Article
Public, Environmental & Occupational Health
Grace Irimu, Jalemba Aluvaala, Lucas Malla, Sylvia Omoke, Morris Ogero, George Mbevi, Mary Waiyego, Caroline Mwangi, Fred Were, David Gathara, Ambrose Agweyu, Samuel Akech, Mike English
Summary: This study analyzed data of neonatal and pediatric admissions in Kenyan public hospitals, highlighting high mortality rates among neonates and significant variations in mortality across hospitals, indicating preventable causes of death.
Article
Health Care Sciences & Services
Manasi Kumar, Paul Macharia, Vincent Nyongesa, Joseph Kathono, Obadia Yator, Shillah Mwaniga, Mary McKay, Keng Yen Huang, Rahul Shidhaye, Simon Njuguna, Shekhar Saxena
Summary: This study explores the needs and preferences of health care providers in digital mental health screening and intervention. While participants were well-exposed to digital technologies, prohibitive costs of data bundles, lack of funds for consistent online engagement, and instability of access to appropriate gadgets were found to be barriers.
Article
Education, Scientific Disciplines
L. Shaw, D. Kiegaldie, M. E. Morris
Summary: The study demonstrates that using evidence-based approaches to education can change health professionals' perspectives on falls risk assessment and prevention, increasing their confidence in assessing risk, judging and implementing mitigation strategies.
NURSE EDUCATION TODAY
(2021)
Article
Public, Environmental & Occupational Health
Young E. Choi, Seung H. Lee, Yun J. Kim, Jeong G. Lee, Yu H. Yi, Young J. Tak, Gyu L. Kim, Young J. Ra, Sang Y. Lee, Young H. Cho, Eun J. Park, Young Lee, Jung Choi, Sae R. Lee, Ryuk J. Kwon, Soo M. Son, Yea J. Lee, Min J. Kang
Summary: This study aimed to compare the level of burnout among nurses in general wards and COVID-19-dedicated wards in a national university hospital, and identify the risk factors. The results showed that nurses in general wards had a higher emotional impairment score than those in COVID-19 wards, and were at a higher risk of presenting with total-core symptoms. Short career length and presence of an underlying disease were identified as risk factors for mental distance.
JOURNAL OF PUBLIC HEALTH
(2023)
Article
Medicine, General & Internal
Ada Aghaji, Helen E. D. Burchett, Wanjiku Mathenge, Hannah Bassey Faal, Rich Umeh, Felix Ezepue, Sunday Isiyaku, Fatima Kyari, Boateng Wiafe, Allen Foster, Clare E. Gilbert
Summary: This study established the technical capacities needed to implement the WHO Africa Office primary eye care package, which may be generalisable to countries in sub-Saharan Africa. Consensus was achieved on the technical complexity of various components, with the majority of experts agreeing on the necessary technical capacities for implementation. The study used a two-round Delphi exercise to obtain expert consensus on the technical feasibility of delivering the primary eye care package.
Article
Medicine, General & Internal
Yingxi Zhao, Boniface Osano, Fred Were, Helen Kiarie, Catia Nicodemo, David Gathara, Mike English
Summary: The study analyzed the capacity of Kenya internship hospitals, revealing major gaps in staffing, equipment, and service availability. While most hospitals showed moderate capacity in general domains, there was a lack of capacity in mental health compared to other major specialties.
Article
Health Care Sciences & Services
Terceira Ann Berdahl, Asako S. Moriya
Summary: Following health reform in 2014, uninsured rates decreased for all categories of non-standard workers, but remained higher compared to standard workers. Workers residing in Medicaid expansion states had lower uninsured rates across all job categories.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2021)
Article
Multidisciplinary Sciences
Catherine E. Huggins, Jessica Jong, Gloria K. W. Leung, Sophie Page, Rochelle Davis, Maxine P. Bonham
Summary: This study explored the feasibility of implementing a meal timing intervention during night shift work. The results showed that the physical and emotional burden of shift work, workplace context, and individual motivation significantly influenced the feasibility of avoiding eating between 1 and 6 am on night shifts.
