An explosive study of factors leading to students drop out at Lilitha College of Education in Eastern Cape
- Authors: Mnikina, Thandazwa
- Date: 2013
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11914 , http://hdl.handle.net/10353/d1016148
- Description: This study is about exploring the factors that contribute to nursing students’ dropout at a public college. Lilitha College examination policy states that for a student to complete the Four Year Comprehensive Diploma Course, the student shall have passed all the four year courses. An increased student dropout rate has been identified to be affecting nursing student’s progress at Lilitha College of Nursing, East London Campus. This is a cause for concern and the researcher decided to investigate and explore the factors contributing to students’ dropout. This situation paralyzes the attempt by government to deal effectively with the shortage of trained nurses. The purpose of the study was to investigate and explore the factors that contribute to students’ dropout at Lilitha College of Nursing East London Campus. The objectives of this study were: To explore and describe experiences of students who dropped out from Lilitha College before course completion, to identify contributory factors related to increased students’ dropout rate, to come up with recommendations as how to curb the problem of student dropout and to ensure an increase of nursing students who complete at the end of the programme. This study followed a qualitative approach and explorative descriptive design. The population was all the students that have dropped out at Lilitha College of Nursing, East London Campus in the four year basic comprehensive programme from 2007 – 2011 at all levels of study. The sample size in this study was determined by data saturation, meaning that the data were collected to the point where no new information was obtained (Polit & Beck 2004: 308). A purposive sample of 15 former Lilitha students now working as Enrolled nursing assistants participated in this study. Data collection was divided into two sections, namely, demographic characteristics and face to face interviews. Demographic characteristics of the participants were obtained by asking questions related to age, sex, race, marital status, number of children per participant and the year of study at the time of dropping out. In section two of the study the interview guide was used for the purposes of data collection for this study, where four questions were formulated to guide the interview that was followed by probing questions. All tape recordings were listened to and transcribed verbatim. Field notes that were taken during unstructured interview were interpreted. The ideas that emerged from the interview sessions were then consolidated. Questions in the interview guide and their responses were drawn up and similar responses that arose from the interviews were grouped together. The identified major themes and sub themes were coded and categorized. Data belonging to each category were grouped together and analyzed and then the final remarks on the data analysis were completed. For most participants the course was frightening and difficult. They explained that they were exposed to a lot of information in a short space of time. In class, there was a lot of theory and in the wards there were skills to be learnt. Learners had to compile all the information and try to make sense out of it. Students follow up and support in the clinical facilities was reported as inadequate. The college should employ full time facilitators. This can improve teaching in the clinical area. The student should have mentors so that whenever they encounter a problem there will be people to assist and give them guidance. Through mentoring and support, student absenteeism can be controlled and students can gain self-confidence and learn more.
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- Date Issued: 2013
Client satisfaction with midwifery services rendered at Empilweni Gompo and Nontyuatyambo community health centres in the Eastern Cape, South Africa
- Authors: Mfundisi, Nokwamkela Pearl
- Date: 2013
- Subjects: Primary health care -- South Africa -- Eastern Cape , Community health services -- South Africa -- Eastern Cape , Community health nursing -- South Africa -- Eastern Cape , Midwifery -- South Africa -- Eastern Cape , Midwives -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11908 , http://hdl.handle.net/10353/d1006902 , Primary health care -- South Africa -- Eastern Cape , Community health services -- South Africa -- Eastern Cape , Community health nursing -- South Africa -- Eastern Cape , Midwifery -- South Africa -- Eastern Cape , Midwives -- South Africa -- Eastern Cape
- Description: The aim of this study was to investigate whether patients were satisfied with midwifery services rendered at the two Community Health Centres in the Eastern Cape Province.The study sites were Empilweni Gompo and Nontyatyambo Community Health Centres. Descriptive quantitative study design was employed, using a questionnaire with closed and open ended questions as the data collecting tool. Likert Scale was used to measure the following variables: quality care variables to measure level of satisfaction with midwifery services rendered and to determine positive and negative perceptions regarding quality of care received during antenatal, labour and postnatal period. Non-random convenience sampling of sixty pregnant women, thirty from each Community Health Centre, with two or more antenatal subsequent visits and forty postpartum women, twenty from each health facility, six hours after delivery if there were no complications. Out of 60 participants interviewed n=60 (100 percent) agreed that individual counseling and importance of HIV testing was explained.The majority of participants n=53(88 percent) disagreed that they were educated about focused antenatal visits. Out of 60 participants interviewed n=41(68 percent) agreed that delivery plan formed part of their ANC visits and n=18 (30 percent) disagreed. Of the 60 participants interviewed n=11(18 percent) agreed that they were told that they had the right to choose labour companions and n=48 (80 percent) disagreed.Out of 60 participants interviewed n=23 (38 percent) stated that they waited a long period of time without being attended to by midwives. In general, the study revealed high satisfaction level with intrapartum and postnatal care due to functional accessibility of both Community Health Centres. Both health centres delivered normal healthy babies and mothers. However, the participants were dissatisfied with antenatal care rendered at the two facilities. The researcher’s recommendations were based on the closing of gaps that were identified with regard to the implementation of Basic Antenatal Care; birth companions: health education deficiency; community involvement and participation.
