Contextual Issues That Influence Preparedness of Nurses for Critical Care Nursing Practice in Malawi

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aut.relation.endpage143
aut.relation.issue2en_NZ
aut.relation.journalMalawi Medical Journalen_NZ
aut.relation.startpage138
aut.relation.volume31en_NZ
aut.researcherDrabsch, Julie
dc.contributor.authorGundo, Ren_NZ
dc.contributor.authorMearns, Gen_NZ
dc.contributor.authorDickinson, Aen_NZ
dc.contributor.authorChirwa, Een_NZ
dc.date.accessioned2019-07-31T00:45:34Z
dc.date.available2019-07-31T00:45:34Z
dc.date.copyright2019en_NZ
dc.date.issued2019en_NZ
dc.description.abstractBackground There are no critical care nurse training programs in Malawi despite the high burden of diseases which culminate in critical illness. This paper presents contextual issues that influence preparedness of nurses for critical care nursing practice in Malawi. The qualitative findings presented are part of a larger mixed methods study which explored learning needs of critical care nurses as a way of informing the development of a training program for the critical care nurses in Malawi. Methods Interpretive descriptive design was used. Data were gathered through 10 key informant interviews with nurse leaders (n=8) and anaesthetists (n=2); and two focus group discussions with registered nurses and nurse midwife technicians working in intensive care and adult high dependency units at two tertiary hospitals. Transcribed data were analyzed manually and through the use of NVivo data management software utilizing Thorne’s steps of analysis1. Results Being unprepared to work in intensive care and high dependency units was a dominant theme. Factors that contributed to this sense of unpreparedness were lack of educational preparation, organisational factors and workforce issues. The consequences of nurses’ perceptions of being unprepared were fearfulness, a change of nurses’ attitudes and elevation of risk to patients. The nurses managed unpreparedness by relying on other health professionals and learning on the job. Conclusion The findings illuminated contextual issues to be considered when developing programs for upskilling nurses in hospitals within Malawi and contributes to the developing body of knowledge related to nursing education and practice development within developing countries.
dc.identifier.citationMalawi Medical Journal, 31(2), 138-143.
dc.identifier.doi10.4314/mmj.v31i2.6en_NZ
dc.identifier.issn1995-7262en_NZ
dc.identifier.issn1995-7262en_NZ
dc.identifier.urihttps://hdl.handle.net/10292/12704
dc.publisherAfrican Journals Online (AJOL)en_NZ
dc.relation.urihttps://www.ajol.info/index.php/mmj/article/view/187736
dc.rights© 2019 The College of Medicine and the Medical Association of Malawi. This work is licensed under the Creative Commons Attribution 4.0 International License. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
dc.rights.accessrightsOpenAccessen_NZ
dc.subjectCritical Care Nursing; Critical Illness; Developing Countries; Malawi; Education, Nursing; Qualitative Research; Critical Care
dc.titleContextual Issues That Influence Preparedness of Nurses for Critical Care Nursing Practice in Malawien_NZ
dc.typeJournal Article
pubs.elements-id362086
pubs.organisational-data/AUT
pubs.organisational-data/AUT/Health & Environmental Science
pubs.organisational-data/AUT/Health & Environmental Science/Clinical Sciences
pubs.organisational-data/AUT/Health & Environmental Science/Nursing
pubs.organisational-data/AUT/PBRF
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences/HH Clinical Sciences 2018 PBRF
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