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Iganga Nursing Literature Review

Decent Essays

Our findings indicated that health workers perceived reviews as part of continuous quality improvement that emanated from the general routine work and cultural environment within the hospital. We think this contributed to a continuous MPDR practice within the hospital despite of the challenges faced.
It was revealed in other studies that the most successful reviews were characterized by three interdependent, supportive cultural factors which are supportive health professionals, supportive institutional culture and supportive political and policy environment14. It was also revealed that the perceptions held by the health workers about MPDRs also varied from one study to another. The perceptions held by health workers in Thyolo, Malawi were …show more content…

There was also no feedback and follow-up from higher levels (national and district) hence there was no systematic mechanism for follow-up of recommendations. This is similar for the study findings that investigated the MPDR system in Tanzania which was a major barrier to effective MPDR6,20,23. Most respondents’ reported that MPDR was important in improving their professional practice and ethical code of conduct. However, it is difficult to ascertain the weight of each activity in the improvement of care16,27.
Our findings revealed that mentorships greatly supported health workers conduct reviews. This is not revealed in other studies as a strategy for supporting health workers realize effective reviews in Thyolo District of Malawi, Ifakara in Tanzania and Senegal 8,11-23.The health workers revealed that the reviews helped them to improve the quality of care which in other studies quality of care is not easily measured and effect takes a long time where mistakes are repeatedly done16,25,27. Health workers desire to change but the context of implementation has to count16, 26. In Uganda, it was reported that some of the maternal death within hospitals happened at a time of staff handover or change in work shifts19,27.
Supportive health professionals: doctors, midwives and nurses make all the difference between the success and failure of reviews 14,21.Success also depends on accountability of both care providers (frontline) and decision makers8,19. In an MPDR study that

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