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- Date Issued: 2013
Effectiveness of TB dot support programme as percieved by community health workers at Inxuba Yethemba and Tsolwana Sub-districts under Chris Hani District
- Authors: Gili-Stemele, Lindiwe
- Date: 2013
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11196 , http://hdl.handle.net/10353/d1006882
- Description: Background: The National Department of Health realised that its TB control efforts had been ineffective and joined its international counterparts by adopting Directly Observed Treatment short course [DOTs] strategy to fight the spread of TB. DOT is the only globally recognised strategy for effective TB control. This strategy ensures that infectious TB patients are identified and cured using standardised drug combinations. Treatment supporters observe patients as they swallow their drugs daily (SA Tuberculosis control Programme practical guide, 2000). Objectives of the study are: to assess the relevancy and quality of training for DOT supporters at InxubaYethemba and Tsolwana sub – districts,to identify challenges faced by TB DOT supporters during the execution of their duties and to assess satisfaction of TB DOT supporters, with their remuneration packages and other conditions of employment. Method: A quantitative descriptive convenient design was conducted for this study. A self - administered questionnaire was used.The researcher’s targeted sample was 42 participants although only 39 filled in the questionnaires. The questionnaires were personally distributed by the researcher to TB DOT supporters. Items in the questionnaire included the following: Demographic data, working hours per day, distance covered, meeting with managers, salary and remuneration issues and acceptance by community members. Results: The research findings indicated that the TB DOT Supporters are generally not happy with the conditions they are working under. From the 100 percent (n=39) TB DOTS responses, 8 percent (n=11) received a three days training, which is not in line with the Department of Health’s guidelines, and resulted in rendering ineffective delivery of DOT programme. Of the 100 percent ) 23.1 percent (n=9) walk 8kilometres, 51.3 percent percent(n=20) walk 7kilometers, 12.8 percent (n=5) walk 5kilometers, 10.3 percent (n=4) walk 4kilometers. This is against the required distance allowed to travel by foot which is five kilometres. Conclusion:According the results of this study, the effectiveness of TB DOT Supporters is being distracted by many factors, such as: Not having transport for doing home visits, Less number of hours worked per day, few number of community health workers working as TB DOT supporters, not having meetings with the management to discuss their challenges, and most of all not being given a clear explanation as far as their salaries are concern. The mentioned factors render D OT Support programme is rendered in effective at the Chris Hani District. According to Tuberculosis, A training Manual proven for Health Workers (1998:13) the most effective means of controlling TB known to us is a strategy known as Directly Observed Treatment Short Course (DOTS). This strategy enables tuberculosis clients to complete their treatment and has four areas of strength when compared to previous TB control strategies in South Africa. Recommendation: The results from this study proves that there is a definite need for improvement of working condition amongst TB Co-ordinators, TB Managers and the TB DOT Supporters. It is clear that increased number of MDR/XDR is due to the challenges that were mentioned above. There is a need for the additional number of TB DOT Supporters, as the area is big for only two TB DOT Supporters in each area. Hours worked by TB DOT needs to be extended considering their salaries as well.Therefore it is essential to empower TB DOT Supporters with more knowledge and skills so that they can be able to make an impact in TB service delivery system.
