Browsing by Author "Ndomondo, Mathew D."
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Item Assessment of knowledge and practices on cord care among postnatal mothers attending public health facilities in Morogoro municipality(Tanzania Journal of Health Research 23.1 (2022): 1-10., 2022-06-13) Ndomondo, Mathew D.Background: The lives of newborns depend upon the mother’s knowledge of health care and practices about cord care because the cord stump is the major means of entry for infections after birth. Therefore clean cord care practices help to prevent infections and hence reduce neonatal morbidity and mortality. In this study, we aimed to assess knowledge and practices on cord care among postnatal mothers attending public health facilities in Morogoro municipal. Methods: A cross-sectional study design using a quantitative approach was employed and comprised of all postnatal mothers who attended the postnatal clinic during the study. A semi-structured questionnaire was used with 251 respondents. Data were analyzed using Statistical Package for Social Sciences (SPSS) software version 21.0. Both descriptive and inferential analysis were done whereby logistic regression and chi-square test were used to determine the association between dependent and independent variables. Results: Out of 251 postnatal mothers (95.2%) got information about postnatal check-up at the health facility. Also, 132(52.6%) had adequate knowledge and 47(4%) had inadequate knowledge. The majority (85.7%) stated that cord stump should be handled with a clean dressing/cover and 80.1% of them reported that cord stump should not be wet/soiled. Of all factors assessed only education level showed a significant relationship with the knowledge of cord care; the higher the education level, the higher the knowledge of cord care. Mothers who at least attended primary, secondary or higher education more often had adequate knowledge about cord care OR 3.19(1.06-9.57) p-value=0.04, 3.16(1.02-9.73) p-value=0.05 and 6.24(1.44-27.06) p-value=0.01 respectively as compared to mothers with no formal education.Item Bridging training and practice gap: A mixed methods tracer study of bachelor of science in nursing graduates (2016–2020) at Kairuki University, Dar es Salaam, Tanzania(Public Library of Science, 2025-10-03) Sariah, Adellah; Omari, Minael N.; Bugomola, Monica A.; Sungwa, Edson; Ndomondo, Mathew D.; Haruna, Tausi S.; Zenas, Joan, P.; Elizabeth Mika Z.; Mbao, Ezekiel H.; Semali, Innocent A.; Columba Mbekenga K.Background Tracer studies evaluate the effectiveness of university training by assessing how graduates perform in the job market. This study focused on Bachelor of Science in Nursing (BScN) graduates, aiming to describe their training experiences, application of acquired competencies, and overall stakeholder perceptions to inform BScN curriculum improvement. Methods A convergent parallel mixed-method design was used to collect quantitative and qualitative data concurrently from 2016–2020 BScN graduates (February-May 2023). Graduates and other stakeholders (including educators, employers, and policymakers) in this study were selected from private, public, and faith-based hospitals and universities, colleges, and the Ministry of Health. Quantitative data were gathered via online structured questionnaires adapted and modified from the American International Health Alliance and the Technical Vocational Education and Training tools. Qualitative data were collected through interviews and focus groups with graduates, employers, educators, and policymakers. Quantitative data were analyzed using descriptive statistics, while qualitative data underwent thematic analysis. Integration occurred during interpretation to provide a comprehensive understanding of graduates’ experiences, competency application, and stakeholder perceptions of the BScN program. Results Among the 61 graduates who completed the online survey, 37 (60.7%) were female. Most (48; 78.7%) worked as nurses, while 6 (9.8%) were tutors and 3 (4.9%) worked as tutorial assistants. Demonstration was rated the most useful teaching and learning method by 52 (85.2%) respondents, and 47 (81%) rated practical exams as a useful assessment method. These were also supported by graduates and stakeholders who shared their perspectives with regard to the benefits and impact of the BScN program and training quality. Additionally, 54 graduates (94.7%) found the program very useful in preparing them for their professional roles, which aligned with their views on the connection between acquired competencies and job performance. Both graduates and educators highlighted challenges encountered during training and in professional practice. Policymakers and graduates also offered recommendations for improving the program. Additionally, 54 graduates (94.7%) found the program very useful in preparing them for their professional roles, which aligned with their views on the connection between acquired competencies and job performance. Both graduates and educators highlighted challenges encountered during training and in professional practice. Policymakers and graduates also offered recommendations for improving the program. Conclusion The findings demonstrate that the BScN program is widely regarded by graduates and stakeholders as effective in preparing students for professional practice, particularly through practical teaching methods such as demonstrations and practical exams. While the program’s impact on competency development and job performance was strongly affirmed, the study also revealed notable challenges during training and practice. These insights support the ongoing review and enhancement of the BScN curriculum.Item Comparison study on prevalence of psychological maltreatment and Its relationship with psychological stress and self-esteem among school students in Tanzania and China(Open Journal of Nursing, 2019) Mwakanyamale, Adela A.; Ndomondo, Mathew D.Open Journal of Nursing Vol.09 No.07(2019), Article ID:93924,18 pages 10.4236/ojn.2019.97055 Comparison Study on Prevalence of Psychological Maltreatment and Its Relationship with Psychological Stress and Self-Esteem among School Students in Tanzania and China Adela A. Mwakanyamale*, Mathew D. Ndomondo ●Abstract ●Full-Text PDF ●Full-Text HTML •Full-Text XML ●Full-Text ePUB ●Linked References ●How to Cite this Article Department of Medical and Surgical Nursing, Faculty of Nursing, Hubert Kairuki Memorial University, Dar es Salaam, Tanzania Copyright © 2019 by author(s) and Scientific Research Publishing Inc. This work is licensed under the Creative Commons Attribution