Browsing by Author "Drake, Karen B."

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    The Nursing Documentation Dilemma in Uganda: Neglected but Necessary. A Case Study at Mulago National Referral Hospital
    (Open Journal of Nursing, 2015) Nakate, Grace; Dahl, Diane; Petrucka, Pammla; Drake, Karen B.
    In Uganda, nursing documentation still remains a challenge, in most of the government hospitals and some private hospitals, it remains at a manual (non-technology driven) level and omissions have been observed. Nurses continue to capture standard elements in their documentation. A mixed methods intervention study was conducted to determine knowledge and attitudes of nurses towards documentation, including an evaluation of nurses’ response to a designed nursing documentation form. Forty participants were selected through convenience sampling from six wards of a Ugandan health institution. The study intervention involved teaching nurses the importance of documentation and using of the trial documentation tool. Pre- and post-testing and open-ended questionnaires were used in data collection. The results from the close-ended questions were presented in the previous publication; the responses from the open-ended questions would then be presented. The open-ended questions regarding comments about the nursing documentation process and suggestions about the process of implementing the nursing documentation system in the ward units were considered. All participants were provided the opportunity to provide personal comments, reflections, or stories of their experiences with documentation in patient care. A thematic analysis approach was used during data analysis. The results showed that the participants had positive attitude towards documentation of patient care, but they had constraints limiting them to document, they reflected issues concerning the perceived pressure from the administrations and support to document. The study findings have implication that there is need for organizational support and to have multisite studies and extension of the documentation tool.
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    The lived experience of families with a mentally ill family member
    (Journal of Research in Nursing and Midwifery, 2013-09-04) Wankiiri, Moses; Drake, Karen B.; Meyer, Kimberley R.
    The study of the lived experience of families with a mentally ill family member involved seven family members who had come to visit their mentally ill relatives in the mental Hospital. The major objective was to explore the lived experience of families with a persistent1 mentally ill family member. The study adopted a qualitative descriptive-phenomenological design, participants were purposively sampled and data was collected using a tape recorder. Colaizzi’s phenomenological approach for data management was then employed. The study revealed that family members held misconceptions about mental illness and described care as a contractual obligation. They lived in misery as the patients’ behavior was intolerable, sadistic, exasperated, and embarrassing. Although medication proved helpful, they had to plead with the patient to take it. Their homes were discriminated2 which made them desperate and disappointed. Patients had bizarre complaints, could vanish, which forced family members to be vigilant all the time and made them feel guilty if anything happened to the patient. Family revenue was devastated and admission of the patients was considered a liberty to the family members and a break from the monotonous, tiresome and costly collection of medication from the hospital. Family members were pessimistic, and always in dilemma. Living with a mentally ill family member was considered a prime issue in the affected families. The study recommended health education to the community, institute programs to screen patients, counseling, and community patients’ follow up. There was need to initiate home based income generation through micro financing.