Abstract:
BACKGROUND:The Tanzanian health sector suffers from shortages of healthcare workers as well as uneven distribution of healthcare workers in urban and rural areas. Task shifting-delegation of tasks from professionals to other healthcare team members with less training, such as medical attendants-is practiced, compromising quality of care. Advanced practice nursing is underutilized. OBJECTIVE:The purpose of this study was to explore the views of nurses and physicians on current responses to shortages of healthcare workers and the potential for utilization of advanced practice nurses. METHODS:A descriptive, qualitative design was used. Purposeful sampling was used to select 20 participants. An in-depth interview guide was used to obtain information. Interviews were conducted in Swahili or English. Content analysis was used to identify themes. RESULTS:Shortage of human resources in rural primary healthcare facilities was identified as a major rationale for implementation of the advanced practice nurse practitioner role because the current health providers in rural health facilities are less trained and doctors are not ready to work in these settings. Opposition from physicians is expected during the course of implementing the nurse practitioner role. Professional bodies and government should reach consensus before the implementation of this role in such a way that they should agree on scope and standards of practice of nurse practitioners in Tanzania. CONCLUSION:Shortage of human resources for health is greater in rural primary healthcare facilities. Task shifting in Tanzania is neither effective nor legally recognized. Transition to advanced practice nursing roles-particularly the nurse practitioner role-can facilitate provision of optimal care. Nurse practitioners should be prepared to work in rural primary healthcare facilities.
journal_name
Nurs Resjournal_title
Nursing researchauthors
Mboineki JF,Zhang Wdoi
10.1097/NNR.0000000000000259subject
Has Abstractpub_date
2018-01-01 00:00:00pages
49-54issue
1eissn
0029-6562issn
1538-9847pii
00006199-201801000-00008journal_volume
67pub_type
杂志文章相关文献
NURSING RESEARCH文献大全abstract::Since management strategies are guided by the assessment of the symptom experience, agreement between patients' and nurses' perceptions of symptoms is central to clinical management. In this study, acquired immune deficiency syndrome patients' perceptions of 41 human immunodeficiency virus-related signs and symptoms w...
journal_title:Nursing research
pub_type: 杂志文章
doi:10.1097/00006199-199711000-00004
更新日期:1997-11-01 00:00:00
abstract:BACKGROUND:Parents play an influential role in their children's health behaviors. Research has shown that individuals' efficacy beliefs (personal and collective efficacy) are closely related to their behaviors and can be modified to improve health outcomes. Existing evidence confirms the effect of self-efficacy on vari...
journal_title:Nursing research
pub_type: 杂志文章
doi:10.1097/NNR.0000000000000465
更新日期:2020-11-01 00:00:00
abstract:BACKGROUND:Injury severity indices are numerical scores that are utilized to predict nosocomial bloodstream infections (BSI) in critically ill patients. However, surrogate markers of injury severity (SMIS) may be more clinically meaningful than these commonly used numerical injury severity indices with respect to the c...
journal_title:Nursing research
pub_type: 杂志文章
doi:10.1097/00006199-200507000-00010
更新日期:2005-07-01 00:00:00
abstract:BACKGROUND:Self-rated health status of the Latin American immigrant population in Spain varies by gender, education and doing physical exercise. Physical activity patterns have not been described. OBJECTIVE:The aims are to describe self-reported physical activity in adult Latin American immigrants living in Seville (S...
journal_title:Nursing research
pub_type: 杂志文章
doi:10.1097/NNR.0000000000000120
更新日期:2015-11-01 00:00:00
abstract::Values of 75 graduate nursing students in one university school of nursing were compared at times of entry into the program and at the completion of one academic year of study. Gordon's Survey of Interpersonal Values and Survey of Personal Values and a questionnaire were used to collect data. The students' perceived i...
journal_title:Nursing research
pub_type: 杂志文章
doi:
更新日期:1978-05-01 00:00:00
abstract:BACKGROUND:Concerns have been raised about the effects of maternal employment on parent-child relations. Some researchers have concluded that maternal employment status has no effect on children's maternal attachments; others have found that full-time employment initiated in the first year of life is associated with in...
journal_title:Nursing research
pub_type: 杂志文章
doi:10.1097/00006199-199805000-00007
更新日期:1998-05-01 00:00:00
abstract:BACKGROUND:Homeless adolescents are vulnerable to poor health outcomes owing to the dangerous and stressful environments in which they live. Despite their vulnerability, many of them are motivated to engage in self-care behaviors. OBJECTIVE:The specific aim of this study was to explore self-care attitudes and behavior...
