Search Results - "Jalemba Aluvaala"
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Missed nursing care in acute care hospital settings in low-income and middle-income countries: a systematic review
Published in Human resources for health (14-03-2023)“…Missed nursing care undermines nursing standards of care and minimising this phenomenon is crucial to maintaining adequate patient safety and the quality of…”
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Evaluating the effects of supplementing ward nurses on quality of newborn care in Kenyan neonatal units: protocol for a prospective workforce intervention study
Published in BMC health services research (04-10-2022)“…Data from High Income Countries have now linked low nurse staff to patient ratios to poor quality patient care. Adequately staffing hospitals is however still…”
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Implementing change for facility-based peripartum care in low-income and middle-income countries
Published in The Lancet global health (01-08-2020)Get full text
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Audit identified modifiable factors in Hospital Care of Newborns in low-middle income countries: a scoping review
Published in BMC pediatrics (18-02-2022)“…Audit of facility-based care provided to small and sick newborns is a quality improvement initiative that helps to identify the modifiable gaps in newborn care…”
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Identifying gaps in global evidence for nurse staffing and patient care outcomes research in low/middle-income countries: an umbrella review
Published in BMJ open (12-10-2022)“…ObjectiveTo identify nurse staffing and patient care outcome literature in published systematic reviews and map out the evidence gaps for low/middle-income…”
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Prevalence and fluid management of dehydration in children without diarrhoea admitted to Kenyan hospitals: a multisite observational study
Published in BMJ open (18-06-2021)“…ObjectivesTo examine the prevalence of dehydration without diarrhoea among admitted children aged 1–59 months and to describe fluid management practices in…”
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A mixed-methods study to investigate feasibility and acceptability of an early warning score for preterm infants in neonatal units in Kenya: results of the NEWS-K study
Published in BMC pediatrics (11-05-2024)“…Preterm birth (< 37 weeks gestation) complications are the leading cause of neonatal mortality. Early-warning scores (EWS) are charts where vital signs (e.g.,…”
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Prognostic models for predicting in-hospital paediatric mortality in resource-limited countries: a systematic review
Published in BMJ open (19-10-2020)“…ObjectivesTo identify and appraise the methodological rigour of multivariable prognostic models predicting in-hospital paediatric mortality in low-income and…”
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Effective coverage of essential inpatient care for small and sick newborns in a high mortality urban setting: a cross-sectional study in Nairobi City County, Kenya
Published in BMC medicine (22-05-2018)“…Effective coverage requires that those in need can access skilled care supported by adequate resources. There are, however, few studies of effective coverage…”
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Blood culture versus antibiotic use for neonatal inpatients in 61 hospitals implementing with the NEST360 Alliance in Kenya, Malawi, Nigeria, and Tanzania: a cross-sectional study
Published in BMC pediatrics (15-11-2023)“…Abstract Background Thirty million small and sick newborns worldwide require inpatient care each year. Many receive antibiotics for clinically diagnosed…”
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COVID-19 pandemic effects on neonatal inpatient admissions and mortality: interrupted time series analysis of facilities implementing NEST360 in Kenya, Malawi, Nigeria, and Tanzania
Published in BMC pediatrics (08-07-2024)“…The emergence of COVID-19 precipitated containment policies (e.g., lockdowns, school closures, etc.). These policies disrupted healthcare, potentially eroding…”
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Genomic transmission analysis of multidrug-resistant Gram-negative bacteria within a newborn unit of a Kenyan tertiary hospital: A four-month prospective colonization study
Published in Frontiers in cellular and infection microbiology (25-08-2022)“…Objective Multidrug-resistant organisms (MDRO), especially carbapenem-resistant organisms (CRO), represent a threat for newborns. This study investigates the…”
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Assessment of neonatal referral infrastructure and clinical characteristics of referred neonates in three first referral hospitals in Nairobi County, Kenya
Published in Wellcome open research (01-11-2023)“…Background Almost one in five newly born babies in Nairobi County, Kenya, may need some form of inpatient neonatal care. Prior work showed many facilities are…”
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Moving towards routine evaluation of quality of inpatient pediatric care in Kenya
Published in PloS one (30-03-2015)“…Regular assessment of quality of care allows monitoring of progress towards system goals and identifies gaps that need to be addressed to promote better…”
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Development of a small and sick newborn clinical audit tool and its implementation guide using a human-centred design approach newborn clinical audit process and design
Published in PLOS global public health (2023)“…Clinical audits are an important intervention that enables health workers to reflect on their practice and identify and act on modifiable gaps in the care…”
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Employing learning health system principles to advance research on severe neonatal and paediatric illness in Kenya
Published in BMJ global health (01-03-2021)“…We have worked to develop a Clinical Information Network (CIN) in Kenya as an early form of learning health systems (LHS) focused on paediatric and neonatal…”
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Nurse staffing and patient care outcomes: protocol for an umbrella review to identify evidence gaps for low and middle-income countries
Published in Wellcome open research (2021)“…Background : Adequate staffing is key to the delivery of nursing care and thus to improved inpatient and health service outcomes. Several systematic reviews…”
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Missed nursing care in acute care hospital settings in low-middle income countries: a systematic review protocol
Published in Wellcome open research (2021)“… Missed nursing care (care left undone or task incompletion) is viewed as an important early predictor of adverse patient care outcomes and is a useful…”
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Nurse staffing and patient care outcomes: protocol for an umbrella review to identify evidence gaps for low and middle-income countries in global literature
Published in Wellcome open research (2021)“…: Adequate staffing is key to the delivery of nursing care and thus to improved inpatient and health service outcomes. Several systematic reviews have…”
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A systematic review of neonatal treatment intensity scores and their potential application in low-resource setting hospitals for predicting mortality, morbidity and estimating resource use
Published in Systematic reviews (07-12-2017)“…Treatment intensity scores can predict mortality and estimate resource use. They may therefore be of interest for essential neonatal care in low resource…”
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