Self-Care Practices among Healthcare Workers in Emergency Units in Selected Hospitals Nyeri County, Kenya.

Authors

  • Joyce Muthoni Wang’ombe Mount Kenya University
  • Dr. Florence S.A K’Okul, Ph.D Mount Kenya University
  • Dr. Susan Macharia PhD Mount Kenya University

DOI:

https://doi.org/10.47941/ijhss.3521

Keywords:

Adversity Quotient (AQ), Psychological Wellbeing, Self-Care Practices, Healthcare Workers

Abstract

Purpose: This study investigated the influence of Adversity Quotient (AQ) on the psychological wellbeing of healthcare workers in emergency units within selected public hospitals in Nyeri County, Kenya.

Methodology: Data were collected via structured questionnaires and focus group discussions from a census sample of 220 healthcare workers across three hospitals, with a 90% response rate (n=198). Validated instruments measured AQ dimensions (Control, Ownership, Reach, Endurance), psychological wellbeing, and related constructs.

Findings: Quantitative data were analyzed using SPSS version 26, with descriptive statistics, Pearson correlation, ANOVA, and regression analyses. presents frequency-based responses on engagement with self-care. The highest reported frequency was for the statement "How regularly do you believe self-care improves your ability to cope at work?" with a mean of M = 3.30 (SD = 1.26). This implies that respondents recognize the value of self-care. The correlation analysis revealed a statistically significant positive correlation between Self-Care Practices and Psychological Well-being (r = 0.52, p < 0.001). This indicates that healthcare workers who reported higher engagement in self-care practices also reported higher levels of psychological well-being. In summary there is need for self-care practices also showed a significant positive correlation with psychological well-being (r = 0.52, p < 0.001), accounting for 27% of its variance.

Contributions: Spirituality and mindfulness were the most common practices, while more demanding activities like physical exercise and setting work-life boundaries were less frequent.  Develop and integrate targeted, practical training programs into professional development. These should focus on building the strongest predictors of well-being identified in this study: intrinsic coping skills (e.g., cognitive reframing, emotion regulation) and proactive strategies (e.g., adaptive problem-solving).

Downloads

Download data is not yet available.

References

Aiken, L. H., Clarke, S. P., Sloane, D. M., Sochalski, J., & Silber, J. H. (2002). Medical facility nursing personnel levels and client death rates, nurse exhaustion, and career unhappiness. JAMA, 288(16), 1987-1993. https://doi.org/10.1001/jama.288.16.1987

Breton M, Maillet L, Duhoux A, Abou Malham S, Gaboury I, Manceau L, et al. Evaluation of the implementation and associated effects of advanced access in university family medicine groups: a study protocol. BMC Fam Pract. 2020;21(1):41. https://doi.org/10.1186/s12875-020-01109-w

Burton, A., Burgess, C., Dean, S., Koutsopoulou, G. Z., & Hugh-Jones, S. (2017). How efficient are mindfulness practices for alleviating pressure amongst medical practitioners? An organized assessment and statistical review. Stress and Health, 33(1), 3-13. https://doi-org/10.1002/smi.2673

Campbell, J. P., McCloy, R. A., Oppler, S. H., & Sager, C. E. (2013). A framework of achievement. In N. Schmitt, S. Highhouse, & I. B. Weiner (Eds.), Manual of psychology: Vol. 12. Business and work psychology (2nd ed., pp. 29-55). Wiley.

Faraji, A., Karimi, M., Azizi, S. M., Janatolmakan, M., & Khatony, A. (2022). Work-related pressure and its associated elements amongst nursing staff: A study across a population. Journal of Nursing Management, 30(1), 144-152. https://doi.org/10.1111/jonm.13300.

Faraji, H., Nikbakht, S., & Rahmani, M. (2022). The impact of pressure management instruction on mental wellness and occupational achievement amongst emergency medical personnel. BMC Emergency Medicine, 22(1), 100.

Gaboury I, Breton M, Perreault K, Bordeleau F, Descôteaux S, Maillet L, et al. Interprofessional advanced access – a quality improvement protocol for expanding access to primary care services. BMC Health Serv Res. 2021;21:812. https://doi.org/10.1186/s12913-021-06839-w.