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- Date Issued: 2013
Evalution of the knowledge and skills of the professional nurses regarding IMCI service delivery, including HIV/AIDS case management in primary health care facilities in Buffalo City Sub-District, Eastern Cape Province, South Africa
- Authors: Noluvuyo, Leonelle Gosangaye
- Date: 2013
- Subjects: Nurses -- Rating of -- South Africa -- Eastern Cape , Nursing -- Ability testing -- South Africa -- Eastern Cape , Nursing -- Standards -- South Africa -- Eastern Cape , Nurses -- In-service training -- South Africa -- Eastern Cape , Nurses -- Supervision of -- South Africa -- Eastern Cape , HIV infections -- South Africa -- Eastern Cape , AIDS (Disease) -- South Africa -- Eastern Cape , Prenatal diagnosis -- South Africa -- Eastern Cape , Primary health care -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11903 , http://hdl.handle.net/10353/d1006782 , Nurses -- Rating of -- South Africa -- Eastern Cape , Nursing -- Ability testing -- South Africa -- Eastern Cape , Nursing -- Standards -- South Africa -- Eastern Cape , Nurses -- In-service training -- South Africa -- Eastern Cape , Nurses -- Supervision of -- South Africa -- Eastern Cape , HIV infections -- South Africa -- Eastern Cape , AIDS (Disease) -- South Africa -- Eastern Cape , Prenatal diagnosis -- South Africa -- Eastern Cape , Primary health care -- South Africa -- Eastern Cape
- Description: An increase in diarrhoea and upper respiratory tract infection has been noted for the past five years and this is associated with the prevalence of Human Immune-deficiency Virus and Acquired Immune Deficiency Syndrome. HIV infection is an increasingly common cause of childhood morbidity and mortality in South Africa. In some areas of the country, like the Eastern Cape, more than 30 percent of the women attending antenatal clinics are HIV infected. Without intervention, approximately one third of the babies born to these HIV infected mothers will get infection from their mothers (WHO, 2003). Aim and Objectives of the study: The study was meant to assess the specific knowledge and skills of professional nurses at the primary health facilities regarding management and integration of childhood illnesses, evaluate the quality of training of professional nurses on aspects of IMCI including integration of HIV within IMCI programme for children under five years in Primary Health Care facilities in Mdantsane Township. Methods: A quantitative descriptive method was used for this study. The questionnaire developed by the researcher was used for data collection. The items on the questionnaire were divided into four (4) subsections. The questionnaire was administered to all professional nurses on duty and those available at the time of data collection. A checklist for IMCI was used to collect data from Road to Health files of children who were HIV positive admitted in the pediatric ward at Cecilia Makhiwane Hospital. Results: The results of this study for all the variables examined showed that the highest score was 56 percent and the lowest was18 percent.These results indicated that the knowledge and skills of professional nurses were inadequate.
