Patterns of knowing required for critical care nursing practice in Malawi

Gundo, Rodwell; Mearns, Gael; Dickinson, Annette; Chirwa, Ellen; Gundo, Beatrice

doi:10.1016/j.ijans.2020.100275

Cited by 2 publications

(4 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The items in this domain explored nurses' perception of and desire to master certain critical care skills. Therefore, the results could be attributed to the lack of post registration critical care nursing course in Malawi and none of the participants was trained in critical care nursing 25 . Furthermore, there was significant increase in participants' scores on all the additional competencies, meeting nutritional needs of patients; recognition and management of electrolyte imbalance; performing cardiopulmonary resuscitation (CPR); caring for a patient with endotracheal tube; caring for a patient with tracheostomy; basic interpretation of ECG; preparation and management of emergency drugs; documentation of patient care; interpretation of arterial blood gases; and implementation of discharge plan.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…The participants' scores on the ICCN-CS-1 and additional competencies (Q3) increased significantly at the end of the training. The content of the training was based on learning needs of nurses which were identified in the earlier phase of the larger study 25 . The participants considered the training relevant and expressed satisfaction with the content and approach.…”

Section: Discussionmentioning

confidence: 99%

“…The topics for the training were selected by a team of local nursing experts (n=4) and an anaesthetist (n=1) based on learning needs of the nurses which were identified in the first phase of the study. As reported in a separate publication, the learning needs of the nurses were related to five dimensions of knowing namely; theoretical knowing, practical knowing, managerial knowing, ethical and professional knowing , and ability to interpret and act 25 . The topics selected for the training were those that were suggested by the majority of the participants and deemed relevant to the context in Malawi.…”

Section: Methodsmentioning

confidence: 99%

See 3 more Smart Citations

Effect of an educational programme on critical care nurses’ competence at two tertiary hospitals in Malawi

Gundo

Chirwa

et al. 2021

Mal. Med. J

Self Cite

View full text Add to dashboard Cite

BackgroundCritical care specialty deals with the complex needs of critically ill patients. Nurses who provide critical care are expected to possess the appropriate knowledge and skills required for the care of critically ill patients. The aim of this study was to assess the effect of an educational programme on the competence of critical care nurses at two tertiary hospitals in Lilongwe and Blantyre, Malawi.MethodsA quantitative pre- and post-test design was applied. The training programme was delivered to nurses (n = 41) who worked in intensive care and adult high dependency units at two tertiary hospitals. The effect of the training was assessed through participants’ self-assessment of competence on the Intensive and Critical Care Nursing Competence Scale and a list of 10 additional competencies before and after the training.ResultsThe participants’ scores on the Intensive and Critical Care Nursing Competence Scale before the training, M = 608.2, SD = 59.6 increased significantly after the training, M = 684.7, SD = 29.7, p <.0001 (two-tailed). Similarly, there was a significant increase in the participants’ scores on the additional competencies after the training, p <.0001 (two-tailed). ConclusionThe programme could be used for upskilling nurses in critical care settings in Malawi and other developing countries with a similar context.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Effect of an educational programme on critical care nurses’ competence at two tertiary hospitals in Malawi

Gundo

Chirwa

et al. 2021

Mal. Med. J

Self Cite

View full text Add to dashboard Cite

show abstract

Factors Associated With Junior Nurses Ability to Recognise and Respond to Clinical Deterioration: A Cross‐Sectional Study in Tertiary Hospitals in Malawi

Chipeta,

Lingli,

Nget

et al. 2024

Evaluation Clinical Practice

View full text Add to dashboard Cite

RationaleRecognising and responding swiftly to patient deterioration is critical for preventing adverse events. Junior nurses play a vital role in identifying the signs of clinical deterioration and initiating interventions. No prior studies have assessed junior nurses’ abilities to manage clinical deterioration in Malawi.ObjectivesThis study aimed to assess junior nurses’ ability to recognise and respond to clinical deterioration in Malawian tertiary hospitals and identify associated factors.MethodsThe institutional based cross‐section study design was used which included 322 junior nurses across all departments of four tertiary hospitals in Malawi (November–December 2023). Data collection utilised a questionnaire for clinical deterioration recognition and response ability in junior nurses. Chi‐square, Fisher's exact, and logistic regression tests were used for data analysis.FindingsJunior nurses achieved a median score of 71 with an interquartile range of 68–75 on the clinical deterioration questionnaire. According to the study, nurses with more work experience, those who worked in intensive care units, and those who participated in discussions about clinical deterioration had better scores. In contrast, nurses with less than 1 year of experience were 5.5 times more likely to struggle with recognising and responding to clinical deterioration than those with 5 years of experience (OR: 5.506, p = 007). Additionally, working in the paediatric department decreased junior nurses’ ability to recognise and respond to clinical deterioration six times compared to working in the intensive care unit (OR: 6.068, p = 0.018). Furthermore, junior nurses who had never engaged in discussions related to clinical deterioration had a seven times higher likelihood of poor ability to recognise and respond to clinical deterioration (OR = 6.954, p = 0.005).ConclusionThis study highlights the need for specialised training programmes related to clinical deterioration that incorporate active learning, such as clinical scenarios and practical applications, along with mentorship initiatives to enhance junior nurses’ skills and confidence in recognising and responding to clinical deterioration.

show abstract

Patterns of knowing required for critical care nursing practice in Malawi

Cited by 2 publications

References 20 publications

Effect of an educational programme on critical care nurses’ competence at two tertiary hospitals in Malawi

Effect of an educational programme on critical care nurses’ competence at two tertiary hospitals in Malawi

Factors Associated With Junior Nurses Ability to Recognise and Respond to Clinical Deterioration: A Cross‐Sectional Study in Tertiary Hospitals in Malawi

Contact Info

Product

Resources

About