dc.contributor.author | Giuseppe, Raviola | |
dc.contributor.author | M’imunya, Machoki | |
dc.contributor.author | Mwaikambo, Esther | |
dc.contributor.author | Delvecchio, Mary Jo | |
dc.date.accessioned | 2013-07-25T07:52:45Z | |
dc.date.available | 2013-07-25T07:52:45Z | |
dc.date.issued | 2002-02 | |
dc.identifier.citation | Culture, Medicine and Psychiatry February 2002, Volume 26, Issue 1, pp 55-86 | en |
dc.identifier.uri | http://profiles.uonbi.ac.ke/mmachoki/publications/giuseppe-raviola-m | |
dc.identifier.uri | http://erepository.uonbi.ac.ke:8080/xmlui/handle/123456789/50971 | |
dc.description.abstract | This paper describes the experiencesof physicians-in-training at a public hospitalin Nairobi, Kenya, where medical professionalspractice in an environment characterized byboth significant lack of resources andpatients with HIV/AIDS in historicallyunprecedented numbers. The data reported hereare part of a larger study examining ethicaldilemmas in medical education and practiceamong physicians in East Africa. Aquestionnaire and semi-structured interviewwere completed by fifty residents in fourmedical specialties, examining social andemotional supports, personal and professionalsources of stress, emotional numbing anddisengagement from patients and peers, andsymptoms of post-traumatic stress anddepression. The factors affecting residentwell-being are found in this study to be morecomplex than previous interviews suggested. This study highlights the fact that as a resultof working in an environment characterized by poor communication among hospital staff aswell as a lack of resources and high numbersof patients with HIV/AIDS, residents'perceptions of themselves – their technicalproficiency, their ability to care and feel forothers and themselves, and for some theirentire sense of self – are significantlyaffected. Also affected are the patients theywork to treat | en |
dc.language.iso | en | en |
dc.publisher | University of Nairobi, | en |
dc.title | HIV disease plague, demoralization and“Burnout”: Resident experience of the medical profession in Nairobi | en |
dc.type | Article | en |
local.publisher | Institute of Tropical and Infectious Diseases | en |