Browsing by Author "Kimemia, Fredrick M."

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    Determinants of Electronic Medical Records Use Among Health Care Workers in HIV Care Facilities in Kenya In Nairobi County
    (Journal of Health, Medicine and Nursing, 2018-07-18) Nziwa, Pamela; Oluoch, Musa; Tenambergen, Mwaura Wanja; Kimemia, Fredrick M.
    Purpose: Recognizing that high-quality data are essential to HIV prevention, the study investigated the use of EMR and its determinants among healthcare workers in HIV care in Nairobi County, Kenya. The study’s aim was to assess the determinants of electronic medical records use among health care workers in HIV care facilities in Nairobi County. Methods: The study adopted a cross-sectional study design. Five sub-counties within Nairobi County were randomly selected and in each two health facilities with EMR systems were randomly selected. A total of 64 respondents from health information departments of the selected facilities were purposively recruited into the study. A self–administered structured questionnaire was used for data collection. Statistical Package for Social Science (SPSS) version 22 was employed during data analysis. Spearman correlation test was used to find relationships at a significance level of 0.05. Results: From the findings, over a half (58%) of the respondents used EMR data. Less than a third (28%) and a third (33%) of the respondents reported to have fully and partially utilised the EMR data respectively. Functionality of the system was significantly (rs=0.251, p=0.045) related with the type EMR tool. Update of records was significantly (rs=0.283, p=0.023) associated with EMR data use. Further, integration of EMR with other systems was significantly (rs=0.296, p=0.018) associated with extent of EMR utilisation. Other factors were not significantly (p>0.05) associated with use of EMR. A fair proportion of health care providers use EMR system in HIV care. Unique Contribution to Theory, Practice and Policy: The study recommend that the whole aspect of HIS and EMR be considered as a study area in the curriculum of all healthcare workers to help ensure a seamless transition at the workplace and at the same time dealing with the issue of the human barrier.
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    Determinants of Nurses Performance in Tier Three Health Facilities: A Case Study of Kajiado County, Kenya
    (Journal of Health, Medicine and Nursing, 2018) Kokwaro, Brenda; Oluoch, Musa; Adoyo, Maureen Atieno; Kimemia, Fredrick M.; Tenambergen, Mwaura Wanja
    Purpose: Human Resources for Health (HRH) is critical for improved productivity and efficient delivery of health services. However, insufficient health personnel in terms of numbers and level of performance are a major constraint in disease control and maintenance of a health population. A study was carried out to determine the relationship between job related factors, the work environment, organizational factors and policy practices that affect the performance of nurses in tier three health facilities in Kajiado County. Method: A cross sectional, descriptive study design was utilized, adopting qualitative and quantitative data collection approaches. Four tier three health facilities were included and one hundred and thirty (130 ) respondents were involved in the study. Purposive sampling was used Nurses working in the various departments in the respective facilities were issued with questionnaires to fill in and return. The heads of the different departments were interviewed using an interview guide. Inferential statistics was used to analyze the data. Quantitative data was analysed using SPSS version 23 .0 and qualitative data was analysed through thematic content analysis. Results: Results on organizational-relation aspects revealed lack of necessary support provision for incompetent nurses. It also revealed a substantial lack of an appraisal and review system. The findings on job related factors showed that most of the nurses were diploma holders hence the need for opportunities for further training and enhancement in education levels to advance their knowledge. Findings on organizational factors showed that inadequate staff levels led to increased workload on available staff which in turn affected the performance of nurses. Unique Contribution to Theory, Practice and Policy: The study recommends that there should add more refresher and training courses for the nurses, recruitment of more nursing staff and improvement of resources available.