Greene, R. R., Galambos, C., & Lee, Y. (2004). Adaptability framework: Conceptual and expert definitions. Journal of Human Behavior in the Social Environment, 8(4), 75–91. https://doi.org/10.1300/J137v08n04_05

Hall, L. H., Johnson, J., Watt, 1., Tsipa, A., & O'Connor, D. B. (2016). Medical staff wellness, exhaustion, and client security: An organized assessment. PLOS ONE, 11(7), e0159015. https://doi-org/10.137 1/journal.pone.0159015

Halpern, J., Maunder, R. G., Schwartz, B., & Linka, A. (2009). The approach to managing: Using theory to the requirements of medical practitioners. General Hospital Psychiatry, 31(6), 574-5.

Harper-Jaques S, Foucault D. Walk-in single-session therapy: client satisfaction and clinical outcomes. J Syst Ther. 2014;33:29–49.

Hiilsheger, U.R., Alberts, H. J., Feinholdt, A., & Lang, J. W. (2013). Advantages of awareness at work: The function of awareness in feeling control, emotional depletion, and career contentment. Journal of Applied Psychology, 98(2), 310-325. doi: 10.1037/a003 1313

Johnson, R., Smith, T., & Lee, H. (2021). Occupational instruction and mental health amongst emergency medical staff. International Journal of Emergency Medicine, 28(3), 204-212.

Kaplan, R. M., & Saccuzzo, D. P. (2005). Mental assessment: Foundations, uses, and concerns (6th ed.). Thomson Wadsworth.

Maslach, C., & Leiter, M. P. (2016). Causing burnout: How our work methods lead to illness and potential solutions. John Wiley & Sons.

Maunder, R. G., Lancee, W. J., Rourke, S., Hunter, J. J., Goldbloom, D. S., Waddell, H., Leszcz, M., Rabeneck, L., Wasylenki, D. A., & Palmer, D. A. (2013). Elements linked with the mental wellness of medical staff with a significant exposure to SARS. BMC Public Health, 13, 210.

Ndetei, D. M., Khasakhala, L., and Omolo, J. O. (2008). Motivations for health worker retention in Kenya: An evaluation of existing methods. Equinet Discussion Paper 62.

Ng'ang'a, S. K., Nyongesa, W. A., and Njeru, M. G. (2018). Personal wellness routines and exhaustion amongst medical practitioners in public medical facilities in Kenya. Journal of Health Sciences, 15(3), 56-65.

Onigbogi, O., Banerjee, A., and Ibekwe, R. (2019). Personal wellness routines and their effect on the mental wellness of medical staff in Nigeria. Journal of Health and Medical Sciences, 12(4), 205-215. https://doi.org/10.2139/jhms.2019.034

Price, S., Reichert, C., and Keay, E. (2018). The significance of ongoing career growth to career contentment and client treatment: Fulfilling the needs of beginner to mid-to late-career nursing staff across their career span. Journal of Continuing Education in Nursing, 4910), 454-460. https://doi.org/ 10.3928/00220124-20180918 10

Reed, J., and Buck, S. (2009). The impact of consistent cardiovascular activity on favorably-activated emotion: A statistical review. Psychology of Sport and Exercise, 10(6), 581-594. https://doi.org/10.1016/j.psychsport.2009.05.005

Stoltz, P. (1997). Adversity Quotient: Transforming challenges into chances. John Wiley & Sons. (Note: Original publication year varies by edition, citing foundational work).

Tregunno, D., Ginsburg, L., Clarke, B., & Norton, P.G. (2014). Incorporating client security into health experts’ educational programs: A descriptive investigation of medical, nursing and pharmacy educator views. BMJ Quality & Safety, 23(4), 257-264. https://doi.org/10.1136/bmjqs-2013-001900

Tully, M. P., Cantrill, J. A., & MacFarlane, A. K. (2017). Tackling pharmacists' mental health and wellness: Colleague assistance in the UK. International Journal of Pharmacy Practice, 25(2), 193-19 addressing pharmacists' mental health and wellbeing: Peer support in the UK. International Journal of Pharmacy Practice, 25(2), 193-19.

Wanjiru, M. W., & Wainaina, P. (2020). Pressure and management methods amongst nursing staff in chosen public medical facilities in Nairobi County, Kenya. International Journal of Nursing and Midwifery, 12(2), 60-6.

Downloads

Published

2026-02-20

How to Cite

Wang’ombe, J. M., K’Okul, F., & Macharia , S. (2026). Self-Care Practices among Healthcare Workers in Emergency Units in Selected Hospitals Nyeri County, Kenya. International Journal of Humanity and Social Sciences, 5(1), 16–27. https://doi.org/10.47941/ijhss.3521

Issue

Section

Articles

Similar Articles

1 2 3 4 > >> 

You may also start an advanced similarity search for this article.