Thèses : « Nursing – Tanzania »

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Ekvall, Klara. « Nursing care for patients with burns in Tanzania ». Thesis, Röda Korsets Högskola, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-86.

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Burns are common in low- and middle income countrie ssuch asTarzania and firerelated deaths are numerous in Africa compared to high income countries in Europe. The nurse's primary professional responsibility is to require nursing care to people. Nursing care for burned patients is important and demands knowledge. Nurses in Tanzania experience difficulties in their daily work in terms of heavy workload and lack of material. Transcultural nursing aims to see care, health and illness from a cultural perspective and the goal is to provide competent care to people in different cultures. The purpose of the study was to illuminate how nurses in Tanzania take care of patients with burns.The study was implemented at the hospital Kilimanjaro Christian Medical Centre in Moshi,Tanzania. A qualitative method was used;participating observations of nine nurses were carried out. The field notes were analyzed by content analysis and gradually two themes appeared; preventing infections and meeting the patient.The conclusion was that nursing care meant collaboration with the relatives, a calm and low stress atmosphere and concems about the patients' integrity. Difficulties experienced in the nurse's daily work were lack of time and material, but despite this the nurses wanted to improve the care of the burned patients in order to reduce the risk of infection. An interesting finding was that normally no contact was created between the nurse and the patient. Overall the lasting impression was that nursing care must be seen and understood in the cultural context.

Röda Korsets sjuksköterskeförening stipendium 2010

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Kroon, Sally, et Sarah Binsalamah. « Nursing students’ views on female genital mutilation in Tanzania ». Thesis, Röda Korsets Högskola, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-2340.

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Female genital mutilation (FGM) has been illegal in Tanzania since 1998; nonetheless this procedure is still being performed in some regions of the country. Since the prohibition of this practice it has become harder to detect the practitioners. Nurses are one of the professions who can identify the women who have been exposed to FGM, which creates an opportunity to provide care for these women and educate them about the practice. The aim of this study is to describe Tanzanian nursing students’ views on FGM. Data was collected with focus group interviews with second and third year students at a nursing school in northwest Tanzania. Data was analysed inductively by content analysis. The results, the students’ views on FGM, were categorised into four themes; ‘FGM creates suffering’, ‘the right to sexual integrity’, ‘the role of nurses’ and ‘educating the patient and the community’. The findings clearly demonstrate that the students’ negative attitudes toward the practice are based on their knowledge of its harmful implications on health. For further research, it may be of interest to study nursing students’ views of the practice in more FGM-prevalent regions of Tanzania.

Röda Korsets sjuksköterskeförening stipendium 2017

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Sendlak, Andrea, et Nanna Olsson. « Vårdhygienens betydelse uppmärksammas med rutiner och kunskap : En observationsstudie i Tanzania ». Thesis, University of Skövde, School of Life Sciences, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-1089.

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Hygien spelar en viktig roll inom hälso- och sjukvården och i arbetet att förebygga smittspridning. Nightingale är en föregångare som talade om effekterna av korrekt handhygien och ren vårdmiljö. I svensk sjuksköterskeutbildning har hygien en central del, som det diskuteras mycket kring. Hälsoorganisationer över hela världen har utarbetat olika riktlinjer kring hygienens betydelse i vården, ändå visar tidigare forskning på brister i följsamhet. Syftet med studien var att belysa sjukhusmiljön med avseende på vårdhygien vid ett sjukhus i Tanzania. En kvalitativ metod med deltagande observationer valdes. Datainsamlingen pågick under fyra veckor, där studenter från en sjuksköterskeskola observerades. Studien diskuterar möjligheter och hinder för vårdhygien, där resultatet presenteras i sju olika teman. Resultatet visar att kunskapen om vårdhygien var stor bland studenterna i Tanzania, men resurser var ett stort problem. Även om kunskap och rutiner fanns, efterföljdes dessa på varierande sätt, i den kultur och tradition som finns i Tanzania.

Hygiene has a very important role within healthcare and the prevention of spreading diseases. Nightingale was among the first who talked about the effect of proper hand hygiene and a clean environment. Hygiene has a central part within the education at nursing schools in Sweden and is well discussed. Healthcare organizations all over the world have developed different guidelines about the importance of hygiene within healthcare, but research still indicates poor compliance. The aim of this study was to illustrate hygiene within healthcare at a hospital in Tanzania. A qualitative method with an observational study was chosen. The data collection was made during four weeks, observing students from a nursing school in Tanzania. This study discusses the potentials and the disadvantages of hygiene within healthcare. The result is presented in seven different themes and indicates good knowledge about hygiene among the Tanzanian students, but poor resources and lack of supplies caused a big problem. It appeared that the healthcare and how the hygiene was managed within the culture and tradition, which existed in Tanzania, have differences even though knowledge and routines exists.

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Johannesson, Nike, et Mirijam Nyström. « Nursing staff's experience of working in rural Tanzania - Interview study at two dispensaries in the northern parts of Tanzania ». Thesis, Malmö universitet, Fakulteten för hälsa och samhälle (HS), 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-25566.

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Bakgrund: Enligt Tanzanias regering är ett av de första stegen för att uppnå målet om hälsa till alla, att tillse åtkomsten av tillräckligt med sjukvårdspersonal, med resurser nog att genomföra arbete av kvalité. För tillfället är dessa mål inte uppfyllda, och situationen är värre på landsbygden. På grund av bristen på professionell sjukvårdspersonal, speciellt i geografiskt avlägsna områden i Tanzania, måste sjuksköterskor ibland arbeta över sin utbildningsnivå. Syfte: Syftet var att utforska omvårdnadspersonals erfarenheter av att arbeta på landsbygden i Tanzania. Metod: En kvalitativ intervjustudie, baserad på sex semistrukturerade intervjuer med omvårdnadspersonal som arbetar på landsbygden. Textmaterialet analyserades genom en tematisk innehållsanalys. Resultat: Fem kategorier uppkom: Arbetssituationen, visar att omvårdnadspersonalen klarar att erbjuda all service genom att arbeta över sin utbildningsnivå. Tillgång till resurser, påvisar brist på personal, faciliteter, utrustning och medicin. Personalens mentalitet, visar att omvårdnadspersonalen var glad trots att de gav upp sitt privatliv för att jobba där. Landsbygdspopulation, beskrivs med att de besitter mindre kunskap om hälsa. Boendesituation, påvisar att omvårdnadspersonalen efterfrågade en plats nära arbetet att bo på. Konklusion: Omvårdnadspersonalen var nöjd med deras arbete på landsbygden i Tanzania, trots att de mötte svårigheter. De kunde ge all service på grund av att de kunde utföra varandras sysslor och arbetade då över sin4utbildningsnivå. Det kan argumenteras för att detta arbetssätt inte svarar för en säker och evidensbaserad sjukvård.
Background: According to the government in Tanzania, one of the first steps to achieve the goal of health is to ensure access to health care workers with enough resources and capacity to deliver quality care. Today these goals are not reached, and the situation is worse in rural areas. Due to the lack of professional health care workers in Tanzania, especially in geographic remote areas, nursing staff have to perform beyond their formal education level. Aim: The aim was to explore nursing staff’s experience regarding working in rural Tanzania. Method: A qualitative interview study design was used, based on eight semi-structured interviews with nursing staff working in rural areas in Tanzania. The data were analyzed by using thematic content analysis. Result: Five categories emerged: Working situation, which demonstrates how nursing staff manage to provide all the services through working beyond their education level. Access to resources, which indicates lack of staff, facilities, equipment and medicine. Staff mentality, which demonstrates that the nursing staff were happy, although giving up their personal life to work there. Rural population, which was described as a population with less knowledge about health. Living conditions, which showed that all nursing staff requested a place to stay close to the dispensary. Conclusion: The nursing staff was satisfied with their work in rural Tanzania, yet they faced difficulties. They could still provide all services, mainly by handling different tasks and by working over their formal level. It is arguable that this is not corresponding to a safe and evidence based healthcare.

