.ResultsParticipants included 159 nurse managers, administrators, and educators representing regional, county, and national referral, private, and faith‐based hospitals, nurse training schools, research institutions, and nursing organizations in Kenya. Staffing challenges, motivation, remuneration, and funding for higher education were ranked as the top critically important issues using a cutoff point of ≥ 70% agreement.ConclusionThere is a need for the development of a National Framework for Nursing and Midwifery Research Priorities in Kenya to guide research that builds excellence in meeting nursing and midwifery human resource concerns and ultimately improves patient care practices and outcomes.Implications for nursing and nursing policyThe objective of Kenya's health goals delineated within three key national health documents cannot be attained without adequate numbers of nursing and midwifery professionals and policies that address nursing and midwifery staffing challenges, remuneration for employment, and improved funding for higher education.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Nursing and midwifery research priorities for Kenya: Results from a national Delphi survey

Mutisya,

Wagoro,

Nzengya

et al. 2023

International Nursing Review

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“…The literature has well-documented the lack of time as a barrier to research output among nursing faculty members. For instance, [12] identified poor staffing resulting in high workloads and lack of time for research productivity. Nursing faculty members often have demanding responsibilities, both in the clinical and academic realms.…”

Section: Time Constraint For Researchmentioning

confidence: 99%

Research Output and Knowledge Translation Among Faculty Members of University of Technology, Jamaica

Garba Usman

2024

TIJAR

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Universities are very important assets to produce research knowledge. The three major responsibilities of university faculty members are teaching, research, and community service. Balancing these three responsibilities is often very challenging, and the work that suffers most is research. The government of every nation looks up to its universities to produce research knowledge. The goal is to investigate the research output and knowledge translation among faculty members at Jamaica’s national university. A descriptive quantitative cross-sectional design was used for this study. This design was used to collect data from faculty members at one point in time. Most of the respondents (56.3%) perceived a lack of protected time for research as a barrier to research productivity. Seventy-five percent of the respondents reported having published one research article as the first author in the last two years. The majority (75%) of the respondents have concerns about the research policy of the university. The most common perceived barrier to knowledge translation (KT) was a lack of awareness of the concept of KT. The faculty members are experiencing challenges in conducting research and translating research findings. Keywords: Knowledge translation, Research output.

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“…This includes teaching nurses how to appraise research evidence and apply it to clinical practice critically (Aynalem et al, 2021). However, research output by nurses as well as their involvement in the publication and dissemination of research findings in Kenya is low, limiting their ability to translate research into EBP (Nzengya et al, 2023). In addition, although there is progress towards EBP, challenges such as lack of research skills, limited access to upto-date research materials and related resources, and the influence of organizational culture are a barrier to EBP (Kimani & Gatimu, 2023) particularly in rural areas.…”

Section: Introductionmentioning

confidence: 99%

“…In addition, although there is progress towards EBP, challenges such as lack of research skills, limited access to upto-date research materials and related resources, and the influence of organizational culture are a barrier to EBP (Kimani & Gatimu, 2023) particularly in rural areas. Further, workload and staffing issues in some healthcare settings may limit the time nurses can devote to EBP activities (Nzengya et al, 2023).…”

Section: Introductionmentioning

confidence: 99%

Self-Perceived Evidence-Based Practice Competency and Associated Factors among Nurses at a County Referral Hospital in Kenya

Muthoni,

Mutai

2024

GJHS

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Purpose: Evidence-based practice (EBP) is a crucial approach in healthcare that combines research evidence, clinical expertise, and patient preferences to guide decision-making. There is often a gap between knowledge of and implementation of EBP dependent on the nurses’ ability to acquire and apply knowledge in managing patients and decision-making. This study aimed to assess the self-perceived EBP competency and identify associated factors among nurses at a County Referral Hospital in Kenya. Methodology: A descriptive cross-sectional approach was used. A total of 75 nurses were recruited through stratified sampling. Semi-structured questionnaire was used to collect data on individual factors while validated tools were used to collect data on institutional factors and EBP competency. Data was presented in frequency tables and inferential statistics such as chi-square used to show associations. P value < 0.05 was considered significant. Results: The study showed that 52% of nurses who participated in the study had a moderate level of self-perceived EBP competency and 32% showcased a high level of competency. There was a significant association between self-perceived EBP competency and education level (p=0.04), clinical experience (p<0.001), frequency of inter-professional collaboration (p=0.009), and availability of continuing professional development (p=0.003). This study showed that most nurses at the hospital had moderate levels of EBP competency. Self-perceived EBP is significantly associated with the level of education, clinical experience, inter-professional collaboration, and availability of continuing professional development. Unique Contribution to Theory, Practice and Policy: This study applied the diffusion theory guided by Rogers' five elements. Using this theory in relation to EBP shows that the theory can be used to break down and understand nursing practice principles and factors surrounding their adoption by practitioners. This in turn can inform the restructuring of health care practices, policies formulation and intervention to enhance practice for quality care and improved health outcomes. The findings of this study can inform policy and practice development to facilitate EBP, and education for staff to equip nurses with the knowledge and tools needed to deliver high-quality, safe, and effective patient-centered care.

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Nurses’ and midwives’ participation and utilization of health-related research in Kenya: Implications for evidence-based practice

Cited by 5 publications

References 22 publications

Nursing and midwifery research priorities for Kenya: Results from a national Delphi survey

Nursing and midwifery research priorities for Kenya: Results from a national Delphi survey

Research Output and Knowledge Translation Among Faculty Members of University of Technology, Jamaica

Self-Perceived Evidence-Based Practice Competency and Associated Factors among Nurses at a County Referral Hospital in Kenya

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