2023-09-28 14:46:10 +00:00
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abstract: 'Introduction In many African countries, including Kenya, a major barrier
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to achieving child survival goals is the slow decline in neonatal
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mortality that now represents 45\% of the under-5 mortality. In newborn
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care, nurses are the primary caregivers in newborn settings and are
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essential in the delivery of safe and effective care. However, due to
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high patient workloads and limited resources, nurses may often
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consciously or unconsciously prioritise the care they provide resulting
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in some tasks being left undone or partially done (missed care). Missed
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care has been associated with poor patient outcomes in high-income
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countries. However, missed care, examined by direct observation, has not
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previously been the subject of research in low/middle-income countries.
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Methods and analysis The aim of this study is to quantify essential
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neonatal nursing care provided to newborns within newborn units. We will
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undertake a cross-sectional study using direct observational methods
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within newborn units in six health facilities in Nairobi City County
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across the public, private-for-profit and private-not-for-profit
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sectors. A total of 216 newborns will be observed between 1 September
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2017 and 30 May 2018. Stratified random sampling will be used to select
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random 12-hour observation periods while purposive sampling will be used
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to identify newborns for direct observation. We will report the overall
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prevalence of care left undone, the common tasks that are left undone
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and describe any sharing of tasks with people not formally qualified to
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provide care.
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Ethics and dissemination Ethical approval for this study has been
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granted by the Kenya Medical Research Institute Scientific and Ethics
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Review Unit. Written informed consent will be sought from mothers and
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nurses. Findings from this work will be shared with the participating
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hospitals, an expert advisory group that comprises members involved in
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policy-making and more widely to the international community through
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conferences and peer-reviewed journals.'
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affiliation: 'Gathara, D (Corresponding Author), Kenya Govt Med Res Ctr, Dept Publ
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Hlth Res, Wellcome Trust Res Programme, Nairobi, Kenya.
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Gathara, David; Serem, George; Murphy, Georgina A. V.; Abuya, Nancy; English, Mike,
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Kenya Govt Med Res Ctr, Dept Publ Hlth Res, Wellcome Trust Res Programme, Nairobi,
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Kenya.
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Murphy, Georgina A. V.; English, Mike, Univ Oxford, Nuffield Dept Med, Oxford, England.
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Murphy, Georgina A. V.; English, Mike, Univ Oxford, Dept Paediat, Oxford, England.
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Abuya, Nancy, Nairobi City Cty, Dept Curat \& Preventat Serv, Nairobi, Kenya.
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Kuria, Rose, Kenya Med Training Coll, Dept Nursing, Nairobi, Kenya.
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Tallam, Edna, Nursing Council Kenya, Dept Registrat \& Licensing, Nairobi, Kenya.'
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article-number: e022020
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author: Gathara, David and Serem, George and Murphy, Georgina A. V. and Abuya, Nancy
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and Kuria, Rose and Tallam, Edna and English, Mike
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author-email: DGathara@kemri-wellcome.org
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author_list:
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- family: Gathara
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given: David
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- family: Serem
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given: George
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- family: Murphy
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given: Georgina A. V.
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- family: Abuya
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given: Nancy
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- family: Kuria
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given: Rose
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- family: Tallam
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given: Edna
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- family: English
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given: Mike
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da: '2023-09-28'
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doi: 10.1136/bmjopen-2018-022020
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files: []
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issn: 2044-6055
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journal: BMJ OPEN
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keywords: neonatology
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keywords-plus: 'QUALITY EVALUATION; LEFT UNDONE; HOSPITALS; COUNTRIES; HEALTH; PATTERNS;
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WEEKEND; DEATHS; NURSES'
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language: English
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month: SEP
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number: '7'
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number-of-cited-references: '38'
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orcid-numbers: Gathara, David/0000-0002-0958-0713
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papis_id: cca50ea7d5eb992e27f177619ca0737e
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ref: Gathara2018quantifyingnursing
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times-cited: '7'
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title: 'Quantifying nursing care delivered in Kenyan newborn units: protocol for a
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cross-sectional direct observational study'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000446181900181
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usage-count-last-180-days: '0'
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usage-count-since-2013: '4'
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volume: '8'
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web-of-science-categories: Medicine, General \& Internal
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year: '2018'
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