Browsing by Author "Mutyabule, Judith"

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    Examining nursing practices for management of sepsis in low income countries: the case of Uganda
    (The World of Critical Care Nursing, 2018) Aliga, Cliff; Mutyabule, Judith; Nakate, Grace; Emelonye, Abigail
    A large amount of information about best practice standards in sepsis management is available for healthcare professionals; however, implementation and adherence to practice guidelines recommended by the Surviving Sepsis Campaign remains low in low income countries. A formal scope of practice for nursing and midwifery as a professional guideline is absent and national clinical guideline for Uganda remains unclear regarding the specific management of sepsis.Inadequate documentation of patient care in Uganda makes sepsis cases difficult to be early detected.Research evidence regarding sepsis management remainsscarce in Uganda. Adopting SSC guidelines without appropriate adaptation for the local context contributes problems, especially in LICs where necessary resources are limited.
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    Unit Knowledge and Practice of Emergency Nursing Interventions at a Tertiary Public Cardiac Health Center in Uganda
    (International Journal of Critical Care, 2022-09-18) Namukwaya, Harriet; Aliga, Cliff Asher; Nakate, Grace; Mutyabule, Judith
    Research suggests that many of the millions of deaths and long-term disabilities resulting from acute cardiovascular events and other emergency conditions are preventable if effective emergency care services were readily available. Effective emergency care requires trained and competent staff, including registered nurses. Most educational pathways do not adequately prepare nurses to deliver sensitive health care services for those with acute illness and injury. This includes Uganda, where few capacity-building initiatives have targeted emergency nursing care delivery, leading to knowledge and practice gaps. This study aimed to assess emergency nursing knowledge and clinical practice at a tertiary public cardiac health facility in Uganda. This was a single-center, descriptive cross-sectional survey of a convenience sample of nurses working in the emergency department. A total of 49 emergency care nurses completed the survey (response rate of 81.6%). Among the participants, 75.5% were females, 65.3% had a bachelor's degree, 28.6% had Basic Life Support training, and 12.2% were certified in Advanced Cardiac Life Support. Additionally, 75% of the respondents had low proficiency in assessing critically ill patients, 100% could not perform safety checks, 50% could not maintain patent airways or complete patient handover, and only 50% could connect a patient to a defibrillator. We report that the most significant gap in nurse-provided emergency care is the application of practical skills. Capacity-building initiatives are required to improve the knowledge and practice of nurses in emergency care delivery.