SCIENTIFIC REPORTS
(2022)
Review
Medicine, General & Internal
Jonathan P. McKercher, Susan C. Slade, Jalal A. Jazayeri, Anita Hodge, Matthew Knight, Janet Green, Jeffrey Woods, Claire Thwaites, Meg E. Morris
Summary: This study explores patient experiences of hospital rehabilitation interventions and finds that codesigned rehabilitation interventions can improve patient experiences in hospitals.
Article
Computer Science, Information Systems
Jordan Everson, Daniel Healy, Vaishali Patel
Summary: This study aimed to describe hospital leaders' perceptions of information blocking practices. The study found that 42% of hospitals reported observing some behavior they perceived to be information blocking. Among them, 36% of hospitals perceived that healthcare providers sometimes or often engaged in practices that may constitute information blocking, while 17% and 19% perceived that health IT developers and state/regional/local health information exchanges did the same, respectively.
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
(2023)
Article
Public, Environmental & Occupational Health
Abbas Mohammadi, Leila Ibrahimi Ghavamabadi, Maryam Silavi, Behzad Fouladi Dehaghi
Summary: This study investigated the effects of anxiety on cognitive function among laundry and sterilization center workers in 4 hospitals during the COVID-19 pandemic. The results showed that workers with higher anxiety expressed lower auditory and visual attention. These findings suggest that COVID-19 exposure and anxiety may impact the cognitive and mental health of blue-collar workers in hospitals.
FRONTIERS IN PUBLIC HEALTH
(2022)
Article
Public, Environmental & Occupational Health
S. C. Okoroafor, M. Ongom, B. Mohammed, D. Salihu, A. Ahmat, M. Osubor, J. Nyoni, W. Alemu
Summary: The study highlights the importance of context-specific strategies to ensure the availability of social amenities such as roads, water, electricity, telecommunication, security, the status of infrastructure, working conditions, and remuneration for health workers in rural and remote areas.
JOURNAL OF PUBLIC HEALTH
(2021)
Article
Education & Educational Research
Seyed Shahmy, Senanayake A. M. Kularatne, Indika B. Gawarammana, Shantha S. Rathnayake, Andrew H. Dawson
Summary: This study evaluated whether an educational intervention would increase compliance with national snakebite treatment guidelines in primary hospitals. The results showed that the intervention improved healthcare providers' knowledge, but did not improve record-keeping or the appropriateness of patient transfers.
BMC MEDICAL EDUCATION
(2023)
Article
Medicine, General & Internal
Johanna Westbrook, Neroli Sunderland, Ling Li, Alain Koyama, Ryan McMullan, Rachel Urwin, Kate Churruca, Melissa T. Baysari, Catherine Jones, Erwin Loh, Elizabeth C. McInnes, Sandy Middleton, Jeffrey Braithwaite
Summary: The study identified common unprofessional behaviors among hospital workers, including incivility/bullying and extreme behavior. Nurses and non-clinical staff aged 25-34 reported experiencing such behaviors more frequently. Staff with self-reported speaking-up skills experienced less unprofessional behavior and its impact.
MEDICAL JOURNAL OF AUSTRALIA
(2021)
Article
Medicine, General & Internal
Tyler P. Rasmussen, Danielle J. Riley, Mary Vaughan Sarazin, Paul S. Chan, Saket Girotra
Summary: Although survival rates for in-hospital cardiac arrest have improved over the past two decades, recent years have seen a plateau in these rates. This study analyzed data from 170 hospitals to determine the incidence of IHCA among Medicare beneficiaries, finding significant variation in incidence rates across hospitals. Hospitals with higher nurse staffing and teaching status were associated with lower IHCA incidence rates, indicating the importance of these factors in cardiac arrest prevention.
