Articles de revues : « Nursing – Tanzania »

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Owens, Rhoda. « Transcultural Nursing Course in Tanzania, Africa ». Home Healthcare Nurse 30, n^o 6 (juin 2012) : 347–53. http://dx.doi.org/10.1097/nhh.0b013e318257569a.

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Juntunen, Anitta, et Merja Nikkonen. « Professional nursing care in Tanzania : a descriptive study of nursing care in Ilembula Lutheran Hospital in Tanzania ». Journal of Advanced Nursing 24, n^o 3 (septembre 1996) : 536–44. http://dx.doi.org/10.1046/j.1365-2648.1996.22214.x.

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Cunningham, C., P. Brysiewicz, A. Sepeku, L. White, B. Murray, N. Lobue et H. Sawe. « Developing an emergency nursing short course in Tanzania ». African Journal of Emergency Medicine 7, n^o 4 (décembre 2017) : 147–50. http://dx.doi.org/10.1016/j.afjem.2017.08.002.

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Rwakatema, Deogratias Stanslaus, Kanankira Nnko Ananduni, Victor William Katiti, Marycelina Msuya, Juliet Chugulu et Gibson Kapanda. « MALOCCLUSION AMONG TANZANIAN ADULTS ; ». Professional Medical Journal 24, n^o 03 (7 mars 2017) : 426–32. http://dx.doi.org/10.29309/tpmj/2017.24.03.1552.

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Introduction: An increase for oral health care uptakes in Tanzanian through currentsurge of health insurance establishments has placed adult individuals to seek for orthodonticcare which was nonexistent at their adolescent age. However, prevalence of malocclusion andmagnitude of orthodontic treatment needs not known in Tanzanian adults. This study aimed tosurvey on the prevalence of malocclusion and objective orthodontic treatment needs among theadult population in Tanzania. Study Design: Survey study. Setting: Conducted at KilimanjaroChristian Medical Centre Teaching Hospital, Moshi, Tanzania. Period: January to April in2014. Subjects and methods: A population of 217 nursing student at Kilimanjaro ChristianMedical Centre Teaching Hospital in Moshi, Tanzania were involved for clinical examinationof malocclusion traits. The traits were registered according to the criteria developed by Bjork,Krebs and Solow in 1964. Dental Aesthetic Index (DAI) was used to determine orthodontictreatment needs in this group of Tanzanian adults. Data for malocclusion traits were analyzedusing Statistical Package for Social Sciences. The Intraclass Correlation Coefficient (ICC) wasused to determine intra-examiner reliability of the discrete variables of Bjork criteria and DAIcomponents. ICC value classification was based on those developed by Landis and Koch in1977. The intra-examiner reliability by ICC in our study was almost perfect (ICC=0.895-1.000).Results: The overall prevalence of malocclusion was 94.4%. Angle’s Class II and Class IIImalocclusion occurred in 12.9% and 6.7% respectively of the studied population. Aplasia orimpacted teeth excluding the last molar occurred in 8.4% of the students. Deep bites occurredin 7% and frontal open bites in 9.3% of the students studied respectively. Crowding in both jawswere found in almost half of the students with more crowding in mandibular incisors. Midlinedisplacement was registered in 38.8% of the students. The populations mean DAI score was27.7 (8.64 ±SD). About 51% of the students had either no need or slight orthodontic treatments.About 49% were found with orthodontic treatment needs ranging from elective, highly desirableto mandatory. Conclusion: The current findings showed presence of malocclusion traits in thispopulation with tendency for some of the traits to increase in severity compared to the findingsin the adolescents studied previously in Tanzania. Higher overall prevalence of malocclusionaccording to Bjork criteria in this population corresponded with considerable orthodontictreatment needs assessed by DAI scores.

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Savage, Angela Ruth. « Providing Nursing Care for a Chagga Client of Tanzania ». Journal of Transcultural Nursing 13, n^o 3 (juillet 2002) : 248–53. http://dx.doi.org/10.1177/10459602013003015.

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Martorella, Christopher, et Beverly Hancock. « Meeting AONE’s Strategic Imperatives : The Tanzania Nursing Leadership Institute ». Nurse Leader 12, n^o 2 (avril 2014) : 26–28. http://dx.doi.org/10.1016/j.mnl.2014.02.005.

