RP-Department of Medical Surgical Nursing and Pre-clinical Services

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Browsing RP-Department of Medical Surgical Nursing and Pre-clinical Services by Author "Gachuiri, Grace"

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    Stress Levels among Nurses in the Critical Care Units, at a Level 6 Hospital in Kenya
    (Kenyan Journal of Nursing & Midwifery, 2025) Kamau, Janet Nyambura; Meng’anyi, Lucy Wankuru; Gachuiri, Grace; Mbuthia, Nickcy
    Introduction: The critical care environment is inherently stressful due to the high-acuity patients, specialized equipment, and the need for healthcare providers to possess the necessary competencies to save lives or mitigate complications. Nurses, as integral members of the healthcare team, often face significant pressure to deliver quality care to patients experiencing potentially life-threatening conditions. It is therefore paramount to establish the causes of stress and stress levels of nurses in the critical care units. The aim of this study was to establish causes of stress and stress levels among nurses in critical care units at Kenyatta National Hospital. Methods: A quantitative cross-sectional analytical design was adopted, and, convenient sampling was used to recruit 149 nurses from May to June 2022. Findings: The majority of nurses were females 103 (69.6%) and had undergone critical care training 130 (87.8%). Inadequate staffing during shifts (n=69, 46.6%, Mean=3.01±1.1) was the most common cause of stress and majority of nurses had moderate stress level. Conclusion: The stress levels of nurses in the critical care units were moderate and main cause of stress was work-related. Therefore, the hospital should establish peer assistance programs in CCU like employees' stress management training curriculum, which will encourage an inclusive and diverse environment for active discussion on any concerns found in the clinical set-up.
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    Utilization of Reflective Practice by Nurses Working in the Critical Care Units at a Level Six Hospital in Kenya
    (eviewed International Jour-nal of Medicine, Nursing & Public Health, 2024-07) Samoita, Lillian Nyanduko; Bett, Sarah; Meng’anyi, lucy Wankuru; Gachuiri, Grace
    This study aimed to investigate the Utilization of Reflective practice among nurses in the critical care units (CCUs) at Kenyatta National Hospital (KNH). The specific objectives of the study weredetermining the practice of reflection,the perception towards utilization of reflective practice,the relationshipbetween nurse characteristics, and facility associatedfactorsand utilization of reflective practice.Across sectional quantitative study was conducted with 154 sampled respondents. A structured self-administered questionnairewas used for data collection. Statistical Package for Social Sciences (SPSS) version 25.0 was utilized for data analysis, incorporating Logisticregression and Chi-square tests to evaluate relationships.Formal training in reflective practice was strongly associated with increased utilization, as those who received training had a utilization rate of (92.6%), while those without training had a utilization rate of (47%). Nurses who indicated that their nursing practice had been altered by engaging in reflection demonstrated a greater utilization rate (68.2%) in comparison to those who did not report any such modification. Majority (88.2%) of the respondents reported they did not have a designated space for reflective practice, (76.3%) lacked supportive institutional policies,(80.8%) missed opportunities for training, and (68.7%) experienced workload related obstacles.The study underscores the importance of promoting formal training in reflective practice, establishing supportiveinstitutionalpolicies, and providing dedicated spaces for reflection among CCN