Browsing by Author "Mboineki, Joanes Faustine"

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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 providers perceptions regarding fundamental issues to consider prior to launching nurse practitioner training in Tanzania
    (Wolters Kluwer, 2018) Mboineki, Joanes Faustine; Changying, Chen; Zhang, Weihong
    Although the demand for competent health care professionals and better services is high, studies concerning nursing education are not a priority in sub-Saharan African countries, as revealed in limited available records. Strengthening nursing education by establishing proper training models for newly developed advanced practice roles such as nurse practitioner (NP) will increase competency in nurses and reduce the shortage of skilled staff within the health care system, thereby enhancing the proper provision of health care services. The main purpose of this research was to investigate fundamental issues that should be considered in the launching of NP training. A descriptive qualitative design was used in this study. A nonprobability sampling approach and significantly purposeful sampling were also used to recruit 20 health care providers into the study. Individual face-to-face interviews were conducted on scheduled timings, which required an average of 30 minutes for each interview. Finally, a content analysis was used to identify the themes. The current working environment at the rural primary health care facilities is not convenient for the practices of NPs trained at the masters level. Therefore, before the training of NPs, the government and all stakeholders should strive to improve the environment of the facilities including adequate diagnostic equipment and on-time supply of drugs from the store. Institutions aiming to introduce programs for NPs must develop their curriculum based on currently available local and international guidelines. Adequate preparation before launching an NP training program will be needed to help build a strong training and hence produce competent professionals
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    Predictors of uptake of cervical cancer screening among women in Urban Tanzania: community-based cross-sectional study
    (Springer Link, 2020) Mboineki, Joanes Faustine; Wang, Panpan; Dhakal, Kamala; Getu, Mikiyas Amare; Millanzi, Walter Cleophance; Che, Changying
    The proportion of women screened for cervical cancer in Tanzania remains small at 6–21%. Even though some studies have been conducted to address barriers, the screening uptake remains low, which denotes the presence of unidentified barriers. The main objective of this study is to assess the predictors in the uptake of cervical cancer screening (CCS) among women in Tanzania. This is a community-based cross-sectional study conducted to obtain quantitative data through validated questionnaires to assess predictors of CCS. 1013 (91.8%) of the respondents had not been screened for cervical cancer. Three predictors of CCS were identified in this study; screening intention, health beliefs, and knowledge level. 600 (54.4%) of respondents had no screening intention. 552 (50%) had negative health beliefs, and 585 (53%) had inadequate knowledge of cervical cancer and CCS. Respondents who had no intention to screen were 0.482 (AOR) times less likely to uptake CCS (P = 0.002; 95% CI: 0.305, 0.761). The ongoing community-awareness raising campaigns should be coupled with community knowledge-raising campaign, and there should be an establishing of peer-supporting screening programs in communities.