ArticleNursing open2023
Exploring the complex realities of nursing work in Kenya and how this shapes role enactment and practice-A qualitative study.
Article in Nursing open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Reconfiguring retention: a qualitative exploration of the lived experiences of female nurses in an arid rural setting in Turkana County, Kenya.Global health action · 2026Article
- Nurses experiences with an intervention enhancing skill-mix in Kenyan neonatal units with severe workforce deficits: A qualitative study.International journal of nursing studies · 2025Article
- Exploring the complex realities of nursing work in Kenya and how this shapes role enactment and practice-A qualitative study.Nursing open · 2023Article
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Authors and funding
7 authors.
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Abstract
aimWe explore how nurses navigate competing work demands in resource-constrained settings and how this shapes the enactment of nursing roles.
designAn exploratory-descriptive qualitative study.
methodsUsing individual in-depth interviews and small group interviews, we interviewed 47 purposively selected nurses and nurse managers. We also conducted 57 hours of non-participant structured observations of nursing work in three public hospitals.
resultsThree major themes arose: (i) Rationalization of prioritization decisions, where nurses described prioritizing technical nursing tasks over routine bedside care, coming up with their own 'working standards' of care and nurses informally delegating tasks to cope with work demands. (ii) Bundling of tasks describes how nurses were sometimes engaged in tasks seen to be out of their scope of work or sometimes being used to fill for other professional shortages. (iii) Pursuit of professional ideals describes how the reality of how nursing was practised was seen to be in contrast with nurses' quest for professionalism.
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