Journal of Medicine, Nursing and Public health <p><span style="font-weight: 400;">Journal of Medicine, Nursing and Public health allows publication of papers in medicine and medicinal research, nursing and public health. It is hosted by EdinBurg Journals &amp; Books. </span></p> <p><span style="font-weight: 400;">It is reviewed by the </span><strong>EdinBurg Editorial Board</strong><span style="font-weight: 400;">. This journal has been globally indexed and with papers from all over the world.</span></p> <h3>Submission Email: <a href=""></a></h3> <h3>Online Submission: <a href=""></a></h3> en-US Journal of Medicine, Nursing and Public health Influence of Healthcare Provider Training on the Survival Rate of Cardiac Arrest Among Adults in Kenya <p>The study purpose was to determine the influence of healthcare provider training on the survival rate of cardiac arrest among adults in Kenya. A cross-sectional design was used to collect data from 402 nurses in Machakos Level 5 Hospital, Muranga Level 5 Hospital, and the Aga Khan University Hospital, Nairobi. Descriptive and inferential statistics were examined and the findings were presented through tables, figures, and explanations. The major results of the questionnaire provided 280(77%) nurses were of a positive opinion on the relevance of CPR in their work jurisdiction. Therefore, out of 191(60%) who attended CPR training, 143(45%) had completed the training to get a certificate. Further, 207(64%) had acquired BLS training and 170(53%) had heart saver training. In the training, 273(85%) noted that they had gained teamwork skills while at the same time, 285(88%) said that they were able to use patient simulators that enabled them to gain relevant skills applicable during actual occurrence. That notwithstanding, 193(60%) had no training in ACLS while 186(58%) did not get life support training every 2 years. More discouraging was that 149(46%) never got a chance to put into practice their CPR skills at a team-based CRP event therefore .145(45%) lacked the actual real-life experience to respond to a CPR. It was also noted that 188(59%) nurses were not in a position to administer medication in a CPR occurrence since they lacked training in advanced life support. Further, the regression results indicated that the Pearson correlation coefficient of r was 0.495** at α &lt; 0.002 and 99% significance level. Therefore, since the correlation values were less than 1 and significance level was less than 0.05, the study rejected the null hypothesis. It was concluded that healthcare provider training had a significant influence on the survival rate of cardiac arrest among adults. Healthcare providers lacked advanced professional skills such as ACLS training and lacked the zeal and discipline to consistently attend CPR training every 2 years. Hospitals were noted to have poor implementation of policies that guided the correct exposure to CPR management to all healthcare providers. The recommendations on the healthcare provider training are that the hospital management should enact learning and development policies that make it mandatory for various staff in different units to attend CPR training. Additionally, the medical staff should improve awareness through internal forums such as hospital workers' unions on the need to acquire advanced professional skills such as ACLS training.</p> Eunice Tole Dr. Kezia Njoroge, PhD Musa Oluoch Copyright (c) 2024 Eunice Tole, Dr. Kezia Njoroge, PhD, Musa Oluoch 2024-04-25 2024-04-25 4 2 1 12 Patients’ Perspectives on Seclusion and Restraint Experience at Mathari National Teaching and Referral Hospital Nairobi City County, Kenya <p>Mental health research across the world has elicited various perspectives regarding the experiences of seclusion and restraint of mentally unwell, aggressive patients. Despite the need of understanding some of the determinants of seclusion and restraint of mentally ill patients, there has been limited publications particularly in the Kenyan context addressing the experiences of seclusion and restraint on social demographic characteristics of a mentally ill patient, patient, and Institutional factors leading to seclusion and restraint as well as exploring the experiences of the mentally ill patients undergoing seclusion and restraint at Mathari National Teaching and Referral Hospital. The present study therefore aimed to explore patients’ experiences with seclusion and restraint at MNTRH. A phenomenological research approach was adopted and qualitative data was gathered using an interview guide. The study targeted all the patients who had been nursed in seclusion and restraint during admission to (MNTRH) Nairobi City, Kenya.&nbsp; The results revealed that the seclusion procedure at MNTRH was not patient-friendly as they were forced to do it and not provided with the basic needs apart from medication. The interviewees also described two main themes relating to experiences of patients undergoing seclusion and restraint at MNTRH including desirable views of seclusion and restraints and undesirable views on seclusion and restraints experiences. The desirable view on seclusion experiences included that seclusion and restraint provided relief and a less stimulating environment in which they felt safe and secure. Patients were grateful for the constant support and supervision of healthcare providers. However, the undesirable experiences as mentioned by the respondents were that during seclusion and restraint, they experienced abandonment, mistreatment, and neglect. The study concludes that seclusion and restraint is a crucial but contentious treatment that should only be used as a last resort, and steps should be taken to guarantee that patients’ dignity is preserved throughout the seclusion and restraint procedure, as guided by the Mental Health Act 2016.&nbsp; The study recommends that MTRH have the seclusion sessions customized to each patient’s unique cognitive ability and mental condition.</p> Mary Wanjiru Mwangi Priscilla Kabue J. Masika Copyright (c) 2024 Mary Wanjiru Mwangi, Priscilla Kabue, J. Masika 2024-05-04 2024-05-04 4 2 13 29 Systematic Review of Social Determinants of Health <p>The paper was a systematic review of social determinants of health. There are five social determinants of health. They include economic stability, education access, and quality, health care access and quality, neighborhood and built environment, and social and community context. It is obvious that relative poverty and social capital will, in one way or another, give rise to the resilience needed for an individual to feel good about themselves and age successfully. A healthy community's support and lifestyle decisions will lessen susceptibility to unhealthy behaviours. As the person moves into the working community, upstream support from family, schools, and community networks is crucial for fostering psychological well-being and self-esteem. Physicians and other medical practitioners can better support patients faced with social challenges by asking about their social history, providing them with advice, referring them to local support services, facilitating access to these services, and acting as reliable resource persons throughout the process. Training physicians, nurses, and other allied health workers to address the social determinants of health is considered one of the key principles for promoting more equitable health outcomes for patients, families, and communities. Physicians can conduct locally relevant research and use social determinants data to better intervene in their context and generate evidence as a lever for advocacy. They can create their organizations to defend humanitarian causes ranging from refugee care to climate change, and they can ensure that the health system is “part of the solution,” for instance, by purchasing surgical instruments that are not produced using child labour or by challenging patent laws that restrict access to life-saving medicines for the world’s population.</p> Loise Munyambu Copyright (c) 2024 Munyambu Loise 2024-05-23 2024-05-23 4 2 30 37