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- Date Issued: 2013
Experiences of final year nursing students at a public college of nursing in the Eastern Cape province regarding their preparedness to become registered nurses
- Authors: Mampunge, Fezeka
- Date: 2013
- Subjects: Nursing students -- South Africa -- Eastern Cape , Nurses -- South Africa -- Eastern Cape , Nurses -- In-service training -- South Africa -- Eastern Cape , Nursing -- Ability testing -- South Africa -- Eastern Cape , Nursing assessment -- South Africa -- Eastern Cape , Nursing -- Examinations , Nursing -- Standards -- South Africa -- Eastern Cape , Nursing student -- Registered nurse -- Experience , Preparedness -- College -- Clinical staff and Clinical accompaniment
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11905 , http://hdl.handle.net/10353/d1006815 , Nursing students -- South Africa -- Eastern Cape , Nurses -- South Africa -- Eastern Cape , Nurses -- In-service training -- South Africa -- Eastern Cape , Nursing -- Ability testing -- South Africa -- Eastern Cape , Nursing assessment -- South Africa -- Eastern Cape , Nursing -- Examinations , Nursing -- Standards -- South Africa -- Eastern Cape , Nursing student -- Registered nurse -- Experience , Preparedness -- College -- Clinical staff and Clinical accompaniment
- Description: Within the nursing profession, the transition from the student to a graduate nurse is a common rite of passage that marks the end of initial educational preparation in the discipline and the beginning of a professional journey as a nurse and a member of the multidisciplinary team (Nash, Lemcke & Sacre. 2009:48). This is a period of adjustment, stress, growth and development and the transitional nurse is likely to feel uncomfortable, fearful and may experience feelings of inadequacy. This study was undertaken to explore and describe the experiences of final year nursing students at a public college of nursing in the Eastern Cape regarding their preparedness to become registered nurses, with the aim to identify gaps and make recommendations on strategies to close the gaps. The objectives were to explore and describe the experiences of final year nursing students at the public college of nursing in the Eastern Cape Province with regard to their preparedness to become registered nurses and to recommend strategies to improve the preparation of nursing students for transition to become registered nurses. To answer the research question “What are the experiences of final year nursing students at a public college of nursing in the Eastern Cape Province with regard their preparedness to become registered nurses”, a qualitative, explorative and descriptive design was used as a framework for the study. Data were collected by means of unstructured focus group interviews with a purposively selected sample of 27 final year nursing students at the particular college of nursing. Data were analysed using Tesch’s method of analysis for qualitative research. Two themes emerged, revealing that participants at the college experienced preparedness and lack of preparedness to assume the role of a professional nurse. This related to certain aspects that had an impact on the preparation of the final year nursing students for practice and included: curriculum-related aspects; clinical teaching and learning support; learning opportunities; interpersonal relationships between lecturers, students and clinical staff; equipment; and library resources. It was concluded that the learning needs of the nursing students were not adequately catered for, leading to lack of preparedness. Through the involvement of nursing students in the evaluation of their learning, shortfalls in both education and practice areas could therefore be detected. Recommendations regarding strategies to be used to promote preparedness of final year nursing students included: continuous feedback on student performance in the form of exit evaluations on the part of students to identify learning needs; writing of progress reports on the part of clinical practice; and the employment of clinical preceptors with clear role specifications between the lecturers, ward sisters and preceptors to avoid role confusion.
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- Date Issued: 2013
Experiences of HIV and AIDS patients and families regarding palliative care in an urban care centre in Buffalo City
- Authors: Bunt, Helen
- Date: 2013
- Subjects: Palliative care -- HIV/AIDS , Patients and families experiences
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11904 , http://hdl.handle.net/10353/d1006814 , Palliative care -- HIV/AIDS , Patients and families experiences
- Description: The South African Constitution (South Africa, 1996) states that access to healthcare services is a basic human right. The Patients’ Rights Charter (HPCSA, 2008: 6) stipulates that the provision for “special needs in the case of persons living with HIV or AIDS” and palliative care be “affordable and effective”. The need for palliative care in South Africa today continues to increase. Khan and Sayed 2011[2]) found that five years after commencement of anti-retrovirals, twenty five percent of their patients had passed away. This study was performed in the Eastern Cape which is one of the poorest provinces with the second highest HIV prevalence rate. Since 2008, Sophumelela Centre Incorporated has offered palliative care for HIV and AIDS patients in Buffalo City. Some of these patients and their families were interviewed about their experiences in this care centre. The South African Constitution (South Africa, 1996) states that access to healthcare services is a basic human right. The Patients’ Rights Charter (HPCSA, 2008: 6) stipulates that the provision for “special needs in the case of persons living with HIV or AIDS” and palliative care be “affordable and effective”. The need for palliative care in South Africa today continues to increase. Khan and Sayed (2011[2]) found that five years after commencement of anti-retrovirals, twenty five percent of their patients had passed away. This study was performed in the Eastern Cape which is one of the poorest provinces with the second highest HIV prevalence rate. Since 2008, Sophumelela Centre Incorporated has offered palliative care for HIV and AIDS patients in Buffalo City. Some of these patients and their families were interviewed about their experiences in this care centre.