Article
Statistics & Probability
Susan Gachau, Edmund Njeru Njagi, Nelson Owuor, Paul Mwaniki, Matteo Quartagno, Rachel Sarguta, Mike English, Philip Ayieko
Summary: Composite scores are valuable in understanding the quality of care processes, but missing data can impact the reliability of the measures. This study compared a conventional method to a multiple imputation strategy for handling missing data in pediatric quality of care scores, and found that multiple imputation produced less biased estimates. Additionally, regression coefficients were more susceptible to bias compared to standard errors.
JOURNAL OF APPLIED STATISTICS
(2022)
Article
Medicine, General & Internal
Timothy Tuti, Jalemba Aluvaala, Samuel Akech, Ambrose Agweyu, Grace Irimu, Mike English
Summary: The study found that the use of pulse oximetry increased on average with each month of participation in the CIN, but adoption patterns varied greatly across hospitals, indicating important factors at the hospital level that influenced the use of pulse oximetry.
Article
Medicine, General & Internal
Jacinta Nzinga, Caroline Jones, David Gathara, Mike English
Summary: Embedding researchers within health systems can lead to more socially relevant research and effective uptake of evidence. Collaborating with stakeholders using participatory research methods can enhance research outcomes and facilitate the translation of evidence into policy and practice.
Article
Multidisciplinary Sciences
Felix Bahati, Jacob Mcknight, Fatihiya Swaleh, Rose Malaba, Lilian Karimi, Musa Ramadhan, Peter Kibet Kiptim, Emelda A. Okiro, Mike English
Summary: There is a lack of readily available information on laboratory test availability and scope in general hospitals in Kenya. This study analyzed laboratory data from the District Health Information System (DHIS2) to explore reporting trends and test availability in clinical laboratories in Kenya over a 24-month period. The results showed inconsistent reporting and a wide variation in testing scope among hospitals, indicating unequal and intermittent population access to laboratory testing in Kenya.
Article
Medicine, General & Internal
Fatuma Hassan Guleid, Alex Njeru, Joy Kiptim, Dorcas Mwikali Kamuya, Emelda Okiro, Benjamin Tsofa, Mike English, Sassy Molyneux, David Kariuki, Edwine Barasa
Summary: Researchers at the KWTRP in Kenya carried out knowledge translation activities to support policy-makers during the COVID-19 pandemic. The activities increased evidence availability and accessibility, improved policy-makers' motivation and capacity to use evidence, and strengthened relationships. Timeliness of generating evidence was identified as a key barrier, highlighting the need to institutionalise knowledge translation for better preparedness.
Article
Medicine, General & Internal
Yingxi Zhao, Boniface Osano, Fred Were, Helen Kiarie, Catia Nicodemo, David Gathara, Mike English
Summary: The study analyzed the capacity of Kenya internship hospitals, revealing major gaps in staffing, equipment, and service availability. While most hospitals showed moderate capacity in general domains, there was a lack of capacity in mental health compared to other major specialties.
Article
Medicine, General & Internal
Steven Wambua, Lucas Malla, George Mbevi, Joel Kandiah, Amen-Patrick Nwosu, Timothy Tuti, Chris Paton, Bernard Wambu, Mike English, Emelda A. Okiro
Summary: The study evaluated the indirect impact of COVID-19 on the utilization of immunization and outpatient services in Kenya. It found significant drops in attendance for various outpatient visits in April 2020, but post-COVID-19 trend showed increasing utilization with health services reverting to expected levels by March 2021. Proactive and targeted interventions are needed to reverse the effects of the pandemic on health services and avert non-COVID-19 indirect mortality.
Article
Education, Scientific Disciplines
Yingxi Zhao, Daniel Mbuthia, Claire Blacklock, David Gathara, Catia Nicodemo, Sassy Molyneux, Mike English
Summary: Our qualitative evidence synthesis revealed that internship experiences have a significant impact on medical doctors' career intentions and decisions. The three main themes that emerged from our analysis indicate the importance of clinical exposure, workplace environment, and future prospects in shaping doctors' career choices. We recommend improving clinical experiences, fostering a positive workplace culture, and providing clear communication about job market policies to attract doctors to underserved specialties and work locations.