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Kohi, Thecla W., Carmen J. Portillo, Joyce Safe, Jennifer Okonsky, Annelie C. Nilsson et William L. Holzemer. « The Tanzania HIV/AIDS Nursing Education (THANE) Preservice Curriculum ». Journal of the Association of Nurses in AIDS Care 21, n^o 2 (mars 2010) : 92–98. http://dx.doi.org/10.1016/j.jana.2009.06.006.

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Gilbert, Gabriella. « Learning on an elective in Tanzania ». British Journal of Nursing 27, n^o 9 (10 mai 2018) : 496. http://dx.doi.org/10.12968/bjon.2018.27.9.496.

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Hovland, Olav Johannes, et Berit Johannessen. « Nursing students develop cultural competence during student exchanges in Tanzania ». Sykepleien Forskning, n^o 73782 (2018) : e-73782. http://dx.doi.org/10.4220/sykepleienf.2018.73782en.

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Gemuhay, Helena Marco, Albino Kalolo, Robert Mirisho, Beatrice Chipwaza et Elijah Nyangena. « Factors Affecting Performance in Clinical Practice among Preservice Diploma Nursing Students in Northern Tanzania ». Nursing Research and Practice 2019 (3 mars 2019) : 1–9. http://dx.doi.org/10.1155/2019/3453085.

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There is an increased call for improving the environment in which nursing students learn the clinical skills. Clinical practice in the clinical placement sites should allow students to apply their theoretical knowledge in a real environment, develop nursing skills and clinical reasoning, and observe and adapt the professional role. This study aimed at identifying the factors influencing performance in clinical practice among preservice diploma nursing students in Northern Tanzania. This study relied on a cross-sectional analysis of data collected from nursing schools in Northern Tanzania in which 208 (123 nursing students and 85 nurse tutors) participants were recruited in the study. Data was gathered using a self-administered questionnaire which collected information on sociodemographic characteristics and factors influencing clinical practice categorized in students’ factors, hospital based factors, social-economic factors, and nurse tutors opinions assessed. Descriptive analyses and chi-square test were employed to understand the background information of the sample and association between variables. Majority of the nursing students (84.4%) agreed that clinical placement offers students adequate opportunity for clinical practical learning. Barriers to effective clinical learning was reported by 70.1% of the participants and the barriers include student factors such as lack of self-confidence and absenteeism, school factors such as improper supervision, and poor preparation of clinical instructors or clinical facility factors. We found a significant association between type of barrier and gender (chi-square 0.786, p=0.020). More male nursing students (62.1%) significantly reported unsupportive environment as a barrier and anxiety was more common in female nursing students (48.9%) (p=0.020). Reporting of barriers to effective clinical learning by students from different schools of nursing was not significant (P=0.696). In addition, age of participants did not have significant association with effective clinical practice (p=0.606). Student’s factors and placement based factors played an important role to influence clinical learning experiences. Offering preclinical orientation, distributing and clarifying clinical learning objectives to students, and frequent visits and supervision of students in clinical area may improve student learning experience in clinical placement. In addition, tailoring the interventions to gender may improve learning experiences.

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Våga, Bodil Bø, Karen Marie Moland et Astrid Blystad. « Boundaries of confidentiality in nursing care for mother and child in HIV programmes ». Nursing Ethics 23, n^o 5 (août 2016) : 576–86. http://dx.doi.org/10.1177/0969733015576358.

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Background: Confidentiality lies at the core of medical ethics and is the cornerstone for developing and keeping a trusting relationship between nurses and patients. In the wake of the HIV epidemic, there has been a heightened focus on confidentiality in healthcare contexts. Nurses’ follow-up of HIV-positive women and their susceptible HIV-exposed children has proved to be challenging in this regard, but the ethical dilemmas concerning confidentiality that emerge in the process of ensuring HIV-free survival of the third party – the child – have attracted limited attention. Objective: The study explores challenges of confidentiality linked to a third party in nurse–patient relationships in a rural Tanzanian HIV/AIDS context. Study context: The study was carried out in rural and semi-urban settings of Tanzania where the population is largely agro-pastoral, the formal educational level is low and poverty is rife. The HIV prevalence of 1.5% is low compared to the national prevalence of 5.1%. Methods: Data were collected during 9 months of ethnographic fieldwork and consisted of participant observation in clinical settings and during home visits combined with in-depth interviews. The main categories of informants were nurses employed in prevention of mother-to-child transmission of HIV programmes and HIV-positive women enrolled in these programmes. Ethical considerations: Based on information about the study aims, all informants consented to participate. Ethical approval was granted by ethics review boards in Tanzania and Norway. Findings and discussion: The material indicates a delicate balance between the nurses’ attempt to secure the HIV-free survival of the babies and the mothers’ desire to preserve confidentiality. Profound confidentiality-related dilemmas emerged in actual practice, and indications of a lack of thorough consideration of the implication of a patient’s restricted disclosure came to light during follow-up of the HIV-positive women and the third party – the child who is at risk of HIV infection through mother’s milk. World Health Organization’s substantial focus on infant survival (Millennium Development Goal-4) and the strong calls for disclosure among the HIV-positive are reflected on in the discussion.

