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Item
Open Access
Item
Open Access
Knowledge, attitude and practice of hypertensive clients about self-care home management at LCH (OPD II) medical clinic
(2004-10) Kamwedo-Muyakha Maria Isabella
A descriptive, quantitative and qualitative study was conducted at Kamuzu Central Hospital (OPD II) medical clinic. Experiences from the health workers at Kamuzu Central Hospital (KCH) had shown that the hypertensive clients lacked knowledge on the disease process hence clients do not know what actually happens in their bodies (Ozotiosauka, 2004). In this view, it was important to conduct a study whose purpose was to find out if hypertensive clients have got knowledge about how they can manage their condition at home. The study focused on knowledge, attitude, drug compliance and practice of hypertensive clients in the control of high blood pressure.
Nursing literature in Malawi lacks information on the self-care home management for hypertensive clients. No such study has ever been conducted in Malawi. Orem's self-care model was used to guide the study with emphasis on self-care home management of hypertensive clients.
Sample size of twenty clients was drawn from KCH Medical Clinic (OPD II) using a simple random sampling method. A pilot study was conducted at Likuni Hospital to ensure validity and reliability of the research instrument. Data was collected using an interview guide. Data was analysed manually using descriptive statistics and content analysis to describe qualitative data.
Study findings revealed lack of adequate knowledge for hypertensive clients about the disease process and its cause, need for psychological support from health workers and also the usefulness of the medical clinic for the general public. Recommendations were made basing on the results, emphasizing the importance of the information, education and communication (IEC) to hypertensive clients and also establishment of other medical clinic services within the Central Region to cater for those clients living in other districts in order to promote health and maintain self-care management at home.
In conclusion, we have seen that participants' lack of knowledge on the disease process was related to inadequate information, education and communication, low level of education and poor communication between clients and health workers.
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Open Access
Factors That Influence Nurses Utilisation of Knowledge Gained from In-Service Education at Lilongwe Central Hospital
(2000-04-14) Janet H. Botha
In-service education for nurses often results in improved quality of patient care as well as personal and professional growth pf the participants. These outcomes are not achieved if nurses encounter barriers in attempt to implement the knowledge gained from in-service education into practice. This quantitative study aimed at determining factors that inhibit or encourage the use of knowledge gained from ISE. The study was conducted at Lilongwe Central Hospital in December in 1999. A sample of 35 participants; 15 Registered nurses, 7 senior enrolled nurses and 13 enrolled nurses completed an anonymous semi-structured questionnaire developed by the researcher. The force field theory provided framework of the study.
Data was analysed using the computer through the Statistical Package of Social Sciences (SPSS) windows release 8.0. The findings indicated that participants had attended in-service education as important. However, 40% of the participants had attended in-service education only once despite having been practicing in the nursing profession form one year to 14 years.
Data suggests that 74% of the nurses lack adequate resources and supplies to enable them to put into practice what they had learnt from in-service education. Support from fellow staff members was singled out by 60% of the participants as a major encouraging factor. Other determining factors to use knowledge were follow-up by facilitators, reduced workload and proper ward allocation. However, almost all the nurses indicated that they were able to implement whatever knowledge they get from in-service education.
The study has implications to nursing practices, education, research and management. The findings suggest the need for participant involvement from the planning phase of in-service education to implementation since nurses cannot make use of knowledge if they encounter any barriers in the process of implementing the knowledge.
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Open Access
Knowledge of hypertension among female clients with hypertension at Kamuzu Central Hospital
(Kamuzu College of Nursing, 2006-12-11) Nyirongo Ndindase Tiwonge
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Open Access
Factors associated with alcohol and drug abuse among secondary school students in Lilongwe urban1917
(Kamuzu College of Nursing, 1997) Nkhope, Saukira Louisa