Browsing by Author "Kibusi, Stephen Mathew"

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    An integrative review of home care recommendations for women after caesarean section
    (Wiley, 2024) Mdoe, Mwajuma Bakari; Mselle, Lilian Teddy; Kibusi, Stephen Mathew
    Aim To describe home-based care and practices recommended for mothers after caesarean section (CS), existing in the literature. Design Systematic review. Methods This integrative literature review was conducted by using Google Scholar, PubMed and Hinari databases from its inception to June 2021. The search included research articles, protocols and guidelines that describe home care practice after CS and assessed for their quality. Synthesis of recommendations from the included literature was classified based on the type of study design, and the review was guided by methodology registered in Prospero (ID CRD42021276905). Results A total of 681 literatures were found, and 12 met the criteria. Recommended home care components were divided into four major categories; wound care practice (wound cleaning, drying and bandage change); nutrition (high-protein diet, vitamin C, fibre and balanced diet); exercise (pelvic floor muscle, walking and breathing exercise) and hygiene (bathing and wearing clean clothes). There was limited literature addressing the components of perineal care and home environment. Varying recommendations were found regarding wound cleaning and dressing in the studies done in low- and high-income countries.
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    An integrative review of home care recommendations for women after caesarean section
    (Wiley & Sons, 2024-03) Mdoe, Mwajuma Bakari; Mselle, Lilian Teddy; Kibusi, Stephen Mathew
    Aim: To describe home-based care and practices recommended for mothers after caesarean section (CS), existing in the literature. Design: Systematic review. Methods: This integrative literature review was conducted by using Google Scholar, PubMed and Hinari databases from its inception to June 2021. The search included research articles, protocols and guidelines that describe home care practice after CS and assessed for their quality. Synthesis of recommendations from the included litera-ture was classified based on the type of study design, and the review was guided by methodology registered in Prospero (ID CRD42021276905). Results: A total of 681 literatures were found, and 12 met the criteria. Recommended home care components were divided into four major categories; wound care practice (wound cleaning, drying and bandage change); nutrition (high-protein diet, vitamin C, fibre and balanced diet); exercise (pelvic floor muscle, walking and breathing ex-ercise) and hygiene (bathing and wearing clean clothes). There was limited literature addressing the components of perineal care and home environment. Varying recom-mendations were found regarding wound cleaning and dressing in the studies done in low- and high-income countries.
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    Assessment of diploma nursing program curriculum implementation using Kirkpatrick’s Approach: A case study at Kilimanjaro College of Health and Allied Science-Tanzania
    (East African Scholars Publisher, Kenya, 2022) Bulili, Marco Lazaro; Nyagero, Josephat; Kibusi, Stephen Mathew; Boruett, Norbert
    The study conducted at Kilimanjaro College of Health and Allied Science-Tanzania, to assess Diploma nursing program curriculum implementation using Kirkpatrick’s approach. The four levels of the model used in assessment. Microteaching steps examined classroom nurse tutors behavior of curriculum implementation process. Aimed to assess how CBET implemented, as since inception in 2008 not assessed and that if, Microteaching technique adhered to in the process besides if implementers has regulatory qualities and experience to the implementation. These help to identify gaps of the implemented curriculum besides the way forward to the solution. Census used with the study. A descriptive cross sectional design of both quantitative and qualitative methods of data collection used. Scaled Likert’s questionnaire following the model, face-to-face interview along with observation used as tools. Nurse tutors was the treatment group whereas students were the control group and tested concurrently. SPSS v20 analyzed the model; paired sample t-test tested the performance significance whereas eta- squared evaluated it. The results between pre (M=3.36, SD=2.69) and post-test [M=6.44, SD=2.64, t (305) =20.671 p< .001 indicated significant increase in performance. The eta squared statistics evaluation of 0.58 indicated a large effect size change. From the study, tutors were committed, had enough knowledge and experience with curriculum implementation. Nevertheless, they are not sufficient compared to the modules taught. Observed major and minor errors in the study, need rectification. Therefore; Kirkpatrick’s model of assessment and Microteaching skills are innovations to measure medical education competences, need campaigns. My opinion, tutors roles need promotions moreover re-defined for awareness. Keywords: Assessment, Competence, Curriculum, General Nursing, Kirkpatrick’s approach, Learning and teaching and Microteaching.