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Kvasnicka, John, Ken Olson, Mufwimi Saga, Ignas Danda, Randy Hurley, Gary Moody et Cindy Wilke. « Teaching quality improvement in Tanzania : a model of inter-professional partnership for global health development ». Christian Journal for Global Health 4, n^o 1 (9 mars 2017) : 34. http://dx.doi.org/10.15566/cjgh.v4i1.129.

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Background: Education is a universal need in health care and a tool for quality improvement. We developed a two-day medical education conference in Iringa, Tanzania that has now evolved to teach the basics of quality improvement to an inter-professional audience from the 28 hospitals in the southern zone of the Tanzania Christian Social Services Commission (CSSC)Methods: We describe the planning, budget, implementation, evolution and evaluation of this on-going medical education conference. Representatives from medicine, nursing, pharmacy and administration from all 28 hospitals were invited to attend. Attendees evaluated the conference and individual lectures on a 5 point scale. In addition, attendees were asked to rate the most important learning aspect of the conferenceResults: Over 100 Tanzanian health professionals and administrators from the 28 hospitals in the southern zone of the CSSC attended. Evaluation forms were completed by 28 attendees. The 2016 conference received an overall rating of 4.0 on a 5 point scale. The individual lectures received an overall rating of 4.2 on a 5 point scale. Quality improvement techniques and co-leadership topics were rated as most useful by attendees.Conclusion: We provide a framework for developing a medical education conference that can be replicated in other settings. Teaching the basics of quality improvement by having hospital leadership teams develop individual quality improvement projects was found to be a highly useful method of instruction

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Hallberg, David, Trifonia D. Kimario, Christina Mtuya, Marycelina Msuya et Gunilla Björling. « Factors affecting HIV disclosure among partners in Morongo, Tanzania ». International Journal of Africa Nursing Sciences 10 (2019) : 49–54. http://dx.doi.org/10.1016/j.ijans.2019.01.006.

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Karungula, January. « Measures to reduce the infant mortality rate in Tanzania ». International Journal of Nursing Studies 29, n^o 2 (mai 1992) : 113–17. http://dx.doi.org/10.1016/0020-7489(92)90002-x.

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Obonyo, Happiness, Edith A. M. Tarimo, Fatina Ramadhan et Secilia Ng’weshemi Kapalata. « A cross-sectional study on knowledge and implementation of the nursing process among nurses at Muhimbili National Hospital-Tanzania ». Tanzania Journal of Health Research 21, n^o 2 (4 septembre 2020) : 1–9. http://dx.doi.org/10.4314/thrb.v21i2.3.

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Background: The nursing process involves a series of actions that begin with assessing the patient, identifying problems, setting goals with expected outcomes, implementing care to achieve those goals, and finally evaluating the effectiveness of the care given. Utilization of the nursing process to guide nursing care enhances the quality of patient care and outcomes for both the patient and family members. The purpose of this study was to assess the knowledge and implementation of the nursing process among nurses working at Muhimbili National Hospital, Dar es Salaam, Tanzania. Methods: We conducted a descriptive cross-sectional study design. A convenient sample of 102 registered nurses (RN) completed a self-administered questionnaire in April 2016. Descriptive statistics and non-parametric tests were used to assess the significance levels of associated variables. Results: Of 102 respondents, only 16 (15.7%) had high knowledge of the nursing process. Similarly, a few (11, 10.8%) respondents had a high level of practice. The majority of RN (94, 92.2%) were aware of the role of the nurses in providing care to admitted patients. However, only a few (32, 31.4%) were aware of the purpose of the nursing process. Respondents were more likely to have high knowledge in the nursing process if they had a diploma in nursing education (95% CI 0.000-0.029, p < 0.01). The small number of nurses in the ward and inadequate motivational strategies were reported to deprive the implementation of the nursing process. Conclusion: Overall, low knowledge of the nursing process, understaffing and workload have contributed to the ineffective implementation of the nursing process. On-the-job refresher courses are a short-term strategy that may improve the nurses’ knowledge and motivation to implement the nursing process. This study underscores the need for policymakers to advocate for the employment of a sufficient number of nurses to enable implementation of the nursing process to all admitted patients.