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Mangula, Anna Shemu. « Enhancing the utilization of primary mental health care services in Dodoma, Tanzania ». Thesis, Stellenbosch : University of Stellenbosch, 2010. http://hdl.handle.net/10019.1/6930.

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Thesis (MCur (Nursing Science))--University of Stellenbosch, 2010.
ENGLISH ABSTRACT: This research study aims at enhancing the utilisation of primary mental health care services in Dodoma, Tanzania. Primary health care (PHC) according to the Alma Ata conference 1948 is an essential part of the health care system for bringing health care closer to where people live and work, is people-centred, affordable and achieves better health outcomes, and is considered to contribute to communities’ social and economical development. PHC facilities in Tanzania are health centres and dispensaries, which are within five kilometres from where people live. In the 1980s’ countries integrated mental health into PHC to improve the mental health status of their people. To facilitate delivery of Primary Mental Health Care (PMHC), Tanzania has formulated a mental health policy and trained PHC workers on mental health. Despite of these efforts, people still go to referral hospitals for mental health care services. However, authors commented that “when comprehensive primary health is implemented fully” it will bring about security, safety and hope to people and therefore, they will continue to fend for health for all. The main aim was to explore and describe why people go to referral hospitals instead of utilising PMHC services closer to them. A qualitative descriptive clinical ethnographic research design was employed to examine the mental health care-giving within the context of this research. Purposive non-probability sampling was utilised. Sample size was determined by the saturation. Data collection methods were in two phases. Phase one was participative observation on mental health care-giving in the Primary Health Care (PHC) facilities for a period of at least four weeks, and phase two was by use of an in-depth interview with family members at referral hospitals who had passed Primary Health Care facilities. Data analysis was an open thematic coding. Trustworthiness of the research was established through credibility, dependability, conformability, triangulation and a thick description. The findings of this research suggested that there is inadequate service delivery at PHC facilities, disrespect of patients and lack of knowledge on available services and on referral systems, which led to not utilising the available Primary Mental Health Care services. In conclusion the researcher expresses the recommendations of this research in the form of strategies.
AFRIKAANSE OPSOMMING: Hierdie navorsing is daarop gemik om die gebruik van primêre geestesgesondheidsorg dienste in Dodoma, Tanzanië te bevorder. Volgens die Alma Ata verklaring van 1948 is primêre gesondheid sorg (PGS) ŉ noodsaaklike deel van die gesondheidsorg stelsel ten einde gesondheidsorg nader na mense werkplek en tuistes te neem. PGS is persoons-gesentreerd, bekostigbaar en het beter gesondheids resultate, dit word aanvaar dat PGS bydra tot die sosiale en ekonomoiese ontwikkeling van gemeenskappe. PGS fasiliteite in Tanzanië is hoofsaaklik gesondheidsentra en apteke, wat binne ŉ radius van vyf kilometere vanaf mense se woninigs is. Gedurende die 1980’s het lande geestesgesondheid integreer in die PGS stelsel in ’n poging om die geestesgesondheidstatus van mense te verbeter. Ten einde die lewering van primêre geestesgesondheid sorg (PGGS) te verbeter het Tanzanië ŉ geestesgesondheidsbeleid geformuleer en primêre gesondheidsorg werkers opgelei in geestesgesondheidsorg. As omvattende primêre gesondheidsorg ten volle implementeer is sal dit bydra tot sekuriteit, veiligheid en hoop en mense sal aanhou veg vir ”gesondheid vir almal”. Die hoofdoel van hierdie navorsingstudie was ŉ ondersoek en beskrywing ten opsigte van die redes waarom mense eerder verwysings hospitale as PGS fasiliteite nader aan hulle besoek. Die navorser het gebruik gemaak van ŉ kwalitatiewe, beskrywende kliniese etnografiese studie ten einde geestesgesondheidsorglewering te ondersoek binne die konteks van hierdie studie. Die navorser het doelgerigte nie-waarskynlikheids steekproefneming gebruik en die versadigingsvlak is bereik deur middel van data-saturasie. Data is tydens twee fases ingesamel. Fase een was gekenmerk deur deelnemende observasie ten opsigte van geestesgesondheidsorg lewering in ŉ PGS fassiliteite. Tydens fase twee het die navorser in-diepte onderhoude gevoer met famililede van die persoon wat eerder die verwysings hospitaal as PGS fasiliteit besoek het. Data analise is gedoen deur tematiese, kwalitatiewe kodering te gebruik. Betroubaarheid van die navorsing is verkry deur middel van vertrouenswaardigheid, eerbaarheid, triangulasie en in-diepte beskrywing. Die bevindings van hierdie navorsings studie suggereer die teenwoordigheid van ondoeltreffende diens lewering by PGS fasiliteite, onrespekvolle hantering van pasiënte en gebrekkige kennis rondom die beskikbare dienste en verwyssings stelsel in plek, derhalwe maak pasiënte eerder gebruik van die verwysings hospitale. Gevolglik beveel die navorser aan dat strategieë gebasseer op die resultate van hierdie navorsings geïmplementeer word.

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Anberlin, Tobias. « Challenges of treating pressure ulcers : A qualitative study with nurses in Tanzania ». Thesis, Ersta Sköndal Bräcke högskola, Institutionen för vårdvetenskap, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-7900.

