Frank Kiwanuka

Frank Kiwanuka
University of Eastern Finland | UEF · Department of Nursing Science

BNurs, CNS (Adult Critical Care), PhDc (Nurs)- UEF
Currently delving into family healthcare in acute care settings, evidence-based practice, and cost-effectiveness

About

50
Publications
15,835
Reads
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186
Citations
Introduction
I have a passion for Evidence-Based Practice. I believe this can be achieved through sound research. In addition, I enjoy combining my medical knowledge with my passion for the written word. Caring for people who dearly need help gives me satisfaction. That is why I chose the intensive care specialty.
Additional affiliations
September 2017 - October 2018
Tehran University of Medical Sciences
Position
  • Master's Student
November 2015 - November 2015
Kabarole District
Position
  • Researcher
October 2015 - May 2016
Uganda Cancer Institute
Position
  • Researcher
Education
August 2012 - May 2016

Publications

Publications (50)
Article
Background: Measures in nursing research frequently use Likert scales that yield ordinal data. Confirmatory factor analysis using Pearson correlations commonly applies to such data, although this violates ordinal scale assumptions. Objectives: To illustrate the application of polychoric correlations and polychoric confirmatory factor analysis as...
Article
Full-text available
Objective To review the evidence on the economic evaluations of workplace-based interventions that are designed to reduce prolonged periods of occupational sitting. Design An integrative review. Data sources The search was conducted in 11 databases, including PubMed, Scopus, PsychINFO, NHS-EED, Cumulative Index to Nursing and Allied Health Litera...
Article
Full-text available
Introduction: Family caregivers always play various tasks to support their critically ill elderly patients (CIEPs) during hospitalization. Anxiety and depression may occur among family caregivers because of the caregiving burden and severity of illness in elderly patients. Aims: To identify factors associated with anxiety and depression among famil...
Article
Full-text available
Objective To compare (i) the evidence-based practice (EBP) profiles and (ii) socio-demographic characteristics of nurses in 4 selected low-middle income countries (LMICs). Methods A cross-sectional survey was conducted among 677 nurses from 4 hospitals in 4 countries (Afghanistan, Ghana, Iran, and Uganda). Results The findings revealed that there...
Article
Full-text available
What is already known about the topic? Family members of patients admitted to critical care settings experience distress during and after discharge. Although family interventions cross disciplinary boundaries, nurses are well situated to provide support due to the frequency of their interactions with family members. What this paper adds? In cri...
Article
Full-text available
Background HIV and Hepatitis C Virus (HCV) infections are responsible for a significant burden of mortality and morbidity, particularly in developing countries. This study sought to determine the prevalence of HIV and Hepatitis C among injecting drug users in Afghanistan, Iran, and Pakistan. Methods This review conforms to the Preferred Reporting...
Article
Purpose Multiple pathologies and age-related physiological changes lead to acute respiratory failure. This necessitates mechanical ventilation among elderly patients. Mechanically ventilated critically ill elderly patients may confront various problems, including physical and psychological issues. Therefore, the purpose of this paper is to present...
Article
Full-text available
Background: Paediatric oncology nurses are at risk of workplace stress. Previous systematic reviews have assessed interventions to manage general nurses stress levels, but no systematic review has been conducted on strategies for stress management among paediatric oncology nurses. Aim: This study aims to Systematically review the methods used for s...
Article
Full-text available
The family plays a substantial role in African care settings; moreover, the current COVID-19 pandemic has created overwhelming challenges for families. Yet, family healthcare practices remain less studied in sub-Saharan Africa. The mean score of FNPS was 38.7±12.7 whilst the mean score of FINC-NA was 90.6±14.7. The Pearson’s product-moment correl...
Article
Full-text available
Uganda experiences recurrent epidemics. However, policies enacted to prevent or prepare for future epidemics remain unclear. This paper reviews policy that are shaping responses to the Coronavirus disease (COVID-19) in Uganda. An integrative systematic review approach using the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRI...
Article
Aim: To examine the impact of nursing leadership styles on intensive care unit quality measures. Background: Evidence on the impact of leadership styles has direct implications for building and strengthening leadership behaviours that foster quality nursing care in intensive care units. Evaluation: An integrative review approach was adopted. D...
Data