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Sandin, Ingrid, Kristina Grahn et Ewa Kronvall. « Outcomes of Swedish Nursing Students’ Field Experiences in a Hospital in Tanzania ». Journal of Transcultural Nursing 15, n^o 3 (juillet 2004) : 225–30. http://dx.doi.org/10.1177/1043659604265122.

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Juntunen, Anitta. « Baridi : A Culture-Bound Syndrome Among the Bena Peoples in Tanzania ». Journal of Transcultural Nursing 16, n^o 1 (janvier 2005) : 15–22. http://dx.doi.org/10.1177/1043659604270960.

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York, Kate J., Ibrahim Kabole, Mwifadhi Mrisho, Devon M. Berry et Elena Schmidt. « Factors Affecting Community Participation in the CDTI Program in Morogoro, Tanzania ». Journal of Nursing Scholarship 47, n^o 1 (janvier 2015) : 96–104. http://dx.doi.org/10.1111/jnu.12121.

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Miramontes, Helen M. « Current Status of the HIV/AIDS Pandemic in Tanzania ». Journal of the Association of Nurses in AIDS Care 11, n^o 4 (juillet 2000) : 55–56. http://dx.doi.org/10.1016/s1055-3290(06)60397-x.

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Mboineki, Joanes Faustine, et Weihong Zhang. « Healthcare Provider Views on Transitioning From Task Shifting to Advanced Practice Nursing in Tanzania ». Nursing Research 67, n^o 1 (2018) : 49–54. http://dx.doi.org/10.1097/nnr.0000000000000259.

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Juntunen, Anitta, Merja Nikkonen et Sirpa Janhonen. « Utilising the Concept of Protection in Health Maintenance among the Bena in Tanzania ». Journal of Transcultural Nursing 11, n^o 3 (juin 2000) : 174–81. http://dx.doi.org/10.1177/104365960001100303.

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Gower, Shelley, Jose van den Akker, Mark Jones, Jaya A. R. Dantas et Ravani Duggan. « Australian nursing and midwifery educators delivering evidence-based education in Tanzania : A qualitative study ». Nurse Education in Practice 18 (mai 2016) : 16–22. http://dx.doi.org/10.1016/j.nepr.2016.02.009.

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Kreye, Judy, et Sharon Oetker-Black. « A Global Service-Learning Experience for Nursing Students in Tanzania : A Model for Collaboration ». Nursing Forum 48, n^o 4 (31 juillet 2013) : 256–61. http://dx.doi.org/10.1111/nuf.12046.

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Mkonyi, Ever, Dorkasi L. Mwakawanga, B. R. Simon Rosser, Zobeida E. Bonilla, Gift Gadiel Lukumay, Inari Mohammed, Stella E. Mushy et al. « The management of childhood sexual abuse by midwifery, nursing and medical providers in Tanzania ». Child Abuse & ; Neglect 121 (novembre 2021) : 105268. http://dx.doi.org/10.1016/j.chiabu.2021.105268.

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Hoffmeister, M., I. Lyaruu et M. B. Krawinkel. « Nutritional Management of Diabetes in Northern Tanzania ». Diabetes Care 25, n^o 8 (1 août 2002) : 1486. http://dx.doi.org/10.2337/diacare.25.8.1486.

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Oka, Miyuki, Shigeko Horiuchi, Yoko Shimpuku, Frida Madeni et Sebalda Leshabari. « Effects of a job aid-supported intervention during antenatal care visit in rural Tanzania ». International Journal of Africa Nursing Sciences 10 (2019) : 31–37. http://dx.doi.org/10.1016/j.ijans.2018.11.005.

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Athley, Hanna, Li Binder et Elisabeth Mangrio. « Nurses' Experiences Working With HIV Prevention : A Qualitative Study in Tanzania ». Journal of the Association of Nurses in AIDS Care 29, n^o 1 (janvier 2018) : 20–29. http://dx.doi.org/10.1016/j.jana.2017.06.005.