Review
Medicine, General & Internal
Abdulazeez Imam, Sopuruchukwu Obiesie, Jalemba Aluvaala, Jackson Michuki Maina, David Gathara, Mike English
Summary: This study identified a lack of literature on nurse staffing and patient care outcomes in low/middle-income countries (LMICs) through a synthesis of published systematic reviews. The available data from LMICs were limited, and the data from high-income countries might not be representative of LMICs. This highlights the critical need for research on nurse staffing in LMIC contexts.
Article
Public, Environmental & Occupational Health
Mike English, Jacinta Nzinga, Jacquie Oliwa, Michuki Maina, Dorothy Oluoch, Edwine Barasa, Grace Irimu, Naomi Muinga, Charles Vincent, Jacob McKnight
Summary: Attention has shifted towards improving the quality and safety of healthcare within health facilities. Testing interventions in health system environments that can support their adoption is crucial for success. To address the challenge of multiple behavior changes, engaging managers, senior and frontline staff, and potentially patients is important. The focus should be on examining three core resource areas: physical/material resources, workforce capacity and capability, and team and organizational relationships. Mobilizing five motive forces is also necessary to overcome inertia in healthcare facilities. The aim is to bridge the theory-practice gap and contribute to better facility-based care and learning health systems.
Article
Medicine, General & Internal
Conrad Wanyama, Claire Blacklock, Juliet Jepkosgei, Mike English, Lisa Hinton, Jacob McKnight, Sassy Molyneux, Mwanamvua Boga, Peris Muoga Musitia, Geoff Wong
Summary: This study aims to understand the social ties among health workers in Kenyan neonatal care areas and how such understanding can inform the design of interventions to improve their behaviors. Data will be collected through observation, questionnaires, interviews, and focus group discussions. The findings of this study will help refine interventions targeted at enhancing quality improvement efforts in Kenyan hospitals.
Article
Public, Environmental & Occupational Health
Mike English, Jalemba Aluvaala, Michuki Maina, Trevor Duke, Grace Irimu
Summary: Poor-quality paediatric and neonatal care in LMIC district hospitals has been a long-standing issue. The WHO has developed over 1000 quality indicators to address this problem. A three-tier strategy, including measurement, governance, and support, is needed to improve care. Data integration, system-wide governance, and direct hospital support are crucial aspects of this strategy.
LANCET GLOBAL HEALTH
(2023)
Article
Public, Environmental & Occupational Health
Mike English, Jacquie Oliwa, Karima Khalid, Onesmus Onyango, Tamara Mulenga Willows, Rosanna Mazhar, Elibariki Mkumbo, Lorna Guinness, Carl Otto Schell, Tim Baker, Jacob McKnight
Summary: Care for critically ill patients is often associated with hospitals having intensive care units, but focusing on essential emergency and critical care (EECC) may mitigate the need for intensive care. Research conducted in Kenya and Tanzania revealed that many hospitals lack basic resources and skilled health workers for providing emergency care. Through patient interviews and discussions, gaps in timeliness, continuity, and delivery of care were identified. The global response to COVID-19 initially focused on providing technology and training but overlooked organizational and procedural challenges.
Article
Public, Environmental & Occupational Health
Yingxi Zhao, Daniel Mbuthia, David Gathara, Jacinta Nzinga, Raymond Tweheyo, Mike English
Summary: Medical interns in resource-limited environments face pressure and challenges, and they need better resource support, working conditions, and supervisory support.
Review
Health Policy & Services
Hanyu Wang, Mike English, Samprita Chakma, Mesulame Namedre, Elaine Hill, Shobhana Nagraj
Summary: This study investigated the career development, competencies, effectiveness, perceptions, and regulation of physician associates (PAs) and advanced nurse practitioners (ANPs) in the UK. The results showed differences between PAs and ANPs in terms of education model, employment area, career progression, and colleague reception.
HUMAN RESOURCES FOR HEALTH
(2022)