Articles by Staff and students http://localhost/xmlui/handle/123456789/5332 2026-05-27T19:14:08Z 2026-05-27T19:14:08Z Ndirangu, Loise Nyambura http://localhost/xmlui/handle/123456789/6963 2026-05-13T13:10:14Z 2026-05-13T00:00:00Z

SELF-CARE PRACTICES AMONG ADULT PATIENTS NEWLY DIAGNOSED WITH TYPE 2 DIABETES MELLITUS IN SELECTED LEVEL FIVE HOSPITALS IN KENYA Ndirangu, Loise Nyambura Background: Self-care practices refers to patient’s real-life application of the knowledge acquired on diabetes management. In Kenya, the prevalence of diabetes related complications has been on the rise and this has been linked to poor self-care practices. Objective: To determine the self-care practices among adult patients newly diagnosed with Type 2 Diabetes Mellitus (T2DM). Materials and Methods: Descriptive cross-sectional design was adopted. A total of 124 patients newly diagnosed with T2DM were randomly recruited from the selected hospitals. Data was collected using a questionnaire modified from the Diabetes Self-Management Questionnaire (DSMQ). Descriptive analysis was done to generate frequencies while chi-square was used to assess association between variables (p≤ 0.05 at 95% CI). Results: Of 124 respondents, 70 (56.5%) were females with most 35 (28.2%) belonging to the age group between 60-69 years. Regarding the duration of T2DM since diagnosis, 45 (36.3%) reported that they were diagnosed at least four months ago. Poor self-care practices were noted in 69 (55.6%) of the respondents, with the mean and standard deviation being 4.92 (±1.10), mean score ranging from 0 to 10. However, there was no significant association between self-care practices and respondents’ characteristics. Conclusion and Recommendation: Self-care practices among the respondents was poor, hence the need for clinicians to conduct a needs assessment among patients PhD Research Publication

2026-05-13T00:00:00Z Ndirangu, Loise Nyambura http://localhost/xmlui/handle/123456789/6962 2026-05-13T13:03:49Z 2026-05-01T00:00:00Z

ACTIVATION LEVELS AMONG ADULT PATIENTS NEWLY DIAGNOSED WITH TYPE 2 DIABETES MELLITUS IN SELECTED LEVEL FIVE HOSPITALS, KENYA Ndirangu, Loise Nyambura Background: Globally, prevalence of diabetes related complications has been on the rise and linked to poor skills and knowledge on the recommended self-care practices. Objective: To establish activation levels among adult patients newly diagnosed with Type 2 Diabetes Mellitus (T2DM). Method: Descriptive cross-sectional design was utilized to collect data from 124 randomly selected patients who were newly diagnosed with T2DM in the selected health care facilities. Data was collected using a closed ended questionnaire and the Patient Activation Measure® then analyzed using SPSS version 26. Descriptive analysis was done to generate frequencies while chi-square was done to assess association between the independent and dependent variables using a confidence interval of 95%. Results: Females were the majority 70 (56.5%) with most participants 35 (28.3%) being between 60-69 years. Regarding duration of T2DM since diagnosis majority 45 (36.3%) reported four months. Only 45 (36.3%) had normal Body Mass Index (BMI) while 42 (33.9%) were obese. Low patient activation levels were noted in 88 (71.0%) of the study participants. The mean (SD) for the patient activation levels was 53.28 (±7.27) corresponding to activation level 2. Variables found to have a statistically significant association were religion (p=0.024) and clinical duration of T2DM (P=0.031). Conclusion: Activation levels were found to be low indicating low levels of confidence, knowledge and skills among adult patients newly diagnosed with T2DM. Therefore, clinicians need to adopt evidence-based strategies aimed at empowering newly diagnosed patients so as to activate them in adjusting their self care practices. PhD Research Publication

2026-05-01T00:00:00Z Bogonko, Nelson Momanyi http://localhost/xmlui/handle/123456789/6951 2026-05-11T12:35:06Z 2026-05-11T00:00:00Z