Health Information Technology (HIT) has positive impacts on healthcare outcome measures. Specifically, HIT improves patients outcomes by minimizing medication errors, adverse drug reactions and adherence to practice guidelines. This study assessed the extent of adoption of HIT and its influencing factors in health centers affiliated to Kampala Capi...
Preprint
Full-text available
Background Recently, inappropriate use of antibiotics has been correlated with life-threatening side-effects such as adverse effects, increased cost of treatment, and the higher rate of microbial resistance. Besides, it leads to a waste of resources. Therefore, this review sought to determine the pooled prevalence of self-medication with antibiotic...
Article
Full-text available
Gastric cancer is the second commonest cause of death among all cancers and the fifth most common cancer in the world. The number of deaths due to gastric cancer is about 723,000 annually. It is more common in men compared to women. The incidence of gastric cancer has 20-fold variation worldwide. In Asia, it is the third most prevalent cancer after...
Article
Full-text available
Background: Family caregivers are responsible for caregiving for critically ill elderly patients with mechanical ventilation during hospitalization. Caregiving burden and severity of illness in the elderly patients may affect mental health of family caregivers. Aims: This review sought to identify psychological symptoms and instruments used to meas...
Preprint
Full-text available
Uganda experiences recurrent epidemics. However, policies enacted to prevent or prepare for future epidemics remain unclear. This paper reviews policies that are shaping responses to the Coronavirus disease (COVID-19) in Uganda. An integrative systematic review approach using the Preferred Reporting Items for Systematic Reviews and Meta-analysis (P...
Preprint
Full-text available
The analysis of family-focused nursing practice is fundamental for advancing family nursing in intensive care settings, yet this area remains less studied in sub-Saharan Africa. Nurses’ attitudes presuppose an assessment of what nurses are willing to do and objection of certain practices. The purpose of this study was to assess the correlation betw...
Article
Purpose Partnership is both a goal and an approach to family-centered care (FCC). Family members play an important role alongside the health-care team when an older family member is admitted to the hospital. Family involvement in care for an older person forms a partnership approach where health professionals and the family engage collaboratively i...
Article
Purpose Elderly patients requiring prolonged mechanical ventilation are treated with a tracheostomy. Oftentimes, the family caregivers need to participate in the care for elderly patients with a tracheostomy during hospitalization. Therefore, this paper was conducted to acknowledge what family caregivers experience while caregiving for hospitalized...
Article
Full-text available
Whilst concepts advocating for family involvement in healthcare have globally gained ground in healthcare discourse today, much remains to be done to engage the family in the designing phase of family-focused interventions in critical care settings. The challenge for the future is to broaden the scope and application of interventions while consider...
Article
Full-text available
The proportion of older adults with a tracheostomy is dramatically increasing in hospitals. Although care for older adults would be supervised by physicians and nurses, they also need to be supported by their family members during hospitalization. Family caregivers often provide care for their older adults. Consequently, this has an impact on the c...
Preprint
Objective This review sought to assess the prevalence of antibiotic self-medication, common antibiotics and reasons for self-medication in the Eastern Mediterranean Region of World Health Organization (EMRWHO). Results We report on data from 45 articles and 29606 participants in this review. The overall prevalence of self-medication with antibiotic...
Article
Full-text available
Welcome to Afghanistan Journal of Health Sciences (AJHS) I am pleased to announce the launch of Afghanistan Journal of Health Sciences , a niche peer-reviewed, international, fully open access journal that publishes and welcomes articles on all aspects of health sciences, policy, practice and education. Credible evidence that is appropriate and ac...
Article
Full-text available
Background: Hyperbaric Oxygen Therapy (HBOT) is one of the advanced therapeutic modalities for wound management. It has the specific potential to ameliorate tissue hypoxia, diminish pathologic inflammation, and alleviates wound ischemia. Objectives: To review the evidence concerning indications, benefits and nursing elements associated with the use...
Article
Background: Hyperbaric Oxygen Therapy (HBOT) is one of the advanced therapeutic modalities for wound management. It has the specific potential to ameliorate tissue hypoxia, diminish pathologic inflammation, and alleviates wound ischemia. Objectives: To review the evidence concerning indications, benefits and nursing elements associated with the use...
Article
Full-text available
