Chea Stevenson K, Mwadulo Dredah, Kioko Abednego, Kiriba Lucy, Mulala Martin, Kyalo Isaac, Shitoyi Everlyne, Mutunga Elizabeth, Juma Mwaswere, Mbuthia Nickcy
Department of Nursing Sciences, School of Health and Human Sciences, Pwani university, Kilifi, Kenya.
Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.
PLoS One. 2025 May 5;20(5):e0322813. doi: 10.1371/journal.pone.0322813. eCollection 2025.
Nurses comprise the dominant cadre of healthcare workers yet there remains an acute shortage of nurses globally with Africa most affected. However, access to higher nursing education in sub-Saharan Africa remains limited. We aimed to i) Assess the need for a Master of Nursing (MScN) program among graduate nurses in Kenya ii) Identify preferred MScN program options among graduate nurses intending to enrol for MScN in Kenya iii) Identify skills mismatch among graduate nurses in Kenya iv) Assess the relationship between intention to enrol in MScN program and job satisfaction among graduate nurses in Kenya.
A cross-sectional design employing an online survey was used. Consenting nurses with a first degree in nursing were included. Socio-demographic indicators, job satisfaction and skills mismatch were assessed. The need for an MScN program was assessed by determining the proportion of participants who expressed the desire to pursue an MScN program. Preferred MScN program options were determined as frequencies and proportions. Skills mismatch was computed as frequencies and proportions. The relationship between the need for MScN and job satisfaction was assessed using the point biserial-correlation.
Of the 355 volunteers enrolled, (n = 337, 94.9% [95% CI: 92.1-96.9]) expressed the desire to pursue MScN training with the critical care/renal specialty (n = 84, 24.9% [95% CI: 20.3-29.9]) being the most preferred. A majority of the volunteers (n = 319, 89.9%) felt their skills were inferior to their responsibilities (under skilled). We found no significant correlation between the need for MScN and job satisfaction (r = 0.058; p = 0.269).
Our findings suggest a strong desire by graduate nurses in Kenya to pursue MScN with a preference for critical care specialization. There is a need to establish more MScN programs in Kenya coupled with the deployment of nurses as per the scope of practice.
护士是医护人员的主体,但全球范围内护士严重短缺,非洲受影响最为严重。然而,撒哈拉以南非洲地区接受高等护理教育的机会仍然有限。我们旨在:i)评估肯尼亚研究生护士对护理学硕士(MScN)课程的需求;ii)确定打算在肯尼亚攻读MScN的研究生护士偏好的MScN课程选项;iii)确定肯尼亚研究生护士之间的技能不匹配情况;iv)评估肯尼亚研究生护士攻读MScN课程的意愿与工作满意度之间的关系。
采用在线调查的横断面设计。纳入拥有护理学学士学位且表示同意的护士。评估社会人口统计学指标、工作满意度和技能不匹配情况。通过确定表示希望攻读MScN课程的参与者比例来评估对MScN课程的需求。将偏好的MScN课程选项确定为频率和比例。技能不匹配情况按频率和比例计算。使用点二列相关评估MScN需求与工作满意度之间的关系。
在355名登记的志愿者中,(n = 337,94.9% [95% CI:92.1 - 96.9])表示希望接受MScN培训,其中重症监护/肾脏专业(n = 84,24.9% [95% CI:20.3 - 29.9])最受欢迎。大多数志愿者(n = 319,89.9%)觉得自己的技能低于工作职责要求(技能不足)。我们发现MScN需求与工作满意度之间没有显著相关性(r = 0.058;p = 0.269)。
我们的研究结果表明,肯尼亚的研究生护士强烈希望攻读MScN,尤其偏好重症监护专业。肯尼亚需要建立更多的MScN课程,并根据执业范围调配护士。