@article{188dac69dc4f4b688c67861c608b654d,
title = "Exploring the complex realities of nursing work in Kenya and how this shapes role enactment and practice—A qualitative study",
abstract = "Aim: We explore how nurses navigate competing work demands in resource-constrained settings and how this shapes the enactment of nursing roles. Design: An exploratory-descriptive qualitative study. Methods: Using 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. Results: Three major themes arose: (i) Rationalization of prioritization decisions, where nurses described prioritizing technical nursing tasks over routine bedside care, coming up with their own {\textquoteleft}working standards{\textquoteright} 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.",
keywords = "care activities, care plan, coping, nurse roles, professional boundaries",
author = "Daniel Mbuthia and Sharon Brownie and Debra Jackson and Gerald McGivern and Mike English and David Gathara and Jacinta Nzinga",
note = "Funding Information: This work was supported by a joint Health Systems Research Initiative grant awarded to [REDACTED] by the Department for International Development, UK (DFID), Economic and Social Research Council (ESRC), Medical Research Council (MRC) and Wellcome Trust, grant number MR/RO18510/1. The funding sources had no role in the study design, writing of the report and in the decision to submit the manuscript for publication. This paper is published with the permission of the Director of KEMRI. Funding Information: This work was supported by a joint Health Systems Research Initiative grant awarded to [REDACTED] by the Department for International Development, UK (DFID), Economic and Social Research Council (ESRC), Medical Research Council (MRC) and Wellcome Trust, grant number MR/RO18510/1. The funding sources had no role in the study design, writing of the report and in the decision to submit the manuscript for publication. This paper is published with the permission of the Director of KEMRI. All the authors contributed equally to this editorial. Publisher Copyright: {\textcopyright} 2023 The Authors. Nursing Open published by John Wiley & Sons Ltd.",
year = "2023",
month = aug,
doi = "10.1002/nop2.1812",
language = "English",
volume = "10",
pages = "5670--5681",
journal = "Nursing Open",
issn = "2054-1058",
publisher = "Wiley-Blackwell Publishing Ltd",
number = "8",
}