Microbiology and Nursing Research

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Author: search.filters.author.Ogoncho, Isaac Machuki

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    Levels of Compliance to Proposed Hemodialysis Treatment Standards by Nurses at Kenyatta National Hospital, Kenya
    (International Journal of Nursing Science, 2017) Kereu, Dominic Riang’a; Ogoncho, Isaac Machuki; Halake, Dabo; Amunga, Rhoda
    Compliance with treatment standards helps to improve health outcomes and prevent complications. This study sought to determine the level of compliance to hemodialysis treatment standards among nurses in the renal unit at Kenyatta National Hospital, Kenya. Methods: A cross sectional descriptive study was carried out involving nurses working in the renal unit. A self administered structured questionnaire and an observational checklist was used to collect information on nursing care during hemodialysis treatment. Results: 48 nurses were recruited. A majority of the respondents 26 (54%) were below the age of 40 years and were predominantly females. Most of the respondents 44 (92%) had specialized nephrology training. A significant association (p=0.018) was reported between nephrology training and compliance to the proposed hemodialysis treatment standards. Most of the respondents 42(87%) had a moderate level of compliance to the proposed hemodialysis treatment standards being implemented at the renal unit. Conclusion: The level of compliance to hemodialysis treatment standards by nurses working in the renal unit at Kenyatta National Hospital was moderate.
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    Case Management of Substance Induced Psychosis Using Peplau’s Theory of Interpersonal Relations
    (2017) Ogoncho, Isaac Machuki; Sanga, Philip; Halake, Dabo Galgalo
    Substance induced psychosis is a form of psychosis that develops from the use of alcohol or other drugs. The symptoms for this form of psychosis can resolve within days or weeks though tendencies of relapsing occur with persistent use of the drugs. The purpose of this article was to examine Peplau’s theory of interpersonal relations as a framework to assist nurses in understanding and managing patients with substance induced psychosis. The theory involves a therapeutic process that is collaboratively undertaken by both the nurse and the patient towards resolving an identified health problem. The nurse-patient relationship evolves through three phases of orientation, working and termination. The nurse may function as a stranger, leader, teacher, resource person, surrogate and counsellor in helping the patient adopt a healthier behaviour. The nurse-patient relationship allows the patient to freely express their emotions, feelings and thoughts about a given health problem. This enhances understanding of the health problem and guides nurses to helping the patients meet their individual needs. Nursing practice should focus on strengthening interpersonal relationships with patients to improve health outcomes.
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    The Role of Mobile Health in Supporting Cancer Prevention, Detection, Treatment and Palliative Care in Low and Middle Income Countries: A Scoping Review
    (Public Health Research, 2017) Halake, Dabo Galgalo; Ogoncho, Isaac Machuki
    Cancer is one of the non-communicable diseases with high morbidity and mortality rates, particularly in low-and-middle income countries. Increasing cancer burden is attributable to lifestyle risk factors, poor health system infrastructures, rapid population growth and ageing. These challenges are predicted to persist for years to come; thus the cancer burden is feared to become a major public health crisis hence need for innovative approaches to manage it. Though the widespread use of mobile health technologies in low and middle income countries can potentially address these challenges, evidence on mobile health use has not been fully explored. This study aim to examine the existing published and unpublished literature on the use of mobile technology-based interventions designed to support cancer prevention, detection, treatment and palliation in LMICs. The study adapted a scoping review approach using Arksey & O’Malley (2005) methodological framework. Six electronic databases; Medline, EMBASE, PsycINFO, PubMed, Web of Science and WHO Global Health Library were systematically searched for relevant studies between 1990 to 2014. The search also included additional sources from trial registers, Google, Google Scholar and reference lists. The search yielded 523 articles of which 16 were reviewed, one of these being an ongoing trial. The key findings revealed that mHealth technologies had significantly contributed to the positive outcomes in the cancer care in various contexts with all mobile technology-based features used showing improvement in care delivery. The cell phones were the common mobile device used (46.6% of the studies) followed by Smartphone (26.6%), while SMS was a commonly used mHealth feature. Mobile health interventions predominantly targeted cancer screening and diagnosis in the continuum of care, with less focus on treatment and palliation support. In conclusion, mobile health interventions have a high potential to transform cancer services in low resource settings. However, there is a paucity of evidence on mobile health interventions for cancer care. Most of the reviewed studies were descriptive, hence the need for robust studies with multidimensional focus, including control of risk factors, treatment compliance and palliative care.