{"id":"https://openalex.org/W7204656527","doi":"https://doi.org/10.37284/eajhs.9.3.5664","title":"What Stresses Mothers Most in the Neonatal Unit? Environmental and Infant-Illness Stressor Profile among Mothers of Neonates with Sepsis at Kenyatta National Hospital","display_name":"What Stresses Mothers Most in the Neonatal Unit? Environmental and Infant-Illness Stressor Profile among Mothers of Neonates with Sepsis at Kenyatta National Hospital","publication_year":2026,"publication_date":"2026-08-29","ids":{"openalex":"https://openalex.org/W7204656527","doi":"https://doi.org/10.37284/eajhs.9.3.5664"},"language":"en","primary_location":{"id":"doi:10.37284/eajhs.9.3.5664","doi":"https://doi.org/10.37284/eajhs.9.3.5664","is_oa":true,"landing_page_url":"https://doi.org/10.37284/eajhs.9.3.5664","pdf_url":"https://journals.eanso.org/index.php/eajhs/article/download/5664/6009","source":{"id":"https://openalex.org/S4210178868","display_name":"East African Journal of Health and Science","issn_l":"2707-3912","issn":["2707-3912","2707-3920"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"East African Journal of Health and Science","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://journals.eanso.org/index.php/eajhs/article/download/5664/6009","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5115464824","display_name":"Adelight Nabwire","orcid":"https://orcid.org/0009-0001-1459-2823","observed_orcids":["https://orcid.org/0009-0001-1459-2823"]},"institutions":[{"id":"https://openalex.org/I2802685156","display_name":"Kenyatta National Hospital","ror":"https://ror.org/053sj8m08","country_code":"KE","type":"healthcare","lineage":["https://openalex.org/I2802685156"]}],"countries":["KE"],"is_corresponding":false,"raw_author_name":"Adelight Nabwire","raw_affiliation_strings":["Kenyatta National Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Kenyatta National Hospital","institution_ids":["https://openalex.org/I2802685156"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5059472224","display_name":"Morris Senghor Shisanya","orcid":"https://orcid.org/0000-0002-4425-6249","observed_orcids":["https://orcid.org/0000-0002-4425-6249"]},"institutions":[{"id":"https://openalex.org/I4210106600","display_name":"Kibabii University","ror":"https://ror.org/0111z3553","country_code":"KE","type":"education","lineage":["https://openalex.org/I4210106600"]}],"countries":["KE"],"is_corresponding":false,"raw_author_name":"Morris Senghor Shisanya","raw_affiliation_strings":["Kibabii University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Kibabii University","institution_ids":["https://openalex.org/I4210106600"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.57579292,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"9","issue":"3","first_page":"169","last_page":"176"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11060","display_name":"Infant Development and Preterm Care","score":0.8715999722480774,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11060","display_name":"Infant Development and Preterm Care","score":0.8715999722480774,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11961","display_name":"Neonatal and Maternal Infections","score":0.040800001472234726,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11632","display_name":"Family and Disability Support Research","score":0.017100000753998756,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/maternal-stress","display_name":"maternal stress","score":0.6370000243186951},{"id":"https://openalex.org/keywords/neonatal-sepsis","display_name":"neonatal sepsis","score":0.9110000133514404},{"id":"https://openalex.org/keywords/perceived-stress","display_name":"perceived stress","score":0.5649999976158142},{"id":"https://openalex.org/keywords/family-centered-care","display_name":"family-centered