journal_title:Nursing research
pub_type: 杂志文章
doi:10.1097/00006199-200307000-00005
更新日期:2003-07-01 00:00:00
abstract:BACKGROUND:Preeclampsia (PE), a serious and variable pregnancy complication affecting 5%-10% of the obstetric population, has an undetermined etiology, yet inflammation is concomitant with its development, particularly in relation to endothelial dysfunction. OBJECTIVE:The purpose of this systematic review was to exami...
journal_title:Nursing research
pub_type: 杂志文章
doi:10.1097/NNR.0000000000000285
更新日期:2018-05-01 00:00:00
abstract::The essential problem in the immigration of foreign nurse graduates (FNGs) to the United States is their poor incidence of success in meeting state licensure requirements. Factors responsible for the low success rate include nonfamiliarity with multiple-choice format in tests, lack of English proficiency, and anxiety....
journal_title:Nursing research
pub_type: 杂志文章
doi:
更新日期:1979-03-01 00:00:00
abstract:BACKGROUND:Most of the 2 million adoptive parents in the United States make the transition to parenting successfully. Adoptive parents who do not make the transition easily may put their children at risk for negative outcomes. OBJECTIVES:The aim of this study was to further refine Foli's midrange theory of postadoptio...
journal_title:Nursing research
pub_type: 杂志文章
doi:10.1097/NNR.0000000000000006
更新日期:2014-01-01 00:00:00
abstract:BACKGROUND:Ischemia-induced pain associated with walking (claudication) in peripheral artery disease limits mobility and diminishes quality of life. Self-reports of pain during standardized treadmill testing are used in clinical trials to assess the efficacy of interventions. OBJECTIVES:The aim of this study was to mo...
journal_title:Nursing research
pub_type: 杂志文章,随机对照试验
doi:10.1097/NNR.0b013e318218600b
更新日期:2011-05-01 00:00:00
abstract:BACKGROUND:Research to document the effects of nursing on patient outcomes such as pain has been limited by the inability to measure the quality of nursing care effectively. OBJECTIVE:The purpose of this study was to establish content validity and to evaluate patient understanding of Pain Care Quality (PainCQ) survey ...
journal_title:Nursing research
pub_type: 杂志文章
doi:10.1097/NNR.0b013e3181d1a732
更新日期:2010-03-01 00:00:00
abstract:BACKGROUND:Hypoglycemia can be a common occurrence in hospitalized patients, both those with and without diabetes. Hypoglycemia poses significant risks to hospitalized patients, including increased mortality. OBJECTIVES:This was a retrospective pre-post study of hypoglycemic patients in an academic medical center of a...
journal_title:Nursing research
pub_type: 杂志文章
doi:10.1097/NNR.0000000000000478
更新日期:2021-01-01 00:00:00
abstract:BACKGROUND:Poor sleep is associated with worse motor function in older adults. Sleep may affect motor function specifically among older adults recovering from critical illness after transfer out of an intensive care unit (ICU). OBJECTIVES:Describe motor function (grip strength) of older ICU survivors and explore relat...
journal_title:Nursing research
pub_type: 杂志文章
doi:10.1097/NNR.0000000000000418
更新日期:2020-07-01 00:00:00
abstract::Relaxation training has been postulated to decrease abdominal muscle tension, a source of postoperative pain, as well as alter the psychological variables of anxiety and perceived control. A two-group pre- and posttest experimental design was used to determine if abdominal muscle tension, self-report of pain and distr...
journal_title:Nursing research
pub_type: 杂志文章
doi:
更新日期:1982-07-01 00:00:00
abstract:BACKGROUND:Few studies have examined the potential relationship between pain and aggressive behavioral symptoms in nursing home (NH) residents with dementia as a function of resident communicative status (ability to self-report pain). OBJECTIVES:The objective of this study was to examine the relationship between pain ...
journal_title:Nursing research
pub_type: 杂志文章
doi:10.1097/NNR.0000000000000099
更新日期:2015-07-01 00:00:00
abstract::Sixty nursing students were administered the Opinions about Mental Illness (OMI) scale. Students whose scores fell above the median on authoritarianism and social restrictiveness were randomly assigned to experimental and control groups. The experimental subjects' scores on authoritarianism and social restrictiveness ...
journal_title:Nursing research
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:1975-09-01 00:00:00
abstract::Hemodynamic and oxygen transport responses to four preoxygenation techniques prior to endotracheal suctioning (ETS) were evaluated in 24 critically ill trauma patients with no preexisting lung disease. A within-subjects, repeated measures design was used. All patients had functional arterial and pulmonary artery cathe...
journal_title:Nursing research
pub_type: 杂志文章
doi:
更新日期:1991-05-01 00:00:00
abstract:BACKGROUND:Measurement of health-related quality of life (QOL) over time often yields results that may be difficult to understand. Patients may change their internal standards of QOL as a result of adaptation to deteriorating health, a phenomenon referred to as response shift. OBJECTIVES:To examine changes in internal...