Green Employee Resourcing and Performance of Devolved Healthcare Services in Kenya Bogonko, Nelson Momanyi Hospitals are increasingly expected to implement environmentally sustaina ble practices, owing to regulatory requirements and the need to balance eco nomic and social considerations in a highly competitive sector. The achieve ment of hospital performance goals in an eco-friendly environment is usually determined by the effectiveness of its green employee resourcing policy and practices. The objective of this study was to determine effect of green em ployee resourcing practice on performance of devolved healthcare services. The study applied mixed-methods research design whereby the researchers combined the elements of quantitative and qualitative approaches. The study targeted 5,960 employees working in 12 Level Five Hospitals in Kenya. This study applied a multi-stage random sampling, which refers to dividing the population into units or smaller and smaller groups and selecting the sample. In the first stage, simple random sampling was used to select four of the 12 Level Five Hospitals with an accessible population of 1310. In the second stage, purposive sampling was used to select a sample of 131 respondents representing 10 % of the accessible population. Data collection tools were questionnaire, interview and document analysis. The study applied descrip tive and inferential statistics to analyze data. Content analysis was used to an alyze qualitative data. The study conducted a one-way ANOVA test to test the research hypothesis. The study findings revealed a strong positive and signif icant linear relationship between green employee resourcing and perfor mance of devolved healthcare services. The study concluded that green em ployee resourcing had a significant positive effect on performance of devolved healthcare services. The study recommended that performance of devolved healthcare services should increase performance if they regularly used green recruitment methods guided by public service employee resourcing policy; advertised job openings in hospital website, received job applications online, conducted online interviews, which create paperless offices and reduces cost on printing paper. In addition, selecting individuals who have contributed DOI: 10.4236/ojbm.2024.125184 Sep. 30, 2024 3692 Open Journal of Business and Management N. M. Bogonko et al. towards green goals improves performance of devolved healthcare services. Keywords Devolved Healthcare Services, Green Employee Resourcing, Green Human Resource Management, Green Human Resource PhD Research Publication

2026-05-11T00:00:00Z Mbuba, Dickson Gitonga http://localhost/xmlui/handle/123456789/6906 2026-03-05T10:18:25Z 2026-03-05T00:00:00Z

Factors associated with Isoniazid preventive therapy among HIV patients attending comprehensive care clinic at Chuka County referral hospital, Kenya Mbuba, Dickson Gitonga Background:Tuberculosis (TB) in humans is caused by bacilli Mycobacterium tuberculosis and Mycobacterium tuberculosis complex. AIDS is an immunodeficiency disease caused by human immunodeficiency virus (HIV) (Mindachew et al., 2014). HIV breaks down the body's defense against infection and immune system by destroying specific white blood cells (CD4 cells) weakening the immune system hence the body cannot fight an illness attack such as tuberculosis (Cook, 2009). Materials and Methods: A descriptive cross sectional study design adopted with the target population being the zero positive patients attending Comprehensive Care Centre (CCC) services at the facility. Systematic random sampling method used as the sampling technique. Data collection was interviewer administered questionnaire and focused group discussion. Quantitative information was be analysed using SPSS version 25. Chi square method used to test the association between dependent and independent variables. Data presented in tables, pie charts, bar graphs and narrations. Results:The study found out that there was a significant association between quality of service by the caregiver and Patients who completed medication on Isoniazid Preventive Therapy. Further results showed that there was insignificant association between sex and compliance with IPT. Results showed that there was a significant association between the marital status and compliance with isoniazid preventive therapy (IPT. The study established that there was significant association between the taking of the IPT drug and reason for taking the drug. Further, the study established that there was significant association between the side effects of the IPT drug and compliance to Isoniazid Preventive Therapy among HIV patients attending CCC at Chuka referral hospital. Findings further found that association between friendliness of the Hospital staff was significant. The study found out that association between waiting time at the Hospital and compliance with IPT was significant. Conclusion:Research showed that association between health education and compliance with IPT was significant. These results were, shared with hospital administration in order to understand factors that contribute to non-adherence to isoniazid preventive therapy, for necessary action to be, taken in order to increase the uptake of isoniazid preventive therapy. These results are, expected to be crucial for HIV/TB collaborative activities in reducing the mortality rate, morbidity rate and mental complications of TB in people living with HIV/AIDS. Key word: Tuberculosis, HIV, Isoniazid, Therapy MSc Research Publication

2026-03-05T00:00:00Z