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- Date Issued: 2013
Experiences of students living with HIV and AIDS (SLWHA) regarding support group in a selected university campus, Eastern Cape Province
- Authors: Chulayo, Amanda
- Date: 2013
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11919 , http://hdl.handle.net/10353/d1016202
- Description: South Africa has one of the highest HIV and AIDS epidemic statistics in the world, especially people under 25 years of age (Department of Social Development, 2002:11). Some university students are implicated, thus Support groups in this context are crucial to help them cope with their unique circumstances. Purpose: of this study was to assess the effectiveness of support groups for SLWHA within a university campus in the Eastern Cape Province. Method: Interviews were used to explore the experiences and challenges of SLWHA. Results: The study shows that support groups are pivotal in the wellbeing of SLWHA in meeting diverse needs such as sense fo belonging, emotional, psychological, information and knowledge,socio-economic as well as health and physical needs. Support group members experience relatively similar living experiences, dynamic as their various lives are, they are able to share their emotions and problems arising from their HIV statuses, thereby lessening their burdens. Some negative experiences were observed, like issues of confidentiality, depression and stress. Conclusion: University support groups can be improved through structured programs that includes various stakeholders like health professionals (wellness centre), university management, and others including academics within the university. Also, expanding their borders via the use of social networks, and expanding their activities to include music, sports, vegetable gardening, group visitations, skills training, and other useful projects shall help to improve lives of victims and fight against the infection of other community members.
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- Date Issued: 2013
Learner nurses experiences regarding clinical supervision at private hospitals in East London in the Eastern Cape
- Authors: Vos, Porsha
- Date: 2013
- Subjects: Nurses -- Supervision of -- South Africa -- Eastern Cape , Nurses -- In-service training -- South Africa -- Eastern Cape , Nurses -- Rating of -- South Africa -- Eastern Cape , Hospitals -- Employees -- In-service training -- South Africa -- Eastern Cape , Hospitals -- Personnel management
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11906 , http://hdl.handle.net/10353/d1006824 , Nurses -- Supervision of -- South Africa -- Eastern Cape , Nurses -- In-service training -- South Africa -- Eastern Cape , Nurses -- Rating of -- South Africa -- Eastern Cape , Hospitals -- Employees -- In-service training -- South Africa -- Eastern Cape , Hospitals -- Personnel management
- Description: The purpose of this study was to explore and to describe experiences of learner nurses regarding clinical supervision at private hospitals in East London in the Eastern Cape. These were Life Healthcare hospitals. A qualitative, contextual approach was used and the exploratory, descriptive design was seen as most appropriate in this study. The subjects were the learner nurses in the Bridging Course Programme leading to registration as a General Nurse. The research questions were: How did you as a learner nurse, doing the Bridging Course, experience clinical supervision at Life Healthcare hospitals? A pilot study was conducted in a clinical setting involving respondents with similar characteristics to the study population. Fourteen participants were selected for this study by using a purposive, non-probability sampling method. Data were collected by means of individual interviews during which participants were able to describe their experiences during clinical supervision; data were collected until data saturation was reached.During data analysis, the researcher used the process of bracketing and remained neutral, setting aside previous knowledge and beliefs about the phenomenon under investigation. The researcher listened to the audiotapes used for data collection several times until she was completely satisfied with the interpretation of the verbatim data. Transcriptions were made within three days of the interview. The research was done in an ethically reflective manner and the researcher ensured the trustworthiness of the study at all times. The researcher allowed the participants freedom to conduct their lives as autonomous agents, without external The purpose of this study was to explore and to describe experiences of learner nurses regarding clinical supervision at private hospitals in East London in the Eastern Cape. These were Life Healthcare hospitals. A qualitative, contextual approach was used and the exploratory, descriptive design was seen as most appropriate in this study. The subjects were the learner nurses in the Bridging Course Programme leading to registration as a General Nurse. The research questions were: How did you as a learner nurse, doing the Bridging Course, experience clinical supervision at Life