journal_title:Nursing research
pub_type: 杂志文章
doi:10.1097/00006199-200607000-00008
更新日期:2006-07-01 00:00:00
abstract::A longitudinal study of enrollment data of the Universtiy of Wisconsin--Madison School of Nursing identified several trends in student attrition over a six-year period and formed the basis for the development of a model to predict student attrition. The model proposed to satisfy the need for more precise measures of p...
journal_title:Nursing research
pub_type: 杂志文章
doi:
更新日期:1979-07-01 00:00:00
abstract:BACKGROUND:The prevalence of adults with Type 1 diabetes (T1D) is increasing, and their risk of cardiovascular disease is high. Comorbid diabetes distress and depressive symptoms may affect their cardiovascular health. OBJECTIVES:The purpose of this study was to describe the relationship between diabetes distress and ...
journal_title:Nursing research
pub_type: 杂志文章
doi:10.1097/NNR.0000000000000387
更新日期:2019-11-01 00:00:00
abstract:BACKGROUND:The Braden Scale for Predicting Pressure Sore Risk (Braden Scale) has been tested for predictive validity, but the cut-off scores for Blacks has not been compared to White populations. OBJECTIVES:The purpose of this brief report is to determine if the Braden Scale predicts pressure ulcer risk similarly for ...
journal_title:Nursing research
pub_type: 杂志文章
doi:10.1097/00006199-200211000-00008
更新日期:2002-11-01 00:00:00
abstract:BACKGROUND:Black-White disparities in adolescent health are widespread and thought to be explained, in part, by exposure to chronic stress. Cortisol assayed from hair is increasingly recognized as a valid and reliable measure for chronic physiological stress, but the feasibility of collecting hair among large probabili...
journal_title:Nursing research
pub_type: 杂志文章
doi:10.1097/NNR.0000000000000154
更新日期:2016-05-01 00:00:00
abstract::Communicative interaction patterns among nurses and patients in a complex hospital setting were examined, using the methodologic framework, synchronology. Extensive videotaped time-series data of patient-health care personnel interactions, involving four patients admitted for elective surgery, were collected approxima...
journal_title:Nursing research
pub_type: 杂志文章
doi:
更新日期:1978-09-01 00:00:00
abstract::The purpose of this study was to compare respiratory responses with moderate and slow rates of unsupported arm exercise (UAE) with a newly developed electromechanical device. Twenty-one patients with chronic obstructive pulmonary disease (COPD) were studied. Exercise endurance limits, metabolic, ventilatory and sensat...
journal_title:Nursing research
pub_type: 杂志文章
doi:
更新日期:1992-09-01 00:00:00
abstract:BACKGROUND:Although there is evidence of the psychometric adequacy of the Interpersonal Relationships Inventory (IPRI), the scale was validated on urban North American samples and may function differently in populations that do not share urban United States attitudes toward the giving and receiving of social support. ...
journal_title:Nursing research
pub_type: 杂志文章
doi:10.1097/00006199-199911000-00008
更新日期:1999-11-01 00:00:00
abstract:PURPOSE:This paper celebrates the 60th anniversary of the Western Institute of Nursing, the nursing organization representing 13 states in the Western United States, and envisions a preferred future for nursing practice, research, and education. BACKGROUND:Three landmark calls to action contribute to transforming nurs...
journal_title:Nursing research
pub_type: 历史文章,杂志文章
doi:10.1097/NNR.0000000000000218
更新日期:2017-05-01 00:00:00
abstract:BACKGROUND:Although there are two methods of caring for women with epidural anesthesia during second-stage labor (coached closed-glottis pushing immediately at 10-cm cervical dilation or delayed pushing until the woman feels the urge to push, passive fetal descent, and encouragement of open-glottis pushing when the wom...
journal_title:Nursing research
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1097/00006199-200505000-00002
更新日期:2005-05-01 00:00:00
abstract:BACKGROUND:Although the behavioral changes with progressive dementia are seen to increasingly depend on the environmental context until late stage disease, measurement has not reflected this interaction in real time to allow examination of antecedents to disruptive behavior. OBJECTIVES:To develop and evaluate the psyc...
journal_title:Nursing research
pub_type: 杂志文章
doi:10.1097/00006199-199909000-00006
更新日期:1999-09-01 00:00:00
abstract:BACKGROUND:The Nursing Work Index (NWI) provided the foundation for three published instruments, each presented as a valid measure of the nursing practice environment. Aiken and Patrician [Aiken, L. H., & Patrician, P. A. (2000). Measuring organizational traits of hospitals: The Revised Nursing Work Index. Nursing Rese...
journal_title:Nursing research
pub_type: 杂志文章
doi:10.1097/00006199-200603000-00003
更新日期:2006-03-01 00:00:00