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Mavura, Daudi, et Jose Contreras-Ruiz. « Wound Care in Tanzania at the Regional Dermatological Training Centre ». Advances in Skin & ; Wound Care 19, n^o 8 (octobre 2006) : 435–36. http://dx.doi.org/10.1097/00129334-200610000-00010.

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Nanney, Erinn, Shelley Smith, Kristopher Hartwig et Paul Mmbando. « Scaling Up Palliative Care Services in Rural Tanzania ». Journal of Pain and Symptom Management 40, n^o 1 (juillet 2010) : 15–18. http://dx.doi.org/10.1016/j.jpainsymman.2010.04.002.

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Ljungblad, Linda Wike, Solveig Osland Sandvik et Anne Lyberg. « The impact of skilled birth attendants trained on newborn resuscitation in Tanzania : A literature review ». International Journal of Africa Nursing Sciences 11 (2019) : 100168. http://dx.doi.org/10.1016/j.ijans.2019.100168.

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Taj, Mehrunnissa, Benish Lalani, Nurani Madhani, Cornelia Ouma, Lydia Njumwa, Hafiza Ukani, Mildred Oluoch, Saleem Sayani, Fabiha Zaidi et Zeenat Sulaiman. « Oncology nursing training : A blended teaching approach in resource-limited countries. » Journal of Clinical Oncology 38, n^o 15_suppl (20 mai 2020) : e19189-e19189. http://dx.doi.org/10.1200/jco.2020.38.15_suppl.e19189.

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e19189 Background: Although cancer is a global health concern, resource-limited countries (RLCs) experience higher mortality and morbidity compared with high-income countries. Knowledge gaps and inadequate training are some of the many barriers to safe and effective patient care in RLCs. Oncology nursing as a subspecialty does not readily exist in many RLCs, such as Kenya and Tanzania; many of the nursing staff learn essential clinical skills on the job with no structured training. Advanced practitioners are critical in identifying knowledge deficits and elevating oncology nurses’ clinical skills for positive patient outcomes. Methods: We used a blended teaching approach (a combination of computer-led sessions and face-to-face interactions) to impart cancer education to the nursing staff working in the oncology departments at four hospitals in Kenya and Tanzania. The training focused on cancer biology, epidemiology, pharmacology, safe chemotherapy administration, side effect management, and patient education. Computer-based modules and face-to-face skills training on chemotherapy administration were conducted over a four-month period. Pre- and post-assessments were held for each training session, and clinical skills were evaluated in-person at the completion of the course. Finally, a comprehensive post-assessment was conducted immediately after the training, and again at 3- and 6-month intervals to evaluate knowledge gain and retention over time. Results: Of 21 participants across four sites, the mean scores for the first pre- and post-test were 71.43% and 90.48%, respectively ( p = .01), showing a significant improvement in knowledge. The post-tests after course completion and again at the 6-month interval showed mean values of 88.28% and 89.30%, respectively ( p = .36), indicating a sustained effect of our intervention and no diminution of knowledge at 6 months. The initial face-to-face skills’ training was followed by 3- and 6-month sessions via video chat. At the final 12-month face-to-face visit, we confirmed recommended policy and clinical practice changes in effect and developed a plan for sustainability measures. Conclusions: Blended teaching is an effective tool in improving knowledge, skills, and self-efficacy for clinicians practicing in RLCs. Advanced oncology practitioners can play an important role in assessing, designing, and implementing similar training courses in other areas of oncology, such as survivorship, and palliative care. The corresponding improvement in knowledge and skillsets could ultimately improve patient outcomes .

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Yengo, M. L., Lydia Monareng et E. N. Monama. « NURSES’ PERCEPTIONS ABOUT THE IMPLEMENTATION OF FOCUSED ANTE- NATAL CARE SERVICES IN DAR ES SALAAM, TANZANIA ». Africa Journal of Nursing and Midwifery 16, n^o 2 (21 janvier 2015) : 57–70. http://dx.doi.org/10.25159/2520-5293/36.