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Background: Wounds have existed at all times and have always been feared because of the risk of infection leading to prolonged bed rest, and risk of complications such as amputation and even in some cases death. Pressure ulcers are included in the group of secondary healing wounds, which means that they heal from the inside only after that the wound is filled by granulation tissue. As a nurse one of the main work assignments is to promote health and care by showing professional liability to meet the patient's needs. In this study, the focus will be to describe the challenges for nurses in Tanzania in preventing and early detection of pressure ulcers. Aim: To describe the challenges for nurses in Tanzania in preventing and early detection of pressure ulcers Method: A descriptive qualitative design was chosen for this study as the aim was to explore nurses’ experiences of preventing and early detection of pressure ulcers. A qualitative design is most suitable when the researcher seeks to understand the phenomenon under study. Results: There were indeed challenges for the nurses in preventing and early detect pressure ulcers. The findings could be divided into three sub-themes: a) Structural challenges and varying educational level among health care personnel, b) Insufficient resources – challenges and strategies, and c) Patients unable to pay for health care Discussion: The discussion addressed that education is one of the main strategies for preventing pressure ulcers and is not always a financial issue. Understaffed wards and patients that are not able to pay for healthcare are factors that are ongoing issues at a hospital financed by the government. It also addresses the frustration some nurses expressed towards the problem and often felt helpless concerning patients health.

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Lindgren, Sara, et Rebecca Sundin. « The Tanzanian nurses’ experiences of caring for patients with life threatening conditions at a hospital in a small community : A qualitative interview study with nurses at a hospital in Bagamoyo, Tanzania ». Thesis, Ersta Sköndal högskola, Institutionen för vårdvetenskap, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-5344.

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Background: Tanzania is a low-income country where many people struggle to afford health care. Previous research on emergency health care in Tanzania shows that there are limited resources when it comes to both education in emergency care and acute care equipment. Furthermore, there is limited information concerning experiences from nurses working with emergency care under these conditions. Aim: The aim of this study was to examine the Tanzanian nurses’ experience of caring for patients with life threatening conditions at a hospital in a small community. Method: The study has a qualitative design with a semi-structured interview method where six registered nurses with experience of caring for patients who suffers from life threatening conditions at the Bagamoyo District Hospital in Tanzania were interviewed. The interview transcriptions where analyzed with a qualitative content analysis method described by Granheim and Lundman (2004). Results: The result shows that the nurses works in an environment where recourses are limited and how they have found alternative ways to provide care under the given circumstances. It reveals how the nurses’ cope with these situations, their emotional challenges and how they manage feelings that comes from caring for patients with life threatening conditions under the prevailing circumstances. Discussion: The result was discussed in relation to Roy’s adaption theory where the main focus was on the human being and its ability to adapt in order to maintain health and quality of life while interacting with a changing environment.
Bakgrund: Tanzania är ett utvecklingsland där många människor har svårt att bekosta sjukvård. Tidigare forskning rörande akutsjukvård i Tanzania visar att det finns en brist på utbildning och utrustning inom akutsjukvården. Det finns få studier som undersöker sjuksköterskans erfarenheter från att arbeta med akutsjukvård under de bristande förhållandena. Utifrån detta väcktes ett intresse för att utforska sjuksköterskans upplevelser utav att vårda patienter i livshotande tillstånd under dessa bristfälliga förhållanden. Syfte: Syftet med studien var att utforska den Tanzanianska sjuksköterskans upplevelser av att vårda patienter i livshotande tillstånd på ett sjukhus i ett litet samhälle. Metod: Studien har en kvalitativ utformning med semistrukturerade intervjuer. Intervjuer hölls med sex sjuksköterskor som arbetar på Bagamoyo District Hospital i Tanzania med erfarenhet av att vårda patienter i livshotande tillstånd. Intervjuerna transkriberades och bearbetades enligt en kvalitativ innehållsanalys som beskriven utav Granheim och Lundman (2004). Resultat: Resultatet visade att sjuksköterskorna arbetar i en miljö där resurser saknas och hur de funnit alternativa vägar för att kunna ge omvårdnad trots detta. Resultatet visar också att sjuksköterskorna ställs inför känslomässiga utmaningar och hur de hanterar känslorna som uppkommer då de vårdar patienter i livshotande tillstånd under bristfälliga förhållanden. Diskussion: Resultatet diskuterades i relation till Roys adaptionsteori med tyngdpunkt på människan och dess förmåga att adaptera för att upprätthålla hälsa och livskvalitet i en föränderlig miljö.

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Westergren, Emma, et Matilda Andersson. « Insertion of peripheral intravenous catheters – A complex act including nursing care and patient safety ». Thesis, Umeå universitet, Institutionen för omvårdnad, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-117152.

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Background: Insertion of a peripheral intravenous catheter (PVC) is a common procedure performed by nurses. The practical skill is a complex act, which not only requires theoretical and practical knowledge, but also nursing care adjusted to each patient's history and needs. Aim: The aim was to explore the procedure of inserting a peripheral intravenous catheter at a local hospital in Tanzania with focus on nursing care and patient safety. Method: The study was performed as a non-participating observational study and was preceded by a pilot study performed in Sweden. Eight observations were made, which were analysed with a qualitative content analysis. Result: The categories “Execution” and “Respecting patients” with associated sub-categories constituted the results. “Execution” describes how the procedure is performed, while “Respecting patients,” explains the performed nursing care during the practical skill. Conclusion: The Model of Practical Skill Performance was used for interpreting and discussing the result. The model clarified that some components were not fulfilled and the performance can therefore not be considered as well proceeded. One can discuss whether it depends on lack of knowledge, resources and/or culture. Keywords: Peripheral intravenous catheter, nursing care, patient safety, Tanzania, low-income country.
Bakgrund: Insättning av perifer venkateter (PVK) är en vanligt förekommande uppgift för sjuksköterskor. Denna praktiska färdighet kan anses vara komplex, då den inte bara kräver teoretisk och praktisk kunskap, utan också omvårdnad anpassad efter varje patients behov och tidigare erfarenheter. Syfte: Syftet var att undersöka tillvägagångssättet vid insättning av perifer venkateter på ett lokalt sjukhus i Tanzania, med fokus på omvårdnad och patientsäkerhet. Metod: Studien utfördes som en icke-deltagande observationsstudie och föregicks av en pilotstudie utförd i Sverige. Åtta observationer genomfördes som sedan analyserades med kvalitativ innehållsanalys. Resultat: Kategorierna “Utförande” och “Respektera patienter” med tillhörande underkategorier utgjorde resultatet. ”Utförande” beskriver tillvägagångssättet vid insättnig av PVK, samt förberedelser och slutförande. “Respektera patienter” beskriver den givna omvårdnaden under det det praktiska utförandet. Konklusion: Modellen för praktisk färdighetsutövande användes för att tolka och diskutera resultatet. Modellen klargjorde att några komponenter inte uppfylldes och utförandet kan därmed inte anses som väl utfört. Det kan diskuteras om detta beror på bristande kunskap, resurser och/eller kultur. Nyckelord: Perifer venkateter, omvårdnad, patientsäkerhet, Tanzania, låginkomstland.

