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Christina T. Mathias

Bio: Christina T. Mathias is an academic researcher from University of KwaZulu-Natal. The author has contributed to research in topics: Nurse education & Compassion fatigue. The author has an hindex of 3, co-authored 5 publications receiving 22 citations.

Papers
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Journal ArticleDOI
TL;DR: Some of the undergraduate students are experiencing compassion fatigue and burnout, associated with relieving suffering of others, which should be part of nursing training.
Abstract: Background: Studies have investigated burnout and compassion fatigue among nurses and effects in the nursing profession However, there are limited investigations of burnout and compassion fatigue among undergraduate nursing students in South Africa, as nursing students may experience distressful situations during their nursing education course, which may have an impact during their training and in their profession as they graduate Purpose: The purpose of this descriptive study was to describe compassion satisfaction, compassion fatigue and burnout among undergraduate nursing students at a tertiary nursing institution Methods: A quantitative descriptive study was conducted to describe compassion satisfaction, compassion fatigue and burnout among undergraduate nursing students at a tertiary nursing institution in KwaZulu-Natal Convenience sampling was used Results: Sixty-seven undergraduate students (26 third-year and 41 fourth-year nursing students) took the self-test Professional Quality of Life Scale (ProQOL) The study results indicate that undergraduate students experienced average levels of compassion fatigue, burnout and compassion satisfaction Conclusion: As shown in the study, some of the undergraduate students are experiencing compassion fatigue and burnout, associated with relieving suffering of others Therefore, knowledge of compassion fatigue and burnout and the coping strategies should be part of nursing training

26 citations

Journal ArticleDOI
TL;DR: Although KMC was available in some of the health facilities, integration of KMC messages in ANC guidelines, community awareness and in sensitization of any health intervention may enhance KMC accessibility and utilization by the targeted population.
Abstract: Kangaroo Mother Care (KMC) is one of the interventions widely used in low-income countries to manage Low Birth Weight Infants (LBWIs), a global leading cause of neonatal and child mortality. LBWI largely contributes to neonatal mortality in Malawi despite the country strengthening and implementing KMC, nationwide, to enhance the survival of LBWIs. This qualitative study aimed to assess the facilitating factors and barriers to accessibility and utilization of KMC service by the parent of low birth weight infants (PLBWIs) in Mangochi District, Malawi. Two focused group discussions assessed factors facilitating and hindering the accessibility and utilization of KMC service were conducted in April 2018 that reached out to (N = 12) participants; (n:6) PLBWI practicing KMC at Mangochi district hospital (MDH) referred from four health facilities and (n:6) high-risk pregnant mothers (HRPMs) visiting antenatal care (ANC) clinic at MDH. The availability of KMC at MDH was assessed using KMC availability checklist. The study used purposive, convenient and simple random sampling to identify eligible participants. Thematic analysis was used to analyze the findings. Sixteen themes emerged on facilitating factors and barriers to accessibility and utilization of KMC service by the PLBWIs. The identified themes included; availability of KMC providers, social factor (social support and maternal love), timing of KMC information, knowledge on KMC, health linkage systems, recognition of LBWIs, safety on the use of KMC, preference of LBWI’s care practice, lived experience on KMC practice, KMC expert clients, perceived causes of LBWI births, cultural/traditional factors, religious beliefs, health-seeking behavior, women empowerment and quality of care. Although KMC was available in some of the health facilities, integration of KMC messages in ANC guidelines, community awareness and in sensitization of any health intervention may enhance KMC accessibility and utilization by the targeted population.

