Publications by authors named "Victor Chikwala"

Background: The quality of nursing management of diabetic ketoacidosis (DKA) in emergency departments may be associated with either increased or decreased length of hospital stay. Despite that patient with DKA need intensive care unit (ICU) admission, effective initial nursing management of DKA patients at the emergency department is important. Regarding factors influencing the effective management when caring for patients with DKA, it is unknown how Tanzanian nurses perceive these issues.

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Article Synopsis
  • Preeclampsia and eclampsia significantly contribute to maternal deaths in Tanzania, with magnesium sulfate (MgSO4) being a recommended treatment for convulsions associated with these conditions.
  • A study was conducted involving 19 nurse-midwives from Dar es Salaam to understand their perspectives on administering MgSO4, highlighting both their commitment to patient care and concerns about its effects on labor.
  • The research found that while nurse-midwives are motivated to use magnesium sulfate, issues like inadequate training, a lack of support, and underuse of guidelines hinder effective treatment, suggesting a need for improved practical training.
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Background: A significant number of women experience labour without effective pain management and thus suffer from unbearable labour pain to the extent they term labour as the most agonizing event in their lives. Unresolved labour pain can lead to stress, fear, and confusion, which may compromise placental perfusion and lead to birth asphyxia. Although various pharmacological and non-pharmacological labour pain management methods exist, the use of non-pharmacological methods (NPMs) to manage labour pain has remained low in low-resource settings.

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Background: Labour pain usually brings with it many concerns for a parturient and her family. The majority of the women in labour pain may require some sort of pain relief method during this period, be it pharmacological or non-pharmacological. In Tanzania, the use of non-pharmacological methods to relief labour pain remains low among nurse-midwives.

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