Healthcare hospitals? A pilot study was conducted in a clinical setting involving respondents with similar characteristics to the study population. Fourteen participants were selected for this study by using a purposive, non-probability sampling method. Data were collected by means of individual interviews during which participants were able to describe their experiences during clinical supervision; data were collected until data saturation was reached.During data analysis, the researcher used the process of bracketing and remained neutral, setting aside previous knowledge and beliefs about the phenomenon under investigation. The researcher listened to the audiotapes used for data collection several times until she was completely satisfied with the interpretation of the verbatim data. Transcriptions were made within three days of the interview. The research was done in an ethically reflective manner and the researcher ensured the trustworthiness of the study at all times. The researcher allowed the participants freedom to conduct their lives as autonomous agents, without external control, coercion or exploitation. The following findings were evident: Three main themes emerged from data analyses. These comprised inadequate clinical supervision, satisfactory clinical supervision and suggestions and inputs regarding clinical supervision. Detailed discussions about the findings in relation to earlier studies were conducted. Recommendations to improve clinical supervision were made in order to improve the experiences of learner nurses during training. The findings of the research will be made available through the University of Fort Hare library and the Life College of Learning. Furthermore the information of this study will be shared with colleagues and will be published in an accredited nursing journal such as Curationis as well as other journals.control, coercion or exploitation. The following findings were evident: Three main themes emerged from data analyses. These comprised inadequate clinical supervision, satisfactory clinical supervision and suggestions and inputs regarding clinical supervision. Detailed discussions about the findings in relation to earlier studies were conducted. Recommendations to improve clinical supervision were made in order to improve the experiences of learner nurses during training. The findings of the research will be made available through the University of Fort Hare library and the Life College of Learning. Furthermore the information of this study will be shared with colleagues and will be published in an accredited nursing journal such as Curationis as well as other journals.
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- Date Issued: 2013
Professional behaviour among nursing students at a college in the Eastern Cape
- Authors: Magopeni, Sibongile Nomvuyo
- Date: 2013
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11929 , http://hdl.handle.net/10353/d1021322
- Description: The focus of the study was to explore and describe reasons for poor professional behaviour among nursing students at a public nursing college in the Eastern Cape. The objectives of the study were to explore and describe the reasons for poor professional behaviour among nursing students and to describe strategies to improve poor professional behaviour. The study has significance for the college management, staff, nursing students, registered nurses and everyone involved in professional development of nursing students. The population for this study consisted of third-year nursing students following the four-year comprehensive basic course for registration leading to the Diploma in Nursing (General, Community & Psychiatry) and Midwifery at a public nursing college. The research questions were: What do you understand by professional behaviour? What are the reasons for poor professional behaviour among nursing students? What could be done to improve professionalism among college nursing students? A qualitative, explorative, descriptive and contextual design was used as a framework for the study. Permission to conduct the study was obtained from the University of Fort Hare ethics committee and other relevant authorities as indicated in the study. Ethical principles were maintained and informed consent obtained. Data collection was done using focus groups and an audiotape with a purposefully sampling of 30 third-year nursing students at the public college of nursing. Data were analysed using Tesch’s method of analysis for qualitative research. Three major themes emerged: students’ understanding of professional behaviour, reasons for poor professional behaviour and methods to improve poor professional behaviour. It was concluded that poor professional behaviour has an effect on professionalism and it should be addressed and corrected for protecting the professional image. Recommendations: Policies regarding inappropriate professional behaviour at the college should be in place and easily accessible to every staff member and nursing student. Department of Health should conduct reflective courses and seminars on professionalism and these should begin at the same time as the academic programme.