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A number of countries in Africa, including Tanzania, introduced focused antenatal care (FANC) as an approach to improve the maternal and child health care services and decrease the high rate of maternal deaths. The purpose of this study was to determine the perceptions of nurses with regard to the implementation of FANC in practice. A quantitative descriptive design was used to determine how the implementation of FANC guidelines was perceived by nurses who provided midwifery services in Tanzania. A questionnaire was used to collect data. Stratified random sampling was used to recruit 143 nurses, comprising nursing officers (n=50), midwives (n=53), and public health nurses (n=40). The SAS/Basic and SAS/STAT version 11.1 statistical analysis programs were used to analyse data and compile descriptive statistics. Cronbach’s co-efficient reliability was 0.86. The results revealed that the greatest area of concern (73.8%; n=104) was the shortage of human and material resources for the successful implementation of FANC. However, there was a positive perception about the implementation and the outcome of FANC services by 98.6% (n=141) of the respondents. Authorities and management of these services should attend to and review the human and non-human resource allocation budgets.

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Malale, Kija, Dotto Hongera, esther rundu, Marco James Bhilananiye, Adam Mang’ Ombe et Asteria Ndomba. « Quality of Nursing Documentation at Bugando Medical Centre in tanzania : A retrospective Patients’ Medical records Audit ». International Journal of Nursing Care 6, n^o 2 (2018) : 98. http://dx.doi.org/10.5958/2320-8651.2018.00032.7.

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Mboineki, Joanes Faustine, et Changying Chen. « Health care system changes supporting the development of the nurse practitioner role in Tanzania ». Journal of the American Association of Nurse Practitioners 31, n^o 9 (septembre 2019) : 488–96. http://dx.doi.org/10.1097/jxx.0000000000000168.

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Igarashi, Yumiko, Rika Fukutomi, Beatrice Mwilike et Shigeko Horiuchi. « Perceptions of mothers who experienced early skin-to-skin contact after repeat cesarean section in Tanzania : Pilot implementation ». International Journal of Africa Nursing Sciences 15 (2021) : 100337. http://dx.doi.org/10.1016/j.ijans.2021.100337.

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Oetker-Black, Sharon L., et Judy Kreye. « Global Psychometric Evaluation of the Clinical Skills Self-Efficacy Scale in Moshi, Tanzania ». Nursing Education Perspectives 36, n^o 3 (mai 2015) : 163–66. http://dx.doi.org/10.5480/13-1256.

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Müller, M. H. B., A. Polder, O. B. Brynildsrud, E. Lie, K. B. Løken, W. B. Manyilizu, R. H. Mdegela et al. « Brominated flame retardants (BFRs) in breast milk and associated health risks to nursing infants in Northern Tanzania ». Environment International 89-90 (avril 2016) : 38–47. http://dx.doi.org/10.1016/j.envint.2015.12.032.

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Outwater, Anne, Lucy Nkya, George Lwihula, Patricia O'Connor, Melzideck Leshabari, Justin Nguma, Blastus Mwizarubi, Ulrich Laukamm-Josten, Edward C. Green et Susan E. Hassig. « Patterns of Partnership and Condom Use in Two Communities of Female Sex Workers in Tanzania ». Journal of the Association of Nurses in AIDS Care 11, n^o 4 (juillet 2000) : 46–54. http://dx.doi.org/10.1016/s1055-3290(06)60395-6.

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Bledsoe, Caroline H. « A Plague of Paradoxes : AIDS, Culture, and Demography in Northern Tanzania (review) ». Bulletin of the History of Medicine 76, n^o 4 (2002) : 862–64. http://dx.doi.org/10.1353/bhm.2002.0158.

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Mwakanyamale, Adela A., Anna Mary A. Mukaja, Mathew D. Ndomondo, Joan P. Zenas, Ambroce M. Stephen et Elizabeth Z. Mika. « Nursing Practice on Post-Operative Wound Care in Surgical Wards at Muhimbili National Hospital, Dar-es-Salaam, Tanzania ». Open Journal of Nursing 09, n^o 08 (2019) : 870–90. http://dx.doi.org/10.4236/ojn.2019.98065.

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Feldacker, Caryl, Jillian Pintye, Sheena Jacob, Michael H. Chung, Lyn Middleton, Jill Iliffe et H. Nina Kim. « Continuing professional development for medical, nursing, and midwifery cadres in Malawi, Tanzania and South Africa : A qualitative evaluation ». PLOS ONE 12, n^o 10 (17 octobre 2017) : e0186074. http://dx.doi.org/10.1371/journal.pone.0186074.