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Karlsson, Hanna, et Linn Lundebo. « Nursing care of patients with postoperative pain : an observation study at Kilimanjaro Christian Medical Centre, Tanzania ». Thesis, Röda Korsets Högskola, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-74.

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Some cultures regard pain as a natural part of life compared with the Western culture which believes that pain is something unnatural and that has to be eliminated. Transcultural nursing is a way to learn about and provide culturally fitting and meaningful care to people with different cultures. Tanzania suffers from a lack of qualified health workers due to an increased burden of disease and this affects the quality and supply of effective health services. It has been seen that it is common for patients to get inadequate pain treatment and this results in many different complications. The aim of the study was to describe the nursing care of patients with postoperative pain at a rural hospital in Tanzania. The study was implemented at the Kilimanjaro Christian Medical Centre in Moshi. A qualitative participating observation study with an ethnographic approach was used to collect the data. The data was analyzed by content analysis and resulted in three themes: 1. The role of the nurse, 2. Pain management, and 3. Meeting the patient. The conclusion was that the nursing care around patients with postoperative pain showed an extended collaboration between the nurses and other health care professionals as well as with the patients’ parents. The study further showed that the atmosphere around the patients was positive and calm and that the nurses assessed pain by measuring vital signs and facial expressions.

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Bohwalli, Malene, et Linnea Rydenstam. « Sjuksköterskans förhållningssätt till handhygien i Tanzania : en observationsstudie ». Thesis, Röda Korsets Högskola, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-94.

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Vårdrelaterade infektioner är ett globalt problem, patienter i utvecklingsländer är speciellt utsatta på grund av att många sjukhus har begränsade resurser. Därför kom idén upp att göra en studie som belyser hur sjuksköterskor hanterar handhygien med avseende att förebygga vårdrelaterade infektioner på Bulongwa Lutheran Hospital i Tanzania. Data samlades in genom en observationsstudie som varade i fyra dagar. Anteckningar från observationen skrevs ner i löpande text och analyserades genom en detaljerad innehållsanalys. I analysen växte ett antal kategorier fram, vilka resulterade i fyra övergripande teman: tvättmöjligheter, handtvätt, handskanvändning och övriga hygienaspekter. Resultatet av studien visade att sjukhusmiljön medförde vissa svårigheter för sjuksköterskorna att förhålla sig till god handhygien. Då handtvätt utfördes gjordes det med varierad noggrannhet och inträffade framförallt efter städmoment. Skyddshandskar användes vid städning och i vissa fall vid hantering av kroppsvätskor. Sjukhuset var försett med information i form av affischer för hur handhygien bör genomföras och sjuksköterskorna hyste kunskap i när tillfällen för handtvätt var aktuellt och på vilket sätt det skulle utföras. Slutsatsen som kan dras av denna studie är att bristfällig tillgänglighet av resurser troligtvis medförde en försämrad följsamhet till rekommenderade riktlinjer på Bulongwa Lutheran Hospital.
Healthcare associated infections are a global issue, patients in developing countries are especially vulnerable because of many hospitals' limited resources. The purpose of this study was to highlight how nurses manage hand hygiene for preventing healthcare associated infections at Bulongwa Lutheran Hospital in Tanzania. Data were collected during a four days observational study. Notes from the observation were written in linear form and analyzed using a detailed content analysis. The analysis brought a number of categories, which in the end resulted in four themes: places for hand washing, hand washing, glove usage and other health aspects. The results showed that the hospital environment caused a few problems for the nurses to respond to good hand hygiene. When hand washing was performed, it was made with varying accuracy and occurred most frequently after cleaning. Gloves were used during cleaning and in some cases when handling body fluids. The hospital was provided with information in the form of posters showing how hand hygiene should be performed and the nurses had knowledge of the occasions when hand washing was disclosed and the manner in which it should be performed. The conclusion to be drawn from this study is the lack of availability of resources likely led to deterioration in adherence to recommended guidelines at Bulongwa Lutheran Hospital.

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Zarins, Kristina. « Family involvement in nurs¡ng care - a resource or burden ? : from the perspective of Tanzanian nurses ». Thesis, Röda Korsets Högskola, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-87.

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The health of the individual affects all family members, and families influence the process and outcome of healthcare. Nurses attitudes about the importance of involving the patients families in nursing care, greatly influences the quality of the meeting between the family and the nurse. Nurses working inTanzania feel they can not provide adequate healthcare due to heavy work load and limited resources. Tanzanian nurses and patients are highly dependent on the help of the patients' families. The aim of the study was to investigate Tanzanian nurses' attitudes towards involvement of patients' families in nursing care. In this quantitative, descriptive study, a questionnaire called "Families'importance in NursingCare-Nurses'Attitudes" (FINC-NA) was handed out to registered nurses working at a regional hospital inTanzania in 2009. The results were analysed and presented by descriptive statistics such as charts, tables and central values. The 47 nurses who answered the questionnaire had in general supportive attitudes towards the involvement of the patients' family in nursing care. One fifth of the nurses however viewed the patients' families as a burden. One third of the nurses feel that the presence of the patients' families holds them back in their work. Nurses above 40 years of age and nurses with no experience of a familymember being seriously ill had less supportive attitudes towards patients family involvement compared to other subgroups in this study. The nurses with least years of nursing experience had the most supportive attitudes of all the subgroups. Besides nurses own experience of an ill familymember, this study suggests that attitudes are affected by culture, working environment and education.

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Blideman, Anna. « Nursing students´attitudes towards domestic violence : a quantitative study at Kilimanjaro Christian Medical College, Moshi,Tanzania ». Thesis, Röda Korsets Högskola, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-64.