13 citations

Journal ArticleDOI
TL;DR: The aim of this scoping review is to map out the literature on barriers, challenges and facilitators of KMC utilisation by parents with LBWIs in LMICs to guide future research and practice and inform policy.
Abstract: The Sustainable Development Goal (SDG) 3 emphasises on reducing neonatal deaths caused by low birth weight (LBW) complications by the implementation and utilisation of Kangaroo Mother Care (KMC) in low- and middle-income countries (LMICs). Despite the empirical evidence of KMC optimising low-birth-weight infants’ (LBWIs’) survival, its advantages and the LMICs implementing the service, studies have shown that LBW infant deaths occurring in LMICs are largely contributing to global child mortality. The aim of this scoping review is to map out the literature on barriers, challenges and facilitators of KMC utilisation by parents with LBWIs. This scoping review will use Endnote X7 reference management software to manage articles. The review search strategy will use SCIELO and LILACS databases. Other databases will be used via EBSCOHost search engine and these are Academic search complete, CINAHL with full text, Education source, Health source: Nursing/Academic Edition, Medline with full text and Medline. We will also use Google Scholar, JSTOR, Open grey search engines and reference lists. A two-phase search mapping out process will be done. In phase 1, one reviewer will perform the title screening and removal of duplicates. Two reviewers will do a parallel abstract screening according to eligibility criteria. Phase 2 will involve the reading of full articles and exclusion of articles, in accordance with the eligibility criteria. Data extraction from the articles will be done by two reviewers independently and parallel to the data extraction form. The data quality assessment of the eligible studies will be done using the Mixed Method Appraisal Tool (MMAT). The extraction of the synthesised results and thematic content analysis of the studies will be done by NVIVO version 10. We expect to find studies on barriers, challenges and facilitating factors of KMC utilisation by parents with LBWIs in LMICs. The review outcomes will guide future research and practice and inform policy. The findings will be disseminated in print, electronic and conference presentations related to maternal child and neonatal health.

5 citations

Journal ArticleDOI
TL;DR: In this article, the barriers, challenges and facilitators of Kangaroo mother care (KMC) utilisation by parents of low birthweight infants (PLBWI) in low-and middle-income countries (LMICs) were mapped.
Abstract: Background: Kangaroo mother care (KMC) has been widely adopted in low-and middle-income countries (LMICs) to minimise low birthweight infants’ (LBWIs) adverse outcomes. However, the burden of neonatal and child mortality remains disproportionately high in LMICs. Aim: Thus, this scoping review sought to map evidence on the barriers, challenges and facilitators of KMC utilisation by parents of LBWIs (parent of low birthweight infant [PLBWI]) in LMICs. Methods: We searched for studies conducted in LMICs and published in English between January 1990 and August 2020 from SciELO, Google Scholar, JSTOR, LILACS, Academic search complete, PubMed, CINAHL with full text, and Medline databases. We adopted Arksey and O’Malley’s framework for conducting scoping reviews. Potential studies were exported to Endnote X7 reference management software for abstract and full article screening. Two independent reviewers did a parallel abstract and full article screening using a standardised form. The results were analysed using thematic content analysis. Results: We generated 22 040 studies and after duplicate removal, 42 studies were eligible for full-text screening and 22 studies, most form sub-Saharan Africa, were included in the content analysis. Eight themes emerged from the analysis: access, buy-in, co-ordination and collaboration, medical issues, motivation, social support-gender obligation and empowerment, time and timing and traditional/cultural norms. Conclusion: Identifying factors affecting KMC may optimise KMC utilisation. Additional studies aiming at identifying influencing factors that affect KMC utilisation amongst PLBWIs’ in LMICs need to be conducted to provide evidence-based strategies to enhance practice, inform policy and decision-makers in KMC utilisation amongst the PLBWIs in LMICs and beyond.

