Browsing by Author "Samoita, Lillian Nyanduko"

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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
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    Utilization of Reflective Practice by Nurses Working in the Critical Care Units at Kenyatta National Hospital, Nairobi City County, Kenya
    (Kenyatta University, 2025-10) Samoita, Lillian Nyanduko
    This study investigated the utilization of reflective practice among Critical Care Nurses (CCNs) at Kenyatta National Hospital (KNH) to address its inconsistent implementation despite its recognized benefits. Using a quantitative cross-sectional design in March 2021, data were collected from 154 CCNs via a structured questionnaire. The study aimed to determine the level of reflective practice utilization, nurses' perceptions, and the influence of nurse characteristics and facility-related factors. Data analysis, performed using SPSS version 25.0, involved logistic regression and Chi-square tests. Key findings revealed that 51.3% of respondents held a higher diploma in CCN, and 68.2% lacked formal reflective practice training; however, formal training significantly increased utilization (92.6% of trained nurses vs. 47% of untrained). While nurses aged 50 and above had a lower utilization rate (42.9%), age showed no statistically significant relationship with reflective practice utilization. Most respondents (64.5%) were familiar with at least one reflective model, with Gibbs' model being the most common (67.2%). Higher qualifications (BScN/MScN) and a perception of improved nursing practice due to reflection (68.2%) correlated with greater utilization. Identified barriers included a lack of designated reflection spaces (88.2%), unsupportive institutional policies (76.3%), insufficient training opportunities (80.8%), and workload-related obstacles (68.7%). Logistic regression indicated that nurses who perceived practice improvement due to reflection were 2.123 times more likely to utilize it (p=0.062). The presence of a designated reflection space was strongly associated with utilization (OR = 6.487), although this was not statistically significant (p=0.95). Additionally, a perception of being free from victimization or negative institutional influence was associated with higher odds of utilization (OR = 1.968, p=0.072), suggesting that a psychologically safe environment encourages reflective behaviours. The study concludes that reflective practice is vital for professional nursing, emphasizing the critical importance of formal training, supportive institutional policies, and dedicated reflection spaces to enhance utilization among KNH CCNs. Recommendations include implementing tailored training programs in reflective practice models and allocating protected time for reflection during shifts, integrating it into routine clinical schedules