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- Date Issued: 2013
Reasons for failure of students nurses to present themselves for assessment of clinical skills at a public nursing college in the Eastern cape province
- Authors: Senti, Nomandithini Innocent
- Date: 2013
- Subjects: Nursing students -- South Africa -- Eastern Cape , Nurses -- Attitudes -- South Africa -- Eastern Cape , Nurses -- In-service training -- South Africa -- Eastern Cape , Nurses -- Rating of -- South Africa -- Eastern Cape , Nurses -- Supervision of -- South Africa -- Eastern Cape , Nursing -- Ability testing -- Examinations , Nursing -- Standards -- South Africa -- Eastern Cape , Nursing assessment -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11907 , http://hdl.handle.net/10353/d1006828 , Nursing students -- South Africa -- Eastern Cape , Nurses -- Attitudes -- South Africa -- Eastern Cape , Nurses -- In-service training -- South Africa -- Eastern Cape , Nurses -- Rating of -- South Africa -- Eastern Cape , Nurses -- Supervision of -- South Africa -- Eastern Cape , Nursing -- Ability testing -- Examinations , Nursing -- Standards -- South Africa -- Eastern Cape , Nursing assessment -- South Africa -- Eastern Cape
- Description: The focus of this study was to explore reasons for the failure of student nurses to present themselves for assessment of clinical skills at a public nursing college in the Eastern Cape. The objectives were to explore and describe reasons why these student nurses were not presenting themselves for such assessment of clinical skills; to develop strategies to motivate them to present themselves for clinical skills assessment; and to make recommendations for assessment of clinical skills. The population of the study was the second and the third-year student nurses undergoing a four-year comprehensive diploma course at a public college of nursing in the Eastern Cape. Non-probability convenience sampling was used. The research questions were, firstly, why the student nurses were not presenting themselves for assessment of clinical skills? Secondly, what recommendations could be made to motivate the student nurses to present themselves for clinical skills assessment? A qualitative, explorative, descriptive and contextual research design was used. Focus group interviews with six participants per group were used to collect data. The total number of participants five focus groups was 30 by the time data saturation was reached. Data were collected following the research question, “Why are you not presenting yourselves for clinical skill assessment?” Their responses were recorded using audiotape and notes with the help of an experienced colleague. Data was analysed following Teschʼs method. Findings presented one theme, being the reason for students not presenting themselves for feedback or delaying to do so. Categories indicated that students were afraid and overwhelmed with anxiety; had too much work to do; unpreparedness for learnt skills; equipment and resources; lack of confidence; and busy ward schedules. Subcategories included lecturersʼ attitude; unfamiliarity to lecturers accompanying them; having to study to master a lot of theory; having to prepare for many tests; unavailability of lecturers to mentor them; unavailability of unit professional nurses to guide them; reluctance of patients to be used for practising skills; a tendency not to practise skills; too many students; being used as work force; placement objectives; use of dolls for demonstration; tools used to support learning making reference to obsolete equipment; all skills demonstrated at the same time; lecturers improvising when they are demonstrating some skills, and not being released for practising of skills. The focus of this study was to explore reasons for the failure of student nurses to present themselves for assessment of clinical skills at a public nursing college in the Eastern Cape. The objectives were to explore and describe reasons why these student nurses were not presenting themselves for such assessment of clinical skills; to develop strategies to motivate them to present themselves for clinical skills assessment; and to make recommendations for assessment of clinical skills. The population of the study was the second and the third-year student nurses undergoing a four-year comprehensive diploma course at a public college of nursing in the Eastern Cape. Non-probability convenience sampling was used. The research questions were, firstly, why the student nurses were not presenting themselves for assessment of clinical skills? Secondly, what recommendations could be made to motivate the student nurses to present themselves for clinical skills assessment? A qualitative, explorative, descriptive and contextual research design was used. Focus group interviews with six participants per group were used to collect data. The total number of participants five focus groups was 30 by the time data saturation was reached. Data were collected following the research question, “Why are you not presenting yourselves for clinical skill assessment?” Their responses were recorded using audiotape and notes with the help of an experienced colleague. Data was analysed following Teschʼs method. Findings presented one theme, being the reason for students not presenting themselves for feedback or delaying to do so. Categories indicated that students were afraid and overwhelmed with anxiety; had too much work to do; unpreparedness for learnt skills; equipment and resources; lack of confidence; and busy ward schedules. Subcategories included lecturersʼ attitude; unfamiliarity to lecturers accompanying them; having to study to master a lot of theory; having to prepare for many tests; unavailability of lecturers to mentor them; unavailability of unit professional nurses to guide them; reluctance of patients to be used for practising skills; a tendency not to practise skills; too many students; being used as work force; placement objectives; use of dolls for demonstration; tools used to support learning making reference to obsolete equipment; all skills demonstrated at the same time; lecturers improvising when they are demonstrating some skills, and not being released for practising of skills. The researcher concluded that students had valid reasons for not presenting themselves for assessment of clinical skills but this could be rectified through the involvement of lectures, ward staff as well as students themselves. The researcher recommended that effective communication between the staff in clinical areas and the college is needed. Clinical laboratories needed laboratory managers and had to be well equipped. A revision of the student-lecturer ratio form feed-back on skills is also suggested.The researcher concluded that students had valid reasons for not presenting themselves for assessment of clinical skills but this could be rectified through the involvement of lectures, ward staff as well as students themselves. The researcher recommended that effective communication between the staff in clinical areas and the college is needed. Clinical laboratories needed laboratory managers and had to be well equipped. A revision of the student-lecturer ratio for feed-back on skills is also suggested.