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Bilal, M., et D. Manning. « Exploring internal quality assurance for nursing education in the State University of Zanzibar, Tanzania : A preliminary needs analysis ». African Journal of Health Professions Education 12, n^o 4 (1 décembre 2020) : 166. http://dx.doi.org/10.7196/ajhpe.2020.v12i4.1385.

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Soko, Geofrey F., Anthony B. Burambo, Mpanda M. Mngoya et Burhani A. Abdul. « Public Awareness and Perceptions of Radiotherapy and Their Influence on the Use of Radiotherapy in Dar es Salaam, Tanzania ». Journal of Global Oncology, n^o 5 (décembre 2019) : 1–10. http://dx.doi.org/10.1200/jgo.19.00175.

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PURPOSE Misconceptions associated with radiotherapy (RT) may affect the patient’s choice to undergo or not undergo RT. In this study, the level of awareness and perceptions about radiation and RT, as well as their impact on the use of RT, were assessed. MATERIALS AND METHODS A cross-sectional survey was conducted in the city of Dar es Salaam, Tanzania, between November 2018 and March 2019. Stratified sampling was used to obtain a sample of 629 participants from 4 strata, including 53 patients with cancer, 129 health professionals, 127 medical and nursing students, and 320 respondents from the general public. A questionnaire with 13 items measuring awareness and 8 items measuring perceptions was used for data collection. The Kruskal-Wallis test and χ2 test were used to test association between predictor and outcome variables. Statistical analyses were performed using statistical software. RESULTS The percentage of right responses was < 50% in all 13 awareness items. Only 16.9% of respondents were aware that RT would not reduce their lifespan. Only 34.5% of respondents had positive perceptions of RT. Awareness was higher among medical/nursing students, younger respondents, single or cohabiting respondents, and those who had attained a college or higher education. Overall, 52% would accept receiving RT if recommended as part of their treatment. Those who would accept undergoing RT were more likely to have higher awareness and a positive perception of RT. CONCLUSION Public awareness of RT in Dar es Salaam is low, and negative perceptions prevail. Low levels of awareness and negative perceptions have a negative effect on the use of RT.

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Våga, Bodil Bø, Karen Marie Moland, Bjørg Evjen-Olsen, Sebalda Charles Leshabari et Astrid Blystad. « Rethinking nursing care : An ethnographic approach to nurse–patient interaction in the context of a HIV prevention programme in rural Tanzania ». International Journal of Nursing Studies 50, n^o 8 (août 2013) : 1045–53. http://dx.doi.org/10.1016/j.ijnurstu.2012.11.025.

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Mboineki, Joanes Faustine, Chen Changying et Weihong Zhang. « Health care providersʼ perceptions regarding fundamental issues to consider prior to launching nurse practitioner training in Tanzania ». Journal of the American Association of Nurse Practitioners 30, n^o 11 (novembre 2018) : 621–29. http://dx.doi.org/10.1097/jxx.0000000000000085.

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Pallangyo, Eunice, et Pat Mayers. « Experiences of Informal Female Caregivers Providing Care for People Living With HIV in Dar es Salaam, Tanzania ». Journal of the Association of Nurses in AIDS Care 20, n^o 6 (novembre 2009) : 481–93. http://dx.doi.org/10.1016/j.jana.2009.05.002.

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Adams, Julie L., Maria L. G. Almond, Edward J. Ringo, Wahida H. Shangali et Kathleen J. Sikkema. « Feasibility of Nurse-Led Antidepressant Medication Management of Depression in an HIV Clinic in Tanzania ». International Journal of Psychiatry in Medicine 43, n^o 2 (février 2012) : 105–17. http://dx.doi.org/10.2190/pm.43.2.a.