3 citations

Posted ContentDOI
10 Mar 2021
TL;DR: Assessment of community leaders’ perspectives on barriers and facilitating factors to KMC utilization by parents of low birth weight infants in Mangochi District, Malawi found that incorporating the CLs in KMC implementation through KMC capacity building and strengthening linkage of local government structures to health localgovernment structures may enhance KMC access and utilization by the community.
Abstract: Background Low-and middle-income countries widely utilize Kangaroo Mother Care (KMC) to care for the Low-Birth Weight Infants (LBWIs). Worldwide, LBWIs is the leading cause of neonatal and child mortality. In Malawi, the government and the notable non-governmental organizations coordinate and collaborate in implementing KMC interventions to reduce neonatal deaths due to LBWIs’ complications. The incorporation of the community leaders’ (CLs) views on KMC access and utilization is optimal in the effective KMC implementation. Therefore, this study aimed to assess CLs perspectives on barriers and facilitating factors to KMC utilization by parents of low birth weight infants (PLBWIs) in Mangochi District, Malawi. Methods The study used purposive and simple random sampling to identify twelve CLs (N = 12) who participated in the two focused group (n = 6) discussions (FGD) conducted in April 2018 in Mangochi district. A structured FGD guide used to obtain the CLs’ perspectives on barriers and facilitating factors to KMC access and utilization by PLBWIs. Thematic content analysis used to analyse the findings. Results Four major themes and sub-themes were established from the study. These included Access (availability of KMC providers, place of delivery, strengthen referral systems, cost, health seeking behaviour, women empowerment and quality of obstetric care), Buy-in (KMC knowledge, causes of LBWIs birth, advantages/outcomes of KMC, attitude towards LBWI and KMC, stigma towards mother with a LBWI and preference of LBWI care), Medical issues (safety and maternal health) and traditional/cultural norms (social obligation and gender roles). Conclusions Despite the identified facilitating and barriers to KMC utilization, the CLs indirectly supported PLBWIs access to KMC by their influential and participatory role in the Malawi National Safe Motherhood approaches, which facilitated women deliver by the skilled birth attendants and utilized KMC. As such, incorporating the CLs in KMC implementation through KMC capacity building and strengthening linkage of local government structures to health local government structures may enhance KMC access and utilization by the community, through the CLs’ influential role in the communities’ uptake of health services. In a way strengthening the Malawi National Community Health Strategy 2017–2022 approaches.

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Journal ArticleDOI
TL;DR: The highest levels of burnout were reported among nurses, although all healthcare providers showed high burnout, and the majority of studies assessed burnout using the Maslach Burnout Inventory.
Abstract: Burnout is characterized by physical and emotional exhaustion from long-term exposure to emotionally demanding work. Burnout affects interpersonal skills, job performance, career satisfaction, and psychological health. However, little is known about the burden of burnout among healthcare providers in sub-Saharan Africa. Relevant articles were identified through a systematic review of PubMed, Web of Science (Thomson Reuters), and PsycINFO (EBSCO). Studies were selected for inclusion if they examined a quantitative measure of burnout among healthcare providers in sub-Saharan Africa. A total of 65 articles met our inclusion criteria for this systematic review. Previous studies have examined burnout in sub-Saharan Africa among physicians (N = 12 articles), nurses (N = 26), combined populations of healthcare providers (N = 18), midwives (N = 2), and medical or nursing students (N = 7). The majority of studies assessed burnout using the Maslach Burnout Inventory. The highest levels of burnout were reported among nurses, although all healthcare providers showed high burnout. Burnout among healthcare providers is associated with their work environments, interpersonal and professional conflicts, emotional distress, and low social support. Available studies on this topic are limited by several methodological challenges. More rigorously designed epidemiologic studies of burnout among healthcare providers are warranted. Health infrastructure improvements will eventually be essential, though difficult to achieve, in under-resourced settings. Programs aimed at raising awareness and coping with burnout symptoms through stress management and resilience enhancement trainings are also needed.

111 citations

Journal ArticleDOI
TL;DR: In this paper, a systematic review aimed to synthesize literature findings of nursing student burnout and its impact on psychological well-being and academic performance is presented. But, the authors did not address the impact of burnout on student engagement and self-concept.
Abstract: Background Burnout, depression, and suicide among health care professionals and learners have reached a rampant level. This systematic review aimed to synthesize literature findings of nursing student burnout and its impact on psychological well-being and academic performance. Method This systematic review followed PRISMA guidelines and included data-based studies on nursing student burnout published in peer-reviewed journals between January 2015 and January 2020. Results This review included 17 articles. Four major themes were identified: 1) a negative relationship between burnout and student self-concept, 2) a negative association between burnout and student engagement, 3) risk factors contributing to student burnout, and 4) interventions to mitigate student burnout. Promoting positive self-concept, engagement, and resilience may alleviate student academic burnout. Conclusion Student burnout has negative influences on health and academics, and interventions to mitigate burnout should be considered early in nursing programs. Nurse educators can create an engaging learning environment to build resilience and reduce burnout. [J Nurs Educ. 2021;60(7):369-376.].

