Browsing by Author "Nakaye, Zainah"

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Barriers Associated With Evidence-Based Practice Among Nurses in Low and Middle- Income Countries:
(sigma, 2019-01-03) Shayan, Shah Jahan; Kiwanuka, Frank; Nakaye, Zainah
Background: Evidence‐based practice (EBP) is both a goal and an approach that requires a combination of clinical experience with the most credible recent research evidence when making decisions in healthcare practice. The approach has been widely embraced; however, an evidence‐to‐practice gap still exists. Aim: To assess barriers to EBP among nurses in low‐ and middle‐income countries. Methods: This review conforms to the PRISMA statement. Databases PubMed, Scopus, EMBASE, and Web of Science/Knowledge were searched using a combination of keywords that included “barriers,” “evidence‐based practice,” and “nurses.” The references of the selected articles were also hand‐searched to obtain additional relevant articles. Studies published in peer‐reviewed journals in English between 2000 and 2018 were included in the review. Results: Sixteen articles were included in the analysis, with a total number of 8,409 participants. Both qualitative and quantitative studies were included in the review. Three main themes emerged from eight categories found. The three main themes were institutional‐related barriers, interdisciplinary barriers, and nurse‐related barriers. The theme of institutional‐related barriers emerged from four categories, which included scant resources, limited access to information, inadequate staffing, and lack of institutional support. The theme of interdisciplinary barriers emerged from subcategories that included lack of communication between academic and clinical practice environments, inconsistency between education and practice in the nursing discipline, lack of teamwork, and the public's negative image about the nursing profession. Finally, the theme of nurse‐related barriers emerged from categories including perceived limitations in the scope of nurses’ practice, time, knowledge of EBP, and individual‐related barriers. Linking Evidence to Action: These findings may guide the design of future interventions aimed at fostering EBP. Implementing EBP in practice should be systematic and requires institutional will and interdisciplinary and individual commitment. It should be a collective goal and a win‐win situation for nurses, clinicians, and healthcare organizations.
Knowledge Attitude And Practices Towards Menstrual Hygiene Among Secondary School Girls In Makindye Division, Kampala District
(International Health Sciences University., 2018-11) Nakaye, Zainah
Background: Menstrual hygiene is a significant issue that every girl and woman has to deal with in her life. Unfortunately, health talks surrounding menstrual hygiene are minimal owing to the fact that the topic of menstruation is not discussed at all because teachers choose to avoid the taboo subject. We sought to assess the knowledge, attitude, and practices towards menstrual hygiene among secondary school girls in Makindye division Kampala district. Methods: A descriptive cross-sectional study was carried out among secondary school girls in two selected schools in Makindye, Kampala district, Uganda. Stratified sampling method was used to select participants whereas data was collected using a self-administered questionnaire developed by the researcher. Data analysis was performed using SPSS version 20 and a level of significance of 95% was considered in this study. Results: 193 participants out of 196 invited participants fully completed the study. The mean age of the respondents was 14 years (S. D =2.6). A significantly high number of girls had good knowledge 133 (69%)and good attitude 124 (64.2%) towards menstrual hygiene. Menstrual hygiene practices included: use of sanitary pads, satisfactory facilities for menstrual hygiene at school, disposal of used sanitary materials in the toilet/latrine. Restrictions during menstruation included: not being allowed to read the Quran or the Bible and cultural practices such as menstruation being seen as a disease and debilitating for women. Conclusion: The plight of menstrual hygiene among adolescent girls is challenging. There is need to create awareness on healthy menstrual practices. Formal as well as informal channels of communication such as teachers, school senior women, mothers, sisters and friends, need to be emphasized for the delivery of information on menstrual hygiene, however, it is very important that they have the right knowledge, attitude and practices on reproductive health. It is also essential to include menstrual hygiene as part of the package taught in the school curriculum's or during health education.