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“I train and mentor, they take them”: A qualitative study of nurses' perspectives of neonatal nursing expertise and its development in Kenyan hospitals

机译:“我训练和导师,他们带走了”:对新生儿护理专业知识和肯尼亚医院的发展的定性研究。

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Aims and Objectives Neonatal inpatient care is reliant on experienced nursing care, yet little is known about how Kenyan hospitals foster the development of newborn nursing experience in newborn units. Design A Qualitative ethnographic design. Methods Face to face 29 in depth interviews were conducted with nurses providing neonatal care in one private, one faith based and one public hospital in Nairobi, Kenya between January 2017 and March 2018. All data were transcribed verbatim, coded in the original language and analysed using a framework approach. Results Across the sectors, nurses perceived experience as important to the provision of quality care. They noted that hospitals could foster experience through recruitment, orientation, continuous learning and retention. However, while the private hospital facilitated experience building the public and faith‐based hospitals experienced challenges due to human resource management practices and nursing shortages. Conclusion Health sector context influenced how experience was developed among nurses. Implications Nurturing experience will require that different health sectors adopt better recruitment for people interested in NBU work, better orientation and fewer rotations even without specialist nurse training.
机译:Neanatal住院护理的目标和目标是依赖于经验丰富的护理,但肯尼亚医院如何促进新生儿单位新生儿护理经验的发展毫无少。设计定性的民族图设计。方法在2017年1月至2018年1月之间的一家私人,一个信仰和一家公立医院提供新生儿护理的护士进行深度访谈,从2017年1月至2018年3月之间进行肯尼亚。所有数据都被翻译,以原始语言编码并分析使用框架方法。结果跨门部门,护士认为对提供优质护理的经验。他们指出,医院可以通过招聘,方向,持续学习和保留来培养经验。但是,虽然私立医院的促进经验建立了公众和基于信仰的医院,但由于人力资源管理实践和护理短缺而受到挑战。结论卫生部门环境影响了护士之间如何发展的经验。培养经验的影响要求不同的卫生部门为对NBU工作,更好的方向和较少的旋转感兴趣的人提供更好的招聘,即使没有专业的护士培训也是如此。

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