University of SaskatchewanHARVEST
  • Login
  • Submit Your Work
  • About
    • About HARVEST
    • Guidelines
    • Browse
      • All of HARVEST
      • Communities & Collections
      • By Issue Date
      • Authors
      • Titles
      • Subjects
      • This Collection
      • By Issue Date
      • Authors
      • Titles
      • Subjects
    • My Account
      • Login
      JavaScript is disabled for your browser. Some features of this site may not work without it.
      View Item 
      • HARVEST
      • Electronic Theses and Dissertations
      • Graduate Theses and Dissertations
      • View Item
      • HARVEST
      • Electronic Theses and Dissertations
      • Graduate Theses and Dissertations
      • View Item

      Pediatric Infectious Disease in Resource-Limited Settings: Describing Post-Discharge Mortality in Uganda

      Thumbnail
      View/Open
      NEMETCHEK-THESIS-2018.pdf (1.021Mb)
      Date
      2018-09-04
      Author
      Nemetchek, Brooklyn 1993-
      Type
      Thesis
      Degree Level
      Masters
      Metadata
      Show full item record
      Abstract
      Background and Objectives Pediatric post-discharge mortality in low-resources settings is a topic only starting to be understood. However, it has been largely demonstrated that children are dying after hospitalization, and in rates yet to be fully realized. Using Critical Social Theory as a framework, objectives included: to determine the current evidence addressing pediatric post-discharge mortality in resource-poor settings; determine potential predictor variables for infant post-discharge mortality at the time of initial hospital admission; and to establish the state of knowledge of social justice in global health within the nursing profession and provide clarity and understanding to the concept. Methods A manuscript-style approach was used, wherein each manuscript addresses an individual objective. This is achieved using a systematic literature review, modified two-stage Delphi process, and concept analysis. Results Rates of post-discharge mortality continue to be comparable to or exceed in-hospital mortality, with most post-discharge deaths occurring at home. Risk factors consistently highly associated with post-discharge mortality underlay the vulnerability associated with factors regardless of underlying infectious etiology. Predictor variables for post-discharge mortality among infants brought objectivity and insight to aspects of predictive value, reliability, availability, and applicability in low-resource settings. The identified variables are a valuable starting point for the construction of a predictive model to identify at-risk infants. A greater understanding of social justice, in particular within a global health context for the nursing profession, is developed for nursing to move to a more global practice as agents of social change. Significance Children continue to die unnecessarily and in staggering, under-recognized numbers, particularly in countries where strained and resource-limited health systems attempt to assist millions of socioeconomically disadvantaged children. Addressing these issues, identifying the most vulnerable children, and developing effective interventions is essential for achieving the Sustainable Development Goals outlined by the United Nations. Every day nurses as key members of health care teams around the world play a critical role in the health and wellbeing of patients, families, communities, and nations. Nursing has a vital role to play in not only addressing childhood post-discharge mortality, but in global health in its entirety. It must be a concerted effort on all parts, from health care teams to policy makers, community leaders, researchers, and funders.
      Degree
      Master of Nursing (M.N.)
      Department
      Nursing
      Program
      Nursing
      Supervisor
      Fowler-Kerry, Susan
      Committee
      Wiens, Matthew O; Anonson, June; Racine, Louise; Wason-Ellam, Linda; Holtslander, Lorraine; Henry, Carol
      Copyright Date
      August 2018
      URI
      http://hdl.handle.net/10388/10031
      Subject
      Pediatric
      Post-Discharge Mortality
      Developing Countries
      Infectious Disease
      Global Health
      Social Justice
      Collections
      • Graduate Theses and Dissertations
      University of Saskatchewan

      University Library

      © University of Saskatchewan
      Contact Us | Disclaimer | Privacy