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Gender-based violence is a widespread health problem all over the world and in Tanzania, domestic violence and rape within marriage are widely spread. Since nursing students are likely to meet abused women within their future profession, it is important to explore their attitudes towards the subject. The aim with the study was to describe nursing students' attitudes towards domestic violence. The method used was descriptive, quantitative and the instrument used was a questionnaire containing questions from Domestic Violence Blame Scale (DVBS) and Domestic Violence Myths Acceptance Scale (DVMAS), two selfconstructed questions were also added. The respondents (n=30) were nursing students at KCM College, in Moshi Tanzania. The result shows that the general opinion among the students was that the likeliness of domestic violence to occur was affected by situational factors, such as family living conditions. Almost half of the respondents strongly agreed that the Tanzanian society was male-dominated, and that it contributes to the occurrence of domestic violence and many of the students thought that women instigate domestic violence and that they have themselves to blame. Since the result shows that many of the students seem not to fully understand the mechanisms of domestic violence and that they tend to blame the victim for the crime it is essential with more education on the subject.
Våld mot kvinnor är ett omfattande hälsoproblem över hela världen och i Tanzania är våld mot kvinnor, såsom våld i nära relationer och våldtäkt inom äktenskapet, vida spritt. Eftersom sjuksköterskestudenter troligtvis kommer att möta våldsutsatta kvinnor i sitt framtida yrke är det viktigt att undersöka deras attityder kring ämnet. Syftet med studien var att beskriva sjuksköterskestudenters attityder till våld mot kvinnor i nära relationer. Metoden för studien var deskriptiv, kvantitativ och instrumentet som använts är ett frågeformulär med frågor från Domestic Violence Blame Scale (DVBS) och Domestic Violence Myths Acceptance Scale (DVMAS), samt två frågor tillagda av författaren till studien. Respondenterna (n=30) var sjuksköterskestudenter på KCM College, I Moshi Tanzania. Resultatet visar att den generella åsikten bland studenterna var att situationen, som till exempel familjeförhållanden påverkar sannolikheten för att våld mot kvinnor i nära relationer ska uppstå. Knappt hälften av respondenterna höll med om att samhället är mansdominerat, vilket bidrar till förekomsten av våld mot kvinnor och många av studenterna tyckte att våld i nära relationer är en konsekvens av kvinnans eget beteende och att hon får skylla sig själv. Eftersom resultatet visar att många av studenterna inte fullt förstod mekanismerna kring våld mot kvinnor i nära relationer, och att de tenderade till att skuldbelägga kvinnan för brottet, är mer utbildning i ämnet av högsta vikt.

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Robertsson, Amanda, et Ester Yochim. « Nurses’ experiences of working with quality improvement in Tanzanian healthcare : A study done in Arusha ». Thesis, Högskolan i Borås, Akademin för vård, arbetsliv och välfärd, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-12265.

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To constantly work with quality improvement is important to maintain a high standard of care. Tanzania is one of many countries facing challenges within the health sector due to constrained resources. Exploring the nurses’ perspective of working with quality improvement gives a glimpse of the current situation in the Tanzanian health sector. The purpose of this study is to analyse the nurses’ experiences of working with quality improvement. For this study interviews have been conducted and then analysed through a qualitative content inductive analysis. The result showed the nurses’ experiences of obstacles and possibilities when developing the quality of care. Main categories were lack of economy, resources and staff, feeling empowered and healthy team dynamics among colleagues. During the study the authors encountered several obstacles that limited the study. An ethical approval was required, thus only six participants partook in this study. Lack of economy resulted in the biggest obstacle towards improvement as this limited investing in possible assets. The effects of good collaboration between colleagues are shown in many studies to be beneficial for the working atmosphere, which was also found in this study.

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Iveslätt, Sofia, et Stina Ekström. « Sjuksköterskors upplevelse av palliativ vård i Tanzania ». Thesis, Ersta Sköndal högskola, Institutionen för vårdvetenskap, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-2170.

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Bakgrund: I Afrika är behovet av palliativ vård stort efter utbredning av HIV, samt cancer och andra sjukdomar. Den palliativa vården avser att öka livskvalitet en hos patienter och närstående, lindra lidande och behandla smärta. World Health Organization startade ett projekt för att utveckla palliativ vård i Afrika, ett projekt som önskar utveckla synen på palliativ vård, integrera den i vårdprogram och förbättra möjligheten till läkemedelstillgångar och utbildning. Sjuksköterskan är en central figur inom den palliativa vården och relationen är betydelsefull för patienten. För sjuksköterskan är mötet med den palliativa patienten både smärtsamt och stressfullt, och väcker starka känslor. Syfte: Beskriva sjuksköterskors upplevelse av palliativ vård i Tanzania. Metod: En empirisk studie och datainsamling i form av semistrukturerade intervjuer genomfördes med åtta sjuksköterskor i Tanzania. Intervjuerna transkriberade s och analyserades sedan enligt kvalitativ innehållsanalys. Resultat: Resultatet presenteras i två huvudkategorier; Sjuksköterskans uppfattning av vårdandet och Utmaningar som sjuksköterskan möter i den palliativa vården. I dessa redovisas bland annat; betydelsen av relationer i vården, patientens behov, sjuksköterskans beskrivning av brister och hur tro kan påverka vården samt krav som ställs i mötet med patienter och närstående. Diskussion: Sjuksköterskornas reflektioner på relation och kommunikation di skuteras, tillsammans med synen på god relation och god vård. Sjuksköterskans invändningar på de anhöriga i vården kontra hur deras egen tro påverkar vården, samt reflektioner kring fokuseringen på fysiska symtom i relation till övriga behov gjordes. Studiens utförande diskuterades också.
Background: In Africa, the need for palliative care is high after the prevalence of HIV, cancer and other diseases. The aim of palliative care is to improve quality of life for patients and families, to relieve suffering and to treat pain. World Health Organizati on launched a project to develop palliative care in Africa, a project that wishes to d evelop the perception ofpalliative care, to integrate in treatmentprograms and improve access to medicine and education. The nurse is playing a major part in palliative care therefor their relationship becomes important for the patient. For the nurse the meeting with the palliative patient could be both painful and stressful, and create strong emotions. Purpose: To describe nurses experiences of palliative care in Tanzania. Method: An empirical study and datacollection in the form of semi-structured interviewswere conducted with eight nurses in Tanzania. The interviews were transcribed and then analyzed according to qualitative content analysis. Resultat: The results are presented in two main categories: Nurses perception of caring and Challenges that the nurse is facing in palliative care. These are, among others; the importance of relations, patient needs, nurse description of shortcomings in palliative care and how faith can affect the care, and also demands that is expected in contact with patients a nd relatives. Discussion: In the discussion nurses reflect on relations and communication together with their vision on good care. Nurses thoughts about the relatives and how their own beliefs affect the care, and reflections about focus on physical symto ms in relations to other needs were discussed. The study design was also discussed.

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Pallangyo, Eunice. « Experiences of informal women caregivers in caring for people living with HIV and AIDS in Dar es Salaam, Tanzania ». Master's thesis, University of Cape Town, 2008. http://hdl.handle.net/11427/26622.

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Aim of the study: The aim of this study was to explore and describe the experiences of informal women caregivers of people living with HIV and AIDS at home in Dar es Salaam, Tanzania. The study took place in Temeke district in the Dar es Salaam region through the auspices of Pastoral Activities and Services for people with AIDS, Dar es Salaam Archdiocese (PASADA), a non-governmental organization that provides home-based care services. Research design and method: The research design was a qualitative, descriptive and exploratory study based on the interpretive paradigm. The study population was informal women caregivers looking after spouses or relatives at home who were living with HIV and AIDS (staged at World Health Organization clinical stages III and IV), some on antiretroviral therapy and others not. Purposive sampling was used to select participants who were attending PASADA's community centre. Data were collected using semi-structured· interviews which were audio-recorded. Eight participants were interviewed in order to explore their individual experiences of caring for people living with HIV and AIDS. Data collection continued until data saturation was achieved. The recorded data were transcribed verbatim and analysed using thematic analysis. Anonymity and confidentiality of the study participants was maintained throughout. Findings: Themes which emerged from the data were as follows: social and economic situation; HIV-related stigma and discrimination; stress and burn-out: treatment and support system; care burden and the challenges. Financial problems made an impact on food security, and the caregivers also had to cope with multiple illnesses in the people under their care. The lack of support for the caregivers increases their vulnerability to stress and burn-out.

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Ferranto, Mary Lou Gemma. « An interpretive qualitative study of baccalaureate nursing students following an eight-day international cultural experience in Tanzania ». Thesis, Kent State University, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3618896.

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Intercultural competence through study abroad is widely recognized as a preferred teaching approach for the development of globally competent health care practitioners. Colleges and universities are looking for multiple ways to encourage students to study abroad because of the noteworthy effects that these experiential opportunities have on students. Sparse research has been conducted to determine if short-term study abroad trips of less than two weeks are achieving these same outcomes.

The purpose of this basic interpretative qualitative study was to describe the nature and meanings of a short-term international cultural experience for nursing students, and whether or how their understanding of the role of the professional nurse was changed. A group of baccalaureate nursing students traveled to Tanzania and took part in professional and social opportunities over an 8-day period. All participants were required to complete a nursing course with global objectives prior to the trip and pre-immersion seminars. Data were collected from reflective journals during the study abroad experience, focus group discussions one month after returning home, and personal interviews 6 months later. The results indicated that the participants experienced culture shock, but they also gained in self-awareness, cultural empathy, leadership skills, a desire to learn more, and a new perspective of the role of the professional nurse. Langer's theory of Mindfulness, Bennett's Developmental Model of Sensitivity and Campinha-Bacote's Process of Cultural Competence provided the theoretical framework for this study.

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Ferranto, Mary Lou Gemma. « An interpretive qualitative study of baccalaureate nursing students following an eight-day international cultural experience in Tanzania ». Kent State University / OhioLINK, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=kent1364365375.

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Nordblom, Eva. « Experiences of malaria and attitudes to malaria prevention among nurses in Tanzania - An interview study ». Thesis, Uppsala University, Department of Public Health and Caring Sciences, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-126034.

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The aim of this qualitative study was to explore experiences of malaria and attitudes to malaria prevention among nurses from Tanzania. Eleven nurses from three hospitals in northern Tanzania were interviewed. The analysis resulted in following categories: The malaria situation was so severe at that time, Being both nurse and parent, Hindrances in the battle, Sharing knowledge and There is a change. Ten out of eleven nurses had had malaria and all of them had been treated with anti-malarial drugs and many of them still had malaria regularly. They remembered times when the malaria situation was worse and the disease killed many more people. Having children resulted in constant worry. Being a nurse had advantages because they lived close to the hospitals so they could initiate early treatment and because they could afford to take preventive measures. Hindrances in the battle against malaria were other people’s lack of knowledge, poverty and difficulty to change lifestyle and environmental conditions. They were proud to be nurses and knowledge was their strength. There were geographical differences in how much hope they had for the future. The nurses in Zanzibar were the most optimistic. The nurses supported the governmental actions against malaria.

Syftet med denna kvalitativa studie var att undersöka vilka upplevelser sjuksköterskor från Tanzania hade av malaria och deras attityder till malariaförebyggande åtgärder. Elva sjuksköterskor från tre sjukhus i norra Tanzania intervjuades. Analysen resulterade i följande kategorier: Malariasituationen var så allvarlig på den tiden, Att vara sjuksköterska och förälder, Hinder i kampen, Att dela kunskap och Det har blivit en förändring. Tio av de elva sjuksköterskorna hade haft malaria och alla hade fått malariabehandling och flera av dem hade fortfarande malaria regelbundet. De hade minnen från när malariasituationen var värre och många fler människor dog av sjukdomen. Att vara förälder innebar konstant oro. Att vara sjuksköterska hade fördelar eftersom de bodde nära sjukhusen och därför kunde inleda snabb behandling och för att de hade råd att genomföra förebyggande åtgärder. Hinder i kampen mot malaria var andra människors okunskap, fattigdom och svårigheter att förändra livsstil. De var stolta över att vara sjuksköterskor och kunskap var deras styrka. Det fanns geografiska skillnader när det gällde deras framtidstro. Sjuksköterskorna på Zanzibar var de mest hoppfulla. Sjuksköterskorna stödde de statliga insatserna mot malaria.

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Persson, Evelina, et Emmie Lindgren. « Nurses´ experiences when caring for patients infected with malaria in Tanzania : A qualitative interview study ». Thesis, Hälsohögskolan, Högskolan i Jönköping, HHJ, Avd. för omvårdnad, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-47551.

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Background: Malaria is one of the mosquito-transmitted diseases that is killing millions of people every year, with the highest prevalence in Africa. In Tanzania, more than 90 percent of the inhabitants are at risk of being infected with malaria. The malaria parasite Plasmodium falciparum does not obtain specific symptoms and differential diagnoses can make it difficult to diagnose malaria. If malaria gets developed into a severe stage, it can affect organs and eventually cause death. Nurses have the role to educate inhabitants on how to prevent malaria. Purpose: The aim of this study was to describe nurses ́ experiences when caring for patients infected with malaria in Tanzania. Method: Study with a qualitative approach. A content analysis with a manifest structure was carried out, based on individual semi-structured in-depth interviews with nurses. Result: Nurses found it difficult to differentiate malaria from other diseases, like typhoid or meningitis. Nurses focused mostly on patients’ physical by working with medical treatment and education about malaria prevention. Conclusion: This study highlighted the importance for nurses of being educated about malaria and knowing how to assess its condition as it can be a mortal disease.

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Davidsson, Kajsa, et Elisa Torstensson. « Nurses' experiences of working with Prevention of Mother-to-Child transmission of HIV : A minor field study in the Rufiji district of Tanzania ». Thesis, Högskolan i Borås, Akademin för vård, arbetsliv och välfärd, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-14637.

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This study is a Minor Field Study and is funded by the Swedish International Development Cooperation Agency (SIDA). At the end of 2016 there were 1.4 million people living with HIV in Tanzania; That same year approximately 55.000 people were newly infected with the disease. The most frequent route of infection is through mother to child transmission (MTCT). The risk of transmission can be reduced with the help of medication and other strategies, called prevention of mother-to-child-transmission (PMTCT) of HIV. Tanzania is working actively with these prevention programs, however the rates of MTCT still remains high in the country. Due to their profession, nurses play a significant role in these prevention programs. They have an important role in educating the patients and encouraging a healthier lifestyle. Therefore, it is important to investigate nurses' experiences of working with PMTCT of HIV to gain knowledge and valuable information of their experiences. The aim of the study is to investigate local nurses' experiences of working with PMTCT of HIV in the Rufiji area in Tanzania. The data of the study have been collected through individual interviews with six nurses using a semi-structured guide with open questions. The nurses' experiences of working with PMTCT of HIV covers three key areas. First, they work actively with motivating the mothers in several significant areas, such as motivating the mothers to take a voluntary HIV-test and bringing their partners to undertake the HIV-test. Second, the nurses described the importance of counseling the mothers and their partners. One part in counseling is to get the mother's mind ready to receive the result of the HIV-test. Third, the nurses experienced stigma as something they all had to be aware of and meet in their everyday work life. Stigma from the community and relatives is one reason for poor adherence from the mothers to the PMTCT program.

