Browsing by Author "Chen, Changying"

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    The current status of nurses–doctors collaboration in clinical decision and its outcome in Tanzania
    (John Wiley & Sons, 2019) Mboineki, Joanes Faustine; Chen, Changying; Gerald, Dolla Deo; Boateng, Cecilia Amponsem
    The aim of this study was to establish the current level of collaboration between nurses and medical doctors (MDs) in the making of clinical decisions. Descriptive qualitative design was applied in this study. Semi‐structured interviews were conducted to collect qualitative data. Contents were arranged according to their similarities, whereas content analysis was used to identify explanatory themes. Nurses feel disrespected when medical doctors (MDs) ignore their opinions. The impression of lower level of education of nurses is seen as a cause to their opinions been ignored by the medical doctors. Nurses sometimes adhere to the instructions of MDs, but on other times, they carry on with their own proposed treatment. Implications for nursing practices: Involvement of nurses in clinical decisions will enable nurses to effectively advocate for patients.
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    Health care system changes supporting the development of the nurse practitioner role in Tanzania
    (Wolters Kluwer Health, 2019) Mboineki, Joanes; Chen, Changying
    Accessibility to health care services remains a global challenge, and this has affected the quality of services delivered. This has affected the quality of health care services. Poor accessibility to health care services in Tanzania has hindered the achievements of health care system goals. The development of the nurse practitioner (NP) role has not yet received enough attention to resolve current existing and emerging problems facing the Tanzanian health care system. This study assessed the health care system changes that support the development of the NP role in Tanzania. A descriptive, cross-sectional study design was used to collect quantitative data. Purposive and convenience sampling techniques were used to collect data from 237 health care providers using a semi-structured questionnaire. Data were entered into SPSS version 20 and analyzed using descriptive statistics and Chi-square test for independence (Pearson Chi-square, χ2). Although the government of Tanzania has made some improvements in access to health care services, the rural health care facilities still suffer from an extreme shortage of skilled health care providers. This has forced the government to allow medical attendants to treat patients when they are not licensed to do so. The development of the NP role should be able to address the shortage of skilled health care providers in rural health care facilities.