Background: Persons are best understood within their families; therefore examining the whole family as opposed to each individual could form a strong base for fostering different aspects of patient and family-centered care. Despite the enthusiasm for the patient and family-centered care, there are scanty of practical models that aid in the achievem...
Article
Full-text available
Background: Optimal physical activity and functional fitness is fundamental in children. The purpose of this study was to assess the effect of a four-weeks aerobic training intervention on body fat percentage and selected physical fitness indices among five to six-years-old obese, overweight and normal weight children. Methods: A quasi-experimental...
Article
Abstract Background Admission to Intensive Care Units (ICU) exposures family members to a new environment, advanced monitoring systems and aggressive treatments. This is coupled with the critical condition of the patient being admitted in ICU. In such times of stress and crisis, families have varying experiences as they navigate the ICU journey. Th...
Article
Aim: In this review, we sought to succinctly review what Postintensive care syndrome is, it’s risk factors, consequences, assessment, diagnosis, prevention and treatment among family members of intensive care patients. Background: The proportion of family members caring for a patient in intensive care units is expected to proportionally increase wi...
Article
Aim: In this review, we sought to succinctly review what Postintensive care syndrome is, it’s risk factors, consequences, assessment, diagnosis, prevention and treatment among family members of intensive care patients. Background: The proportion of family members caring for a patient in intensive care units is expected to proportionally increase wi...
Patent
Credible evidence that is appropriate to setting and is accessible, is fundamental to the provision of quality health services and education.
Article
Admission to Intensive Care Units (ICU) exposures family members to a new environment, advanced monitoring systems and aggressive treatments. This is coupled with the critical condition of the patient being admitted in ICU. In such times of stress and crisis, families have varying experiences as they navigate the ICU journey. These happen more or l...
Article
Full-text available
Aim Despite remarkable theoretical evidence of positive outcomes of patient and family‐centred care, it is rarely performed in the intensive care setting. The aim of this review was to assess the barriers to patient and family‐centred care among healthcare providers, patients and family members in adult intensive care units. Design A systematic re...
Article
Admission to Intensive Care Units (ICU) exposures family members to a new environment, advanced monitoring systems and aggressive treatments. This is coupled with the critical condition of the patient being admitted in ICU. In such times of stress and crisis, families have varying experiences as they navigate the ICU journey. These happen more or l...
Article
Background: Optimal physical activity and functional fitness is fundamental in children. The purpose of this study was to assess the effect of a four-weeks aerobic training intervention on body fat percentage and selected physical fitness indices among five to six-years-old obese, overweight and normal weight children. Methods: A quasi-experimental...
Article
Full-text available
Background: Hyperbaric Oxygen Therapy (HBOT) is one of the advanced therapeutic modalities for wound management. It has the specific potential to ameliorate tissue hypoxia, diminish pathologic inflammation, and alleviates wound ischemia. Objectives: To review the evidence concerning indications, benefits and nursing elements associated with the use...
Article
Full-text available
Background: Soured milk has an outstanding nutritional quality and highly consumed by people in Kampala and Uganda. However, it is an excellent medium for pathogen bacterial growth and an important source of bacterial infections when poorly handled. A cross sectional study was carried out to assess for occurrence of pathological bacterial species i...
Article
Full-text available
Background: Soured milk has an outstanding nutritional quality and highly consumed by people in Kampala and Uganda. However, it is an excellent medium for pathogen bacterial growth and an important source of bacterial infections when poorly handled. A cross sectional study was carried out to assess for occurrence of pathological bacterial species i...
Book
Full-text available
This book brings together philosophies about informed-shared decision making in self-understanding and in one’s situation and situated possibilities. The author begins with conceptualizing patient and family-centered care but soon expands to focus on the process of informed-shared decision making, theorizes and contextualizes on many aspects of the...
Data
Abstract Background: Information on the extent of utilization of emergency contraceptives among adolescents specifically students are particularly important owing to the high rates of teenage and unwanted pregnancies. The objective of this study was to assess the prevalence of emergency contraceptive utilization among female preparatory school stu...