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Andersson, Maja, et Julia Henriksson. « Nurses' experience of women suffering from urinary incontinence, their associated health needs and provision of care for these women in Arusha, Tanzania ». Thesis, Högskolan i Borås, Akademin för vård, arbetsliv och välfärd, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-23569.

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Urinary incontinence (UI) is a worldwide problem with negative consequences on women's health and day-to-day life. Yet, the problem is partly unexplored and often stigmatized. Thus, the aim of the study was to describe nurses’ experience of women suffering from UI, their associated health needs and provision of care for these women in Arusha, Tanzania. A qualitative study with semi-structured interviews with a convenient sample was an applicable and preferable method to proceed the research. The collected data from eight interviews with nurses from various hospitals formed the foundation of the result, as it was analyzed with an inductive content analysis. The main findings consisted by; the experience of what is making women suffer from UI; the experience of the associated health needs; and the experience of providing care to the affected women. The result in this study highlighted how the nurse responded to the affected women’s needs. Though, it indicated that the women's health needs might go beyond the possibilities of care a nurse can provide. The health needs were often more complex and profound than the health care could manage. Thus, this emphasized the importance of identification and caring for these women. Giving that the nurse role was to give support, both physically and mentally, and to increase the knowledge among women, but also on a societal level in Tanzania.

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Mamseri, Redempta Alex. « The nursing process as a means of improving patient care ». Diss., 2012. http://hdl.handle.net/10500/8783.

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Improvement of patient care in any hospital depends primarily on the quality of nursing care. Nursing care is enhanced by the nursing process, which outlines the nursing activities to be provided for a patient. The purpose of this study was to determine to what extent the nursing process could improve the quality of nursing care, and to explore the knowledge limitations of nursing staff in implementing the nursing process, nursing care planning and proper documentation. Quantitative research, making use of an exploratory, descriptive and contextual design was conducted, utilising a structured questionnaire for data collection. Registered nurses (n=120) employed at a Referral Hospital in Tanzania served as the respondents. The findings revealed a lack of knowledge in understanding and applying the concepts of the nursing process, especially in formulating the nursing diagnosis. Recommendations pertaining to a focused in-service training programme, integrating theory and practice, were made to enhance the effective implementation of the nursing process.
Health Studies
MA (Health Studies)

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Gärderup, Linnea, et Ida Karlsson. « Self-care when suffering from gastroenteritis in Tanzania : Nurses perspective ». Thesis, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-42643.

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According to World Health Organization 1.5 million people die every year due to diarrhoeal diseases. Diarrhoeal diseases may be caused by a multitude of different reasons, though WHO highlights the fact that 58% of these, are caused by lack of clean water, sanitation and hygiene. A qualitative study conducted with nurses working at different departments at a hospital in Tanzania. Semi-structured interviews were performed with ten nurses and the interviews were analysed through content analysis. The purpose was to describe nurses' experiences of working with self-care for patients suffering from gastroenteritis. Nurses experience that patients need more self-care knowledge, and the common perception is that patients are happy to receive the nurses’ advice regarding basic hygiene. It appears that the nurses find that there are no social structures that can help people maintain good health, despite their own efforts to maintain good health, there is not always prerequisite to maintain it. The community health workers are considered important for all people entitled to experienced health, for human rights and for people to get the right care when they need it.
Titel: Egenvård vid gastroenterit i Tanzania - Sjuksköterskors perspektiv. Enligt Världshälsoorganisationen dör 1,5 miljoner människor varje år på grund av diarrésjukdomar. Diarrésjukdomar kan bero på flera olika orsaker, däremot framhäver Världshälsoorganisationen att 58% av dessa orsakas av brist på rent vatten, sanitär utrustning och hygien. En kvalitativ studie utförd med sjuksköterskor som arbetar vid olika avdelningar på ett sjukhus i Tanzania. Semistrukturerade intervjuer genomfördes med 10 sjuksköterskor och intervjuerna analyserades med en kvalitativ innehållsanalys. Syftet var att beskriva sjuksköterskors upplevelse av arbetet med egenvård för patienter som är drabbade av gastroenterit. Sjuksköterskor beskriver att de upplever att patienter behöver mer kunskaper gällande egenvård, och den gemensamma uppfattningen är att patienterna är tacksamma för att få sjuksköterskans råd angående basal hygien. Det framkommer att sjuksköterskorna upplever att det saknas samhälleliga strukturer som kan hjälpa människor att kunna bibehålla en god hälsa, trots deras egna försök att upprätthålla en god hälsa så finns inte alltid förutsättningen att underhålla den. De lokala hälsoarbetarna som finns anses vara viktiga för alla människors rätt till upplevd hälsa, för mänskliga rättigheter och för att människor ska få rätt vård när de behöver det.

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Savage, Angela Ruth. « Health beliefs of the urban pare tribe living in Moshi, Tanzania ». Thesis, 2003. http://hdl.handle.net/10500/1428.

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This dissertation reports on the findings of a qualitative, exploratory, descriptive and contextual study into the health beliefs and practices of urban Pares, living in Moshi, Kilimanjaro Region, in Tanzania. The study utilised aspects of the transcultural nursing framework. Semi-structured interviews were used for data gathering with a sample of nine urban Pare informants. Data were analysed thematically. The major findings indicate that health beliefs arise from magico-religious, holistic and scientific paradigms. It was also found that beliefs and behaviour patterns are changing. These findings are discussed in terms of the two major themes, namely, multiple world views and change and continuity. Recommendations arising from the findings are made which may assist health workers to provide culturally congruent care.
Health Studies
(M.A. (Health Studies))

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Ng'ang'a, Njoki. « Manager and Provider Perspectives of the Work Environment Experienced by Associate Clinicians, Nurses and Midwives Who Deliver Emergency Obstetric Care in Tanzania ». Thesis, 2013. https://doi.org/10.7916/D81R6XQS.