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Objective: Sub-Saharan Africa has the highest HIV prevalence worldwide and depression is highly prevalent among those infected. The negative impact of depression on HIV outcomes highlights the need to identify and treat it in this population. A model for doing this in lower-resourced settings involves task-shifting depression treatment to primary care; however, HIV-infected individuals are often treated in a parallel HIV specialty setting. We adapted a model of task-shifting, measurement-based care (MBC), for an HIV clinic setting and tested its feasibility in Tanzania. MBC involves measuring depressive symptoms at meaningful intervals and adjusting antidepressant medication treatment based on the measure of illness. Method: Twenty adults presenting for care at an outpatient HIV clinic in Tanzania were enrolled and followed by a nurse care manager who measured depressive symptoms at baseline and every 4 weeks for 12 weeks. An algorithm-based decision-support tool was utilized by the care manager to recommend individualized antidepressant medication doses to participants' HIV providers at each visit. Results: Retention was high and fidelity of the care manager to the MBC protocol was exceptional. Follow through of antidepressant prescription dosing recommendations by the prescriber was low. Limited availability of antidepressants was also noted. Despite challenges, baseline depression scores decreased over the 12-week period. Conclusions: Overall, the model of algorithm-based nursing support of prescription decisions was feasible. Future studies should address implementation issues of medication supply and dosing. Further task-shifting to relatively more abundant and lower-skilled health workers, such as nurses' aides, warrants examination.

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Malale, Kija, Elijah Nyangena et Winfred K. Kithinji. « A Comparative Analysis of Academic Performance of Diploma Nursing Students of Public, Private and Faith based Schools in Tanzania ». International Journal of Nursing Education 8, n^o 2 (2016) : 151. http://dx.doi.org/10.5958/0974-9357.2016.00067.2.

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de Mast, Quirijn, Jessica E. Molhoek, André J. van der Ven, William K. Gray, Philip G. de Groot, Ahmed Jusabani, Ferdinand Mugusi, Rolf T. Urbanus et Richard W. Walker. « Antiphospholipid Antibodies and the Risk of Stroke in Urban and Rural Tanzania ». Stroke 47, n^o 10 (octobre 2016) : 2589–95. http://dx.doi.org/10.1161/strokeaha.116.013760.

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Higton, Naomi, Emma Grace Lewis, Richard Walker et Richard Lee. « 24 Understanding and management of terminal illness within tanzanian traditional medicine ». BMJ Supportive & ; Palliative Care 8, n^o 3 (septembre 2018) : 368.3–369. http://dx.doi.org/10.1136/bmjspcare-2018-mariecurie.24.

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BackgroundPalliative care (PC) need in Africa is projected to rise by 300% over the next 20 years.1 Late presentation and poor community awareness of services are recognised challenges to effective healthcare delivery.2 3Traditional and faith healers (TFH) hold cultural importance and provide a significant proportion of primary healthcare in Africa.4 5 This project sought to explore their understanding and management of terminal illness with the aim of improving PC delivery through collaborations between TFH and allopathic services.MethodologyData were collected through semi-structured qualitative interviews with traditional healers (n=11) and faith healers (n=8) working within the Kilimanjaro region of Tanzania. Participants were recruited through convenience and purposive sampling. Interviews were audio-recorded and translated transcripts analysed by thematic analysis.FindingsAll TFH had experience of terminally ill and dying patients. Participants had a holistic approach to healthcare with themes of biological psychological social and spiritual factors identified throughout conceptualisation and management of both terminal illness and death. This also informed opinions towards collaboration seeing healthcare professionals and TFH holding different roles within these areas.ConclusionsThe overlap with allopathic explanatory models of health (i.e. the BioPsychoSocial model) provides positive grounds for future collaborations. TFH could complement allopathic PC services through culturally acceptable spiritual care perceived to be lacking in hospitals. Joint dialogue and education between practitioners is necessary to begin collaboration. A significant challenge to this is mistrust between traditional healers and faith healers. The findings merit further research into patient’s preferences and experiences of TFHs in terminal illness.References. Grant L, Downing J, Namukwaya E. Palliative care in Africa since 2005: Good progress but much further to go. BMJ Supportive & Palliative Care2011;1(2).. Harding R, et al. Current HIV/AIDS end-of-life care in sub-Saharan Africa: A survey of models services challenges and priorities. BMC Public Health2003;3(33).. Lewis EG, Oates LL, Rogathi J, Duinmaijer A, Shayo A, Megiroo S, Bakari B, Dewhurst F, Walker RW, Dewhurst M, Urasa S. ‘We never speak about death.’ Healthcare professionals’ views on palliative care for inpatients in Tanzania: A qualitative study. Palliat Support CareAugust 2017;22:1–14.. World Health Organisation. WHO: Traditional medicine strategy: 2014–2023 2013. Geneva: World Health Organisation Geneva.. Stanifer JW, et al. The determinants of traditional medicine use in Northern Tanzania: A mixed-methods study. PLoS One2015;10(4):e0122638.

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