Nyikuri Mary, Kumar Pratap, English Mike, Jones Caroline
Strathmore University Business School Nairobi Kenya.
KEMRI-Wellcome Trust Research Programme Nairobi Kenya.
Nurs Open. 2020 Jan 19;7(3):711-719. doi: 10.1002/nop2.442. eCollection 2020 May.
Neonatal inpatient care is reliant on experienced nursing care, yet little is known about how Kenyan hospitals foster the development of newborn nursing experience in newborn units.
A Qualitative ethnographic design.
Face to face 29 in depth interviews were conducted with nurses providing neonatal care in one private, one faith based and one public hospital in Nairobi, Kenya between January 2017 and March 2018. All data were transcribed verbatim, coded in the original language and analysed using a framework approach.
Across the sectors, nurses perceived experience as important to the provision of quality care. They noted that hospitals could foster experience through recruitment, orientation, continuous learning and retention. However, while the private hospital facilitated experience building the public and faith-based hospitals experienced challenges due to human resource management practices and nursing shortages.
Health sector context influenced how experience was developed among nurses.
Nurturing experience will require that different health sectors adopt better recruitment for people interested in NBU work, better orientation and fewer rotations even without specialist nurse training.
新生儿住院护理依赖经验丰富的护理，然而对于肯尼亚医院如何在新生儿病房培养新生儿护理经验却知之甚少。
质性人种志设计。
2017年1月至2018年3月期间，对肯尼亚内罗毕一家私立医院、一家教会医院和一家公立医院中提供新生儿护理的护士进行了29次深入的面对面访谈。所有数据逐字转录，用原文编码，并采用框架法进行分析。
在各个部门中，护士们认为经验对于提供高质量护理很重要。他们指出，医院可以通过招聘、入职培训、持续学习和留用等方式来培养经验。然而，私立医院促进了经验积累，而公立医院和教会医院由于人力资源管理做法和护理人员短缺而面临挑战。
卫生部门的背景影响了护士经验的培养方式。
培养经验需要不同的卫生部门对有意从事新生儿病房工作的人员采用更好的招聘方式、更好的入职培训，并且即使没有专科护士培训，也要减少轮岗。