Article
Full-text available
Background: Evidence-based practice (EBP) is both a goal and an approach that requires a combination of clinical experience with the most credible recent research evidence when making decisions in healthcare practice. The approach has been widely embraced; however, an evidence-to-practice gap still exists. Aim: To assess barriers to EBP among nu...
Article
Full-text available
Dysmenorrhea presents as pain associated with menstruation. It is often an issue discussed privately yet it continues to affect girls and women with grave impact on their education, social activities and work. This study sought to assess the factors associated with dysmenorrhea among female students aged 18-45 years in three selected universities i...
Data
Optimal adherence to anti-hypertensive medication is one of the hallmarks for prevention of adverse effects of hypertension; however this is a challenge to many patients especially in resource constrained settings. The main objective of the study was to examine factors that influence adherence to anti-hypertensive medications among patients with hy...
Article
Full-text available
Abstract Background: Regarding the nature of life threatening illnesses and adverse effects from cancer treatment, there is often pessimism about admitting critically ill cancer patients to intensive care units (ICU). The objective of this review was to determine the mortality rate and prognostic factors among critically ill cancer patients (CICP)...
Article
Full-text available
Background: The benefits of adherence to optimal infant and young child feeding (IYCF) to both the mothers and their infants below two years are well documented. However, compliance to optimal IYCF practices has been noted to vary in different settings. This study sought to establish factors influencing mothers’ adherence to optimal infant and youn...
Data
According to the guidelines developed by the World Health Organization, children are considered to have received all basic vaccinations when they have received BCG vaccine against tuberculosis, three doses each of the DPT-HepB-Hib/ pentavalent and polio vaccines, and a vaccination against measles.The Bacille Calmette Guerin (BCG) vaccine is usually...
Preprint
Full-text available
Aim: the aim of this review was to assess the barriers to patient and family-centered care in adult Intensive Care Units. Design: A systematic review of both qualitative and quantitative literature using the Joanna Briggs Institute approach for qualitative systematic reviews and the PICO approach was used for quantitative studies. Methods: The se...
Article
Full-text available
Background: Cancer patients often experience mild to severe pain. Therefore, effective pain assessment and management is paramount to this patient sub-population. This study sought to assess the knowledge, attitude and practices associated with pain assessment among nurses at Uganda Cancer Institute. Methods: The study was a descriptive cross-sect...
Article
Full-text available
Objective To assess the knowledge, attitudes and beliefs of adults on epilepsy in Erute South County, Lira District, Uganda. Methods A cross‐sectional study was conducted in rural Erute South County. 217/220 randomly selected adults above 18 years participated in the study. A standardized self‐administered questionnaire (Attitudes towards persons...
Article
Full-text available
Introduction: Use of Complementary and alternative medicine (CAM) is high among cancer patients especially breast cancer patients. This study sought to evaluate Complementary and alternative medicine use in breast cancer patients and how its use is influenced by patient’s satisfaction with conventional medical treatment among breast cancer patients...

Questions

Questions (2)
Question
Most studies assessing Barriers to Achieving Patient and Family-Centered care have mainly been qualitative in nature, I would like to inquire if there is a tool that has been developed to assess barriers to achieving Patient and Family Centered Care?
Question
The nurses process is a systematic tool that nurses ought to use in their practice,  its rigorously taught in nurses schools and emphasised for use by the ICN, however its rarely utilized by nurses in my hospital settings. Therefore I and my colleagues in nursing would like to find out why this is happening? So if your interested in being part of this please login!

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Projects

Projects (5)
Project
Storytelling is an illustrative approach that helps nurses to connect and understand about their experiences. Storytelling has the potential of changing our perspective and passing on knowledge from one generation of nurses to another. Stories co-create culture and values. During patient-staff meetings, stories can be used to illustrate problems and improvements in patient care. The project aims to explore the elements, strategies of training storytelling among nurses.
Project
A systematic review of the characteristics, comprehensiveness and quality appraisal of existing policies to improve institutional and community resilience to COVID-19 among countries in the East African Community.