International License (CC BY 4.0). http://creativecommons.org/licenses/by/4.0/ Received: May 15, 2019; Accepted: July 23, 2019; Published: July 26, 2019 ABSTRACT Background: Childhood psychological maltreatment in the country paralyses children personal career integration, national development and achievement of plans laid in a given country. In most of the time, psychological maltreatment is masked within other form of child abuse and neglect when they co exit. Knowing the prevalence of childhood psychological maltreatment and the impact associated with trauma of psychological maltreatment synergize the existing evidence-based interventions that are applied to prevent psychological maltreatment. If it is left unattended childhood psychological maltreatment might lead to mental and psychological problems. This study investigates psychological maltreatment: prevalence and its relationship with psychological stress and self-esteem among school students in Tanzania and China. Methods: Participants were selected by multistage cluster sampling respectively in China and Tanzania. In China, participants were recruited randomly from four middle schools in two cities, Xiaogan and Ezhou. In Tanzania, participants were recruited randomly from seven secondary schools in five regions, Kilimanjaro, Tanga, Iringa, Mtwara and Dar es Salaam. Adverse Childhood Experience questionnaire (ACE), Rosenberg self-esteem scale, and Kessler psychological distress scale (K10) were used to gather data. Results: The sample consisted of 555 (55.5%) female and 445 (45.5%) male (N = 1000) of Tanzanian school students, On the other hand in China the sample size was 3193. Female students were 1650 (51.7%) as compared to male 1543 (48.3%). The average self-esteem score of student in Tanzania was (26.14% ± 7.45 std deviation) and in China was (22.12 ± 4.734 std deviation), in Tanzania male have higher 392 (55.3%) self-esteem scores as compared female 317 (44.7), while in China results showed that female have higher self-esteem 1223 (50.2%) than male 1211 (49.8%). There was a strong positive correlation between psychological maltreatment and self-esteem (r = 0.55, p < 0.001), whereas the correlation between psychological maltreatment and psychological distress was significantly but weak (r = −0.086, p = 0.007). Conclusion: Psychological maltreatment is prevalent in our setting and statistically significant positively affected self-esteem among Tanzanian and China adolescents and is associated with high levels of psychological distress during adolescence. Moreover, exposure to psychological maltreatment during childhood was found to be associated with an increased likelihood of experiencing psychological distress in adolescence. Urgent preventive measures aiming at reducing the incidence of childhood psychological maltreatment is necessary to lessen the incidence of low self-esteem and psychological distress among Tanzanian and China adolescents.Item Nursing practice on post-operative wound care in surgical wards at Muhimbili National Hospital, Dar-es-Salaam, Tanzania(Open Journal of Nursing, 2019) Mwakanyamale, Adela A.; Mukaja, Anna-Mary; Ndomondo, Mathew D.; Zenas, Joan, P.; Stephen, Ambroce M.; Mika, Elizabeth Z.Background: Postoperative wound healing has been a problem which causes high mortality in the developing world; postoperative wound has been reported to cause devastating consequences and a measurable mortality. There is a limited number of published studies in Tanzania investigating Nursing practice on post-operative wound care in surgical wards at Muhimbili National Hospital, Dar-es-Salaam, Tanzania. This study assesses nursing practice on postoperative wound care by nurses in surgical wards at Muhimbili National Hospital. Methods: A cross-sectional study of surgical nurses was carried out through the use of randomly selected surgical wards at Muhimbili National Hospital in Tanzania from September 2011 to July 2013. A multistage cluster sampling technique was used to obtain a suitable number of study participants. Data collection was done using a checklist from a convenient sample of 71 nurses in selected surgical wards. Results: The result indicates that a big number of the participants were female (76.5%) and those of the age group 25 to 34 years were 40.8%. Participants exceeding a half of the selected sample reported to have poor post-operative wound care practice (57.7%). In comparison, male participants scored higher, and had better practice than their female counterparts, however, there was no considerable difference in the scores (P = 0.803). During set-up and preparation phase, the washing of hands before starting and after the completion of procedure was taken into consideration by less than half of the participants (49.3%). All participants did not ensure the environment is clean and take into account the patient’s privacy through the use of screen or even closing the room. The report shows that nurses take into consideration putting on clean gloves during the removal of the old dressing (99%), the use of sterile gloves during wound dressing was taken into consideration by most of the nurses (63%). Good practice was noted in applying dressing solution as recommended (85%), dry sterile dressing was applied by (90%), arrangement and setting up of dressing forceps and other items that may be needed in order of their application using forceps (20%), usage of forceps to dip gauze into antiseptic solution (35%) and cleaning of the wound cleaning from least contaminated to most contaminated area was only adhered to by (34%). Post-operative counseling and giving to the patient not to temper with the wound was done by a representation of only 15% of nurses. All the nurses did not do the documentation of the changes observed on the wound nor did they report on the patients comfort and the date and time after the procedure wound changes, reported patient comfort, and recorded date or time after the procedure. Conclusion: Majority of the nurses in surgical wards do not follow the postoperative wound care checklist provided by MNH although they know its importance. Assessment of the wound and documentation continues to be a problem in the nursing profession in Tanzania. Nurses are reasonably knowledgeable about the principal of wound dressing; however, lack of knowledge on some of the key principles of wound dressing is worth noting. Almost half of the nurses do not wash hands before and after the procedures, they don’t use single gauze in one direction only, not cleaning from least contaminated to most contaminated area, which can lead to wound contamination.