care","score":0.734000027179718},{"id":"https://openalex.org/keywords/breastfeeding","display_name":"breastfeeding","score":0.5720000267028809},{"id":"https://openalex.org/keywords/oxygen-therapy","display_name":"oxygen therapy","score":0.7739999890327454},{"id":"https://openalex.org/keywords/maternal-worry","display_name":"maternal worry","score":0.41100001335144043},{"id":"https://openalex.org/keywords/kenyatta-national-hospital","display_name":"Kenyatta National Hospital","score":0.8190000057220459},{"id":"https://openalex.org/keywords/sub-saharan-africa","display_name":"sub-Saharan Africa","score":0.8180000185966492},{"id":"https://openalex.org/keywords/perceived-stress-scale-10","display_name":"Perceived Stress Scale-10","score":0.7960000038146973}],"concepts":[{"id":"https://openalex.org/C125370674","wikidata":"https://www.wikidata.org/wiki/Q1527480","display_name":"Stressor","level":2,"score":0.9125000238418579},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8327999711036682},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.44679999351501465},{"id":"https://openalex.org/C2779978724","wikidata":"https://www.wikidata.org/wiki/Q1436482","display_name":"Worry","level":3,"score":0.4124000072479248},{"id":"https://openalex.org/C2778384902","wikidata":"https://www.wikidata.org/wiki/Q183134","display_name":"Sepsis","level":2,"score":0.40389999747276306},{"id":"https://openalex.org/C2776035688","wikidata":"https://www.wikidata.org/wiki/Q1606558","display_name":"Affect (linguistics)","level":2,"score":0.32199999690055847},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.3167000114917755},{"id":"https://openalex.org/C2986039202","wikidata":"https://www.wikidata.org/wiki/Q123414","display_name":"Environmental stress","level":2,"score":0.31380000710487366},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.2994999885559082},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.2498999983072281}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.37284/eajhs.9.3.5664","doi":"https://doi.org/10.37284/eajhs.9.3.5664","is_oa":true,"landing_page_url":"https://doi.org/10.37284/eajhs.9.3.5664","pdf_url":"https://journals.eanso.org/index.php/eajhs/article/download/5664/6009","source":{"id":"https://openalex.org/S4210178868","display_name":"East African Journal of Health and Science","issn_l":"2707-3912","issn":["2707-3912","2707-3920"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"East African Journal of Health and Science","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.37284/eajhs.9.3.5664","doi":"https://doi.org/10.37284/eajhs.9.3.5664","is_oa":true,"landing_page_url":"https://doi.org/10.37284/eajhs.9.3.5664","pdf_url":"https://journals.eanso.org/index.php/eajhs/article/download/5664/6009","source":{"id":"https://openalex.org/S4210178868","display_name":"East African Journal of Health and Science","issn_l":"2707-3912","issn":["2707-3912","2707-3920"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"East African Journal of Health and Science","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7204656527.pdf","grobid_xml":"https://content.openalex.org/works/W7204656527.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4405442693","https://openalex.org/W4312733464","https://openalex.org/W2943154102","https://openalex.org/W7220618769","https://openalex.org/W7222837327","https://openalex.org/W2414001895","https://openalex.org/W2086689379","https://openalex.org/W4404679384","https://openalex.org/W2955626525","https://openalex.org/W2981404583"],"abstract_inverted_index":{"Background:":[0],"Mothers":[1],"of":[2,53,80,243],"neonates":[3],"admitted":[4],"with":[5,138,151,250],"sepsis":[6],"remain":[7],"in":[8,12,160,266],"the":[9,50,114,122,152,211,222,238,244,267,327],"neonatal":[10,45,268],"unit":[11,115,269],"a":[13,76,92,105],"demanding":[14],"environment":[15,116],"while":[16],"their":[17,274],"infant":[18,110],"is":[19,30,39,270],"critically":[20],"ill.":[21],"Identifying":[22],"which":[23],"specific":[24],"stressors":[25,174,197],"mothers":[26,59,83],"find":[27],"most":[28,177,207,328],"burdensome":[29],"essential":[31],"for":[32,331],"targeting":[33],"family-centred":[34],"support,":[35],"yet":[36],"stressor":[37,68,89,294,303],"profiling":[38],"rarely":[40],"reported":[41],"from":[42,237],"sub-Saharan":[43],"African":[44],"units.":[46],"This":[47],"study":[48],"characterised":[49],"perceived":[51,72,252,300],"stressfulness":[52],"environmental":[54,185],"and":[55,65,119,148,195,235,277,286,305,311,323],"infant-illness":[56],"factors":[57],"among":[58],"at":[60],"Kenyatta":[61],"National":[62],"Hospital":[63],"(KNH)":[64],"examined":[66],"whether":[67],"burden":[69],"tracks":[70],"global":[71,251,299],"stress.":[73,334],"Methods:":[74],"In":[75],"cross-sectional":[77],"study,":[78],"70":[79],"78":[81],"eligible":[82],"(response":[84],"rate":[85],"89.7%)":[86],"rated":[87,176],"19":[88],"items":[90,209],"on":[91,225],"five-point":[93],"scale":[94],"(1":[95],"=":[96,101,193,203,261],"not":[97,297],"stressful":[98,178,208],"to":[99,215,284],"5":[100],"extremely":[102],"stressful),":[103,221],"grouped":[104],"priori":[106],"into":[107],"three":[108,166],"domains:":[109],"illness":[111,276],"(6":[112,126],"items),":[113],"(7":[117],"items)":[118],"worry":[120],"about":[121],"mother\u2019s":[123],"own":[124],"situation":[125],"items).":[127],"Domain":[128],"scores":[129,246],"(item":[130],"means),":[131],"internal":[132],"consistency":[133],"(Cronbach\u2019s":[134],"alpha),":[135],"item":[136],"rankings":[137],"95%":[139],"confidence":[140],"intervals":[141],"(CIs),":[142],"paired":[143],"Wilcoxon":[144],"domain":[145,245],"comparisons":[146],"(Holm-adjusted)":[147],"Spearman":[149],"correlations":[150],"10-item":[153],"Perceived":[154],"Stress":[155],"Scale":[156],"(PSS-10)":[157],"were":[158,168,175,210],"computed":[159],"R":[161],"(version":[162],"4.1.2).":[163],"Results:":[164],"All":[165],"domains":[167],"internally":[169],"consistent":[170],"(alpha":[171],"0.73\u20130.78).":[172],"Infant-illness":[173],"(domain":[179],"mean":[180],"3.29),":[181],"significantly":[182,248],"higher":[183],"than":[184,288],"(2.53;":[186],"Holm":[187],"p":[188,199,255],"<":[189,200],"0.001,":[190,201],"rank-biserial":[191],"r":[192,202],"0.64)":[194],"sociodemographic-worry":[196],"(2.24;":[198],"0.73).":[204],"The":[205],"single":[206],"baby":[212,223,239],"being":[213,224],"unable":[214],"breastfeed":[216,285],"(mean":[217],"3.64;":[218],"68.6%":[219],"very/extremely":[220],"oxygen":[226],"(3.44;":[227,233],"64.3%),":[228],"sick":[229],"babies":[230],"sharing":[231],"cots":[232],"60.0%)":[234],"separation":[236],"(3.39).":[240],"Notably,":[241],"none":[242],"was":[247],"correlated":[249],"stress":[253,265],"(all":[254],"\u2265":[256],"0.101;":[257],"combined":[258],"model":[259],"R\u00b2":[260],"0.05).":[262],"Conclusion:":[263],"Mothers\u2019":[264],"driven":[271],"chiefly":[272],"by":[273,278,289],"infant\u2019s":[275],"concrete,":[279],"modifiable":[280],"care":[281],"circumstances\u2014separation,":[282],"inability":[283],"cot-sharing\u2014rather":[287],"ambient":[290],"ward":[291],"conditions.":[292],"Because":[293],"exposure":[295],"did":[296],"predict":[298],"stress,":[301],"situational":[302],"checklists":[304],"appraisal-based":[306],"scales":[307],"capture":[308],"different":[309],"constructs":[310],"should":[312],"be":[313],"used":[314],"together.":[315],"Interventions":[316],"that":[317],"shorten":[318],"separation,":[319],"support":[320],"expressed-milk":[321],"feeding":[322],"relieve":[324],"cot-sharing":[325],"are":[326],"direct":[329],"levers":[330],"reducing":[332],"maternal":[333]},"counts_by_year":[],"updated_date":"2026-10-28T10:33:24.094632","created_date":"2026-08-30T00:00:00"}
