An ethnographic study that explores the policy and cultural influences on the continuing professional development of nurses and their utilisation of computer technology in a community hospital in Uganda Item Type Thesis or dissertation Authors Wilson, Frances R. Citation Wilson, F. R. (2019). An ethnographic study that explores the policy and cultural influences on the continuing professional development of nurses and their utilisation of computer technology in a community hospital in Uganda. (Doctoral dissertation). University of Chester, United Kingdom. Publisher University of Chester Rights Attribution-NonCommercial-NoDerivatives 4.0 International Download date 03/10/2021 21:46:31 Item License http://creativecommons.org/licenses/by-nc-nd/4.0/ Link to Item http://hdl.handle.net/10034/622130 An ethnographic study that explores the policy and cultural influences on the continuing professional development of nurses and their utilisation of computer technology in a community hospital in Uganda Thesis submitted in accordance with the requirements of the University of Chester for the degree of Doctor of Philosophy Frances Ruth Wilson 31st July 2018 Declaration The material being presented for examination is my own work and has not been submitted for an award of this or another HEI except in minor particulars which are explicitly noted in the body of the thesis. Where research pertaining to the thesis was undertaken collaboratively, the nature and extent of my individual contribution has been made explicit. Signed: _______________________ Frances R. Wilson Dated: 31st July 2018 2 Dedication I would like to dedicate this thesis to my husband MIchael for his total support, patience and encouragement, and to my children Penny, William and Duncan for all believing in me, also to my late parents who were always very proud of my achievements and taught me the value of education and tenacity. 3 Table of contents Declaration ............................................................................................................................... 2 Dedication ................................................................................................................................ 3 Table of figures ...................................................................................................................... 15 Table of tables ........................................................................................................................ 16 Acknowledgements ................................................................................................................ 18 Abstract .................................................................................................................................. 19 Chapter 1: Introduction ................................................................................................ 20 Introduction ....................................................................................................................... 20 Aims and content of the chapter and study ...................................................................... 20 Summary of chapters ......................................................................................................... 20 Background and rationale to the PhD research study ....................................................... 22 Aims and objectives of the research .................................................................................. 23 Context of the study and research setting......................................................................... 24 Overview of the capacity building project and scoping visit ......................................... 24 Project and PhD funding ................................................................................................ 25 Capacity building ............................................................................................................ 26 Other capacity building programmes ............................................................................ 27 CPD programme for nurses and computer utilisation ................................................... 28 Other types of education available to the nurses in the setting ................................... 29 Sustainability of the CPD study and cost implications ................................................... 29 Evaluation of the CBP and CPD programmes, and their significance to the study ........ 30 Local area infrastructure ................................................................................................ 31 The way of life and hospital system ............................................................................... 33 Hospital funding system ................................................................................................. 33 Employment ................................................................................................................... 34 Professional development of nursing in Uganda and locally ......................................... 35 Internet technology and local intranet .......................................................................... 36 Conclusion .......................................................................................................................... 38 Chapter 2: A Critical Review of the Literature ................................................................ 39 Introduction and aims of the chapter ................................................................................ 39 Purpose and justification of the literature review ............................................................. 40 Literature search strategy .................................................................................................. 40 4 Themes identified from the literature ............................................................................... 44 Background to computer technology and ICT development and internet access for CPD, education and training, nursing and other healthcare applications ................................. 45 Introduction ................................................................................................................... 45 Global perspectives ........................................................................................................ 46 LMIC ............................................................................................................................... 47 Uganda ........................................................................................................................... 48 Computer technology and ICT development – incorporating computer literacy skills for nurses, healthcare workers and doctors ........................................................................... 50 Global perspectives ........................................................................................................ 50 LMIC and sub-Saharan Africa ......................................................................................... 52 Uganda ........................................................................................................................... 52 E-learning and online usage ............................................................................................... 57 Global perspectives ........................................................................................................ 57 LMIC ............................................................................................................................... 57 LMIC including Uganda .................................................................................................. 59 Role of libraries in supporting CPD, CT and ICT development in education ...................... 60 LMIC ............................................................................................................................... 61 Uganda ........................................................................................................................... 63 Knowledge, attitudes and perceptions influencing development of computer utilisation skills .................................................................................................................................... 65 Global ............................................................................................................................. 65 LMIC/Africa .................................................................................................................... 66 Uganda ........................................................................................................................... 68 Barriers to developing effective computer utilisation skills .............................................. 69 Global ............................................................................................................................. 69 LMIC ............................................................................................................................... 70 Uganda ........................................................................................................................... 70 Benefits of computer technology and ICT ......................................................................... 70 LMIC ............................................................................................................................... 71 Uganda ..........................................................................................................................