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    Electronic medical record systems data use in decision-making and associated factors among health managers at public primary health facilities, Dodoma region: a cross-sectional analytical study
    (Frontiers Media SA, 2024-02-12) Kessy, Eusebi Cornelius; Kibusi, Stephen Mathew; Ntwenya, Julius Edward
    Background: Tanzania has shown some improvements in the adoption of electronic medical record (EMR) systems in public health facilities; however, the rate of utilization of data generated from EMRs among health managers is not well documented. This study aims to assess the use of electronic medical record systems data in decision-making among health managers at public primary health facilities in Dodoma Region, Central Tanzania. Methods: A facility-based quantitative cross-sectional analytical study was conducted among 308 randomly selected health managers. A self-administered questionnaire supplemented with documentary review was used. Descriptive summary statistics and bivariable and multivariable logistic regression analyses (crude and adjusted odds ratios) were used. A P-value of <0.05 was used to declare statistically significant associations. Results: Overall, more than a third (40.6%) of the health managers, that is 174 of the 308 included in the study, reported using data generated by EMR systems in decision-making. One-third (33.4%) of the health managers were adequately using data generated by EMR systems, of which 39.3% used data to support continuous quality improvement initiatives. Among the facilities visited, only nine (30%) had good documented EMR systems data use. Access to computers [adjusted odds ratio (AOR) = 4.72, 95% confidence interval (CI): 1.65, 13.48, p-value (p) = 0.004] and discussions on EMRs during meetings (AOR = 2.77, 95% CI: 1.01, 7.58, p = 0.047) were independent predictors of EMR system data use. Those who reported having EMR systems in all working areas were seven times more likely to use EMR system data (AOR = 7.23, 95% CI: 3.15, 16.59, p = 0.001). The respondents with good perceived EMR system information quality were more likely to use EMR system data (AOR = 2.84, 95% CI: 1.50, 5.39, p = 0.001) than those with poor perception. Furthermore, health managers who had excellent knowledge of computers and data use had higher odds of using EMR system data (AOR = 1.84, 95% CI: 3.38, 10.13, p = 0.001) compared with their counterparts. Conclusions: The findings of this study indicate that utilization of EMR system data in decision-making among health managers was optimal. It was found that training in itself is insufficient to improve use of EMR, which points to more organizational aspects of work routine as a challenge. Hence, a comprehensive approach that addresses these factors is essential for maximizing EMR system data use in decision-making.
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    Electronic medical record systems data use in decision-making and associated factors among health managers at public primary health facilities, Dodoma region: a cross-sectional analytical study
    (Frontiers Media SA, 2024) Kessy, Eusebi Cornelius; Kibusi, Stephen Mathew; Ntwenya, Julius Edward
    Background: Tanzania has shown some improvements in the adoption of electronic medical record (EMR) systems in public health facilities; however, the rate of utilization of data generated from EMRs among health managers is not well documented. This study aims to assess the use of electronic medical record systems data in decision-making among health managers at public primary health facilities in Dodoma Region, Central Tanzania. Methods: A facility-based quantitative cross-sectional analytical study was conducted among 308 randomly selected health managers. A self-administered questionnaire supplemented with documentary review was used. Descriptive summary statistics and bivariable and multivariable logistic regression analyses (crude and adjusted odds ratios) were used. A P-value of <0.05 was used to declare statistically significant associations. Results: Overall, more than a third (40.6%) of the health managers, that is 174 of the 308 included in the study, reported using data generated by EMR systems in decision-making. One-third (33.4%) of the health managers were adequately using data generated by EMR systems, of which 39.3% used data to support continuous quality improvement initiatives. Among the facilities visited, only nine (30%) had good documented EMR systems data use. Access to computers [adjusted odds ratio (AOR) = 4.72, 95% confidence interval (CI): 1.65, 13.48, p-value (p) = 0.004] and discussions on EMRs during meetings (AOR = 2.77, 95% CI: 1.01, 7.58, p = 0.047) were independent predictors of EMR system data use. Those who reported having EMR systems in all working areas were seven times more likely to use EMR system data (AOR = 7.23, 95% CI: 3.15, 16.59, p = 0.001). The respondents with good perceived EMR system information quality were more likely to use EMR system data (AOR = 2.84, 95% CI: 1.50, 5.39, p = 0.001) than those with poor perception. Furthermore, health managers who had excellent knowledge of computers and data use had higher odds of using EMR system data (AOR = 1.84, 95% CI: 3.38, 10.13, p = 0.001) compared with their counterparts. Conclusions: The findings of this study indicate that utilization of EMR system data in decision-making among health managers was optimal. It was found that training in itself is insufficient to improve use of EMR, which points to more organizational aspects of work routine as a challenge. Hence, a comprehensive approach that addresses these factors is essential for maximizing EMR system data use in decision-making.
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    Evaluating the effects of participatory training in improving knowledge and skills on basic life support among commercial motorcyclists: a quasi-experimental study in addressing road traffic injuries
    (Cogent OA, 2019) Makota, Evaristus Peter; Kibusi, Stephen Mathew
    Informal training on approaching road traffic injuries has become increasingly important in strengthening health care provision in pre-hospital care. Despite, evidence-based practice on formal training for emergency care, as well as health policy in Tanzania on addressing those issues. Informal training is not anymore implemented in routine practice especially for first responders like commercial motorcyclists to address road traffic injuries. The study involved two hundred fifty-two participants randomly selected from registered parking points and the results of the study showed that the majority of the participants had low knowledge and skills on basic life support. But most of them had attended victim with road traffic accidents and tends of traffic violation also revealed. The study concluded that the intervention was effective and relevant to the commercial motorcyclists.