25 citations

Journal ArticleDOI
30 Aug 2021-PLOS ONE
TL;DR: In this article, the authors search PubMed, Google Scholar, CINAHL, Web of Science, African Journals Online, and Embase from the inception of each database until February 2021.
Abstract: Background Burnout is common among university students and may adversely affect academic performance. Little is known about the true burden of this preventable malady among university students in low-and-middle-income countries (LMICs). Objectives This study aimed to systematically estimate the prevalence of burnout among university students in LMICs. Methods We searched PubMed, Google Scholar, CINAHL, Web of Science, African Journals Online, and Embase from the inception of each database until February 2021. Original studies were included. No study design or language restrictions were applied. A random-effects meta-analysis was performed using STATA version 16.0. Heterogeneity and publication bias were assessed using Q-statistics and funnel plots, respectively. Results Fifty-five unique articles, including a total of 27,940 (Female: 16,215, 58.0%) university students from 24 LMICs were included. The Maslach Burnout Inventory (MBI) was used in 43 studies (78.2%). The pooled prevalence of burnout was 12.1% (95% Confidence Interval (CI) 11.9–12.3; I2 = 99.7%, Q = 21,464.1, p = < 0.001). The pooled prevalence of emotional exhaustion (feelings of energy depletion), cynicism (negativism), and reduced professional efficacy were, 27.8% (95% CI 27.4–28.3; I2 = 98.17%. p = <0.001), 32.6 (95% CI: 32.0–33.1; I2: 99.5%; p = < 0.001), and 29.9% (95% CI: 28.8–30.9; I2: 98.1%; p = < 0.001), respectively. Conclusion Nearly one-third of university students in LMICs experience burnout. More studies are needed to understand the causes of burnout in this key population. There is a need to validate freely available tools for use in these countries.

23 citations

Journal ArticleDOI
TL;DR: Regardless of the measuring tool used, nurses in sub-Saharan Africa experience high levels of burnout in all its dimensions.
Abstract: Objective The objective of this review was to determine the prevalence rates for burnout among nurses working in countries within the sub-Saharan Africa region. Introduction Burnout is a response to chronic work-related stress. While there is ample information on its prevalence and risk factors in well-resourced settings in high-income countries, it remains poorly studied in the low- and middle-income countries of sub-Saharan Africa, which bear the larger share of the global burden of disease. Inclusion criteria This review considered studies from sub-Saharan Africa that identified the prevalence of burnout among nurses using standard measurement tools. Methods A three-step search strategy was utilized to identify both published and unpublished studies in English. Databases (MEDLINE, Embase, CINAHL, and others) were searched from inception to January 2019. Study selection, critical appraisal, data extraction, and data synthesis were conducted according to JBI methodology. Results A total of 12 studies (n = 2543 nurses) from seven African countries were included in this review. Eight of these studies were cross-sectional by design while the others were either exploratory, longitudinal, surveys, or descriptive. Ten studies were deemed to be at low risk of bias. According to the Maslach Burnout Inventory (seven studies, n = 1923), the prevalence of emotional exhaustion was 66% (95% confidence interval [CI], 37% to 89%), 60% (95% CI, 31% to 85%) for depersonalization, and 49% (95% CI, 19% to 80%) for low personal achievement. The overall prevalence of burnout among studies that utilized the Professional Quality of Life Scale (three studies, n = 337) was 87% (95% CI, 54% to 100%). One study reported a prevalence of 51% (95% CI, 44% to 57%) using the Copenhagen Burnout Inventory (n = 237), and the final study reported a prevalence of 33% (95% CI, 21% to 47%) using an unspecified measuring tool (n = 46). Conclusions Regardless of the measuring tool used, nurses in sub-Saharan Africa experience high levels of burnout in all its dimensions.

22 citations