Exploring the complex realities of nursing work in Kenya and how this shapes role enactment and practice-A qualitative study.

Mbuthia, D; Brownie, S; Jackson, D; McGivern, G; English, M; Gathara, D; Nzinga, J

Exploring the complex realities of nursing work in Kenya and how this shapes role enactment and practice-A qualitative study.

Mbuthia, D Brownie, S Jackson, D

McGivern, G English, M Gathara, D Nzinga, J

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Publisher:: Wiley
Publication Type:: Journal Article
Citation:: Nurs Open, 2023, 10, (8), pp. 5670-5681
Issue Date:: 2023-08

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Field	Value	Language
dc.contributor.author	Mbuthia, D
dc.contributor.author	Brownie, S
dc.contributor.author	Jackson, D https://orcid.org/0000-0001-5252-5325
dc.contributor.author	McGivern, G
dc.contributor.author	English, M
dc.contributor.author	Gathara, D
dc.contributor.author	Nzinga, J
dc.date.accessioned	2024-04-26T21:06:24Z
dc.date.available	2023-04-27
dc.date.available	2024-04-26T21:06:24Z
dc.date.issued	2023-08
dc.identifier.citation	Nurs Open, 2023, 10, (8), pp. 5670-5681
dc.identifier.issn	2054-1058
dc.identifier.issn	2054-1058
dc.identifier.uri	http://hdl.handle.net/10453/178403
dc.description.abstract	AIM: We explore how nurses navigate competing work demands in resource-constrained settings and how this shapes the enactment of nursing roles. DESIGN: An exploratory-descriptive qualitative study. METHODS: Using individual in-depth interviews and small group interviews, we interviewed 47 purposively selected nurses and nurse managers. We also conducted 57 hours of non-participant structured observations of nursing work in three public hospitals. RESULTS: Three major themes arose: (i) Rationalization of prioritization decisions, where nurses described prioritizing technical nursing tasks over routine bedside care, coming up with their own 'working standards' of care and nurses informally delegating tasks to cope with work demands. (ii) Bundling of tasks describes how nurses were sometimes engaged in tasks seen to be out of their scope of work or sometimes being used to fill for other professional shortages. (iii) Pursuit of professional ideals describes how the reality of how nursing was practised was seen to be in contrast with nurses' quest for professionalism.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Wiley
dc.relation.ispartof	Nurs Open
dc.relation.isbasedon	10.1002/nop2.1812
dc.rights	info:eu-repo/semantics/openAccess
dc.subject.classification	4204 Midwifery
dc.subject.classification	4205 Nursing
dc.subject.mesh	Humans
dc.subject.mesh	Kenya
dc.subject.mesh	Nurse's Role
dc.subject.mesh	Qualitative Research
dc.subject.mesh	Hospitals, Public
dc.subject.mesh	Humans
dc.subject.mesh	Nurse's Role
dc.subject.mesh	Qualitative Research
dc.subject.mesh	Hospitals, Public
dc.subject.mesh	Kenya
dc.subject.mesh	Humans
dc.subject.mesh	Kenya
dc.subject.mesh	Nurse's Role
dc.subject.mesh	Qualitative Research
dc.subject.mesh	Hospitals, Public
dc.title	Exploring the complex realities of nursing work in Kenya and how this shapes role enactment and practice-A qualitative study.
dc.type	Journal Article
utslib.citation.volume	10
utslib.location.activity	United States
pubs.organisational-group	University of Technology Sydney
pubs.organisational-group	University of Technology Sydney/Faculty of Health
utslib.copyright.status	open_access	*
dc.date.updated	2024-04-26T21:06:21Z
pubs.issue	8
pubs.publication-status	Published
pubs.volume	10
utslib.citation.issue	8

Abstract:

AIM: We explore how nurses navigate competing work demands in resource-constrained settings and how this shapes the enactment of nursing roles. DESIGN: An exploratory-descriptive qualitative study. METHODS: Using individual in-depth interviews and small group interviews, we interviewed 47 purposively selected nurses and nurse managers. We also conducted 57 hours of non-participant structured observations of nursing work in three public hospitals. RESULTS: Three major themes arose: (i) Rationalization of prioritization decisions, where nurses described prioritizing technical nursing tasks over routine bedside care, coming up with their own 'working standards' of care and nurses informally delegating tasks to cope with work demands. (ii) Bundling of tasks describes how nurses were sometimes engaged in tasks seen to be out of their scope of work or sometimes being used to fill for other professional shortages. (iii) Pursuit of professional ideals describes how the reality of how nursing was practised was seen to be in contrast with nurses' quest for professionalism.

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http://hdl.handle.net/10453/178403