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Positive practice environments promote the health, safety and well-being of health workers by supporting professionalism, acknowledging performance and ensuring opportunities for professional growth. According to the International Collaborating Partners of the Positive Practice Environments Campaign, positive practice environments foster a motivated, productive and high-performing pool of workers who deliver high quality care. Research shows that achieving positive practice environments for health care professionals is problematic worldwide. In Tanzania, the capacity of human resources for health managers to implement deliberate and strategic action to plan for and effectively deploy health workers, as well as safeguard their practice environments, is severely diminished. The basic strategic human resources management (SHRM) components model was used to guide understanding of the relationship between people management practices and the practice environment. This dissertation examined the people management practices that have been implemented in Tanzania and their impact on the practice environment experienced by associate clinicians (ACs), nurses and midwives who deliver emergency obstetric care (EmOC). Interview and survey data obtained from frontline ACs, nurses and midwives and members of Council Health Management Teams (CHMTs) tasked with planning for and deploying health human resources offered provider and managerial perspectives of the practice environment within which EmOC is delivered in Tanzania. The eight people management practices specified in the basic SHRM components model were applied in varying extents across the 48 districts assessed. Partial implementation contributed to loss of motivation and undermined the performance of ACs, nurses and midwives who deliver the essential interventions constituting EmOC in Tanzania.

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Sheriff, Insiyya Djamil. « Attitudes of health science students towards people with disabilities at Kilimanjaro Christian Medical Centre (KCMC) in Tanzania ». Thesis, 2010. http://hdl.handle.net/11394/3490.

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Magister Pharmaceuticae - MPharm
The effects of disability on the individual not only include physical, psychological and emotional adjustments but also negative attitudes of able bodied people towards persons with disabilities. The attitudes of healthcare professionals towards persons with disabilities could affect rehabilitation outcomes as well as the reintegration of these people into society. The aim of the study was to investigate the attitudes of health science students towards persons with disabilities at Kilimanjaro Christian Medical Centre (KCMC), in Tanzania. An explorative quantitative research design using a cross-sectional survey was used. The study sample (182) included all Physiotherapy, Occupational Therapy, Nursing, Medical and Optometry students. Data was collected using the Attitudes Towards Disabled Persons Scale,consisting of 20 items rated on a six-point Likert Type Scale. A demographic questionnaire which included questions relating to the contact of the students with persons with disabilities was also administered. Descriptive and Inferential statistical analysis was conducted using the Statistical Package for the Social Sciences version 15.0. Permission to conduct the study was obtained from the Higher Degrees Committee and the Senate Research Grant and Study Leave Committee of the University of the Western Cape. Further permission was requested from Ministry of Education, Research and Ethics Department in Tanzania and the authorities of the respective Health Sciences programmes to include students in the study. Information obtained was handled with confidentiality and anonymity, and the students had the right to withdraw from the study at anytime.The results revealed that the sample consisted of more females (58%) than males (41.2%).The majority of the participants were between the ages of 20-29 years. The highest response rate was from the medical students (29.1%) followed by the physiotherapy students (27.5%).The Optometry and physiotherapy students had more positive attitudes than the rest of the health science students who participated. The mean score on the ATDP scale was 59.01 (12.3) with scores ranging from 18 to 90. The results therefore revealed that overall the students had a neutral to negative attitude towards persons with disabilities. With regards to the contact of the students with persons with disabilities 26.9% of the participants responded that they had had a long talk with a person with a disability while only 17.6% of the students responded that persons with disabilities visited their homes. The mean contact score was 22.72 indicating that the students had a slightly above average contact with persons with disabilities. No association was found between the attitude and contact mean scores.Information obtained in this study could be used to influence the curriculum of Health Science Students at Kilimanjaro Christian Medical Centre.

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Savage, Angela Ruth. « Child vulnerability in the Iraqw and Datoga of Haydom village, northern Tanzania ». Thesis, 2010. http://hdl.handle.net/10500/3929.

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Child vulnerability is a complex human phenomenon that varies contextually. This thesis explores the views of Iraqw and Datoga residents of Haydom village relating to child vulnerability using a concept analysis. The study is a mixed methods study carried out in three stages. The first stage is a non-empirical qualitative literature review; findings from this stage were used to construct questions for the subsequent stage of the study. The second stage of the study is empirical and qualitative, using a focused ethnographic approach. Semi-structured interviews were conducted with thirty-two adults of the Iraqw and Datoga ethnic groups. Five main themes emerged from a thematic analysis of these interviews; 1) antecedents: lack of resources, 2) contributing antecedents: intentional mistreatment, 3) defining attributes: deprivations in a young individual, 4) consequences: losses suffered, and 5) strategies: dealing with deprivation. Informants’ views were used to construct items for a questionnaire, which was administered in the third stage of the study. This quantitative stage involved eighty young adult respondents of the Iraqw and Datoga ethnic groups. The data in the third stage of the study was analysed statistically, and generally supported the findings of the second stage of the study. Significant Haydom findings congruent with the literature include that poverty and parental alcoholism are antecedents for child vulnerability, that fathers may be unreliable and that some children cope by persevering and working hard. Findings in Haydom that differ from the literature include the following: some people perceive large family size as a protective factor handicapped, illegitimate and foster children may be mistreated former wealth may predispose to lacking coping skills children as a resource child vulnerability has potential for deterioration, stasis or improvement informants suggested a limited range of strategies, including institutional care, with little stress on volunteerism unrelated fostering is unusual but acceptable to many people. This study recommends local identification of and advocacy for vulnerable children’s rights, and planning of evidence based but culturally acceptable strategies to help them.
Health Studies
(D.Litt. et Phil. (Health Studies))

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Dhamani, Khairunnisa. « Tanzanian nurses' understanding of spirituality and practice of spiritual care ». Phd thesis, 2010. http://hdl.handle.net/10048/1608.

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Spirituality is an integral part of a persons wholeness and therefore has an effect on and plays an important role in health and illness. Nurses are required by national and international nursing bodies as well as hospital accreditation agencies, to identify patients spiritual needs and intervene by integrating spiritual care into their nursing care. However, to date, no nursing studies have described Tanzanian nurses experiences of spirituality and spiritual care. The qualitative method of interpretive description was used. A purposive sample of fifteen registered nurses who were engaged in direct clinical practice at one of the private not-for-profit hospitals in Dar es Salaam, Tanzania was drawn. In-depth interviews using open-ended questions were carried out, tape-recorded, and transcribed verbatim. The data collection and analysis occurred concurrently. The transcripts were coded using inductive analysis. Themes related to spirituality and spiritual care that emerged from data were: meaning of spirituality, meaning of spiritual care, recognition of spiritual needs, interventions to respond to spiritual needs, challenges addressing spiritual care, and factors positively influencing the provision of spiritual care. Several recommendations for enhancing spiritual caregiving practices were given by participants. The findings from this study offer a basis for assessment, planning, and intervention strategies that nurses can apply in integrating spiritual care in clinical practice.

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Thèses sur le sujet « Nursing – Tanzania »

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