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- Date Issued: 2013
Strategies used to implement the national guidelines on preventing and early management of multi-drug resistant tuberculosis (MDR-TB) at the buffalo city municipality clinics in East London Eastern Cape province
- Authors: Giyose, Patela
- Date: 2013
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: http://hdl.handle.net/10353/1297 , vital:26544
- Description: The purpose of the study was to explore and describe the strategies used by nurses to implement the national treatment guidelines to prevent, detect and manage multi-drug resistant tuberculosis (MDR-TB) patients. Tuberculosis remains one of the leading infectious diseases and the major cause of death worldwide with estimates of 9.2 million new TB cases in 2008 and 1.7 deaths including 200 000 in clients co-infected with HIV. South Africa is currently ranked 3rd among the 22 high TB burden countries in the world. The HIV/AIDS epidemic contributes significantly to the upward trend in TB morbidity and it is estimated that more than 50% of TB patients are also HIV positive (South African Department of Health 2009:10). The current rate of tuberculosis infections as a result of new infections as well as re-infections of patients is of concern to the disease control and policy making bodies of South Africa. Questions regarding the effectiveness of tuberculosis policies and programmes emerge at all times (Luhulima, Netshandama and Davhana-Maselesele, 2008: 36). Patients with multidrug-resistant (MDR) tuberculosis (TB) are at high risk of treatment failure. It is anticipated that early identification of MDR-TB and appropriate treatment will improve patient outcome and disease control. This study intends to explore the effectiveness of health systems in the prompt identification and management of MDR patients. This study was conducted using a qualitative, explorative and descriptive design. A purposive sample of clinics and professional nurses was selected, and voluntary participation was ensured. The data was collected through individual interviews which were audio taped and then transcribed verbatim. Findings revealed that MDR-TB guidelines were available at the clinics. The professional nurses implemented the guidelines to prevent, detect and manage multi-drug resistant tuberculosis, by screening and testing symptomatic high risk groups, contact tracing and monitoring, providing initial counselling and education to patients and family, preparing patients for admission when indicated and coordinating referrals to the centralised MDR-TB unit. However, there were notable constraints with regards to the management of MDR-TB patients and the overall TB programme. These included MDR-TB specific training, staff shortages, dysfunctional community DOT programme, shortage of beds at the MDR-TB treatment centres, and patient factors like defaulting, migration for various reasons, alcoholism. All these constraints call for intensified strategic management at both policy and facility level. It is also necessary that all policies related to patient management need extensive scientific study to monitor and evaluate their effectiveness. More research studies are required on policy analysis and utilization.
- Full Text:
- Date Issued: 2013
The perceptions of 2nd year bridging course students regarding mentoring at private nursing colleges in Eastern Cape
- Authors: Pillay, Thriscilla
- Date: 2013
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11916 , http://hdl.handle.net/10353/d1016157
- Description: Nursing faces many challenges today, such as an international shortageof nurses and high medico-legal risks. One way of becoming a professional nurse is to complete a diploma course called the Bridging Course at a private nursing college. This is a two-year diploma course that is controlled by the South African Nursing Council (SANC), Regulation 683. This course allows enrolled nurses to further their studies to become a professional nurse, thus becoming an independent practitioner. These Bridging Course students need to do mentoring as part of their training so as to socialise them into the requirements for the role they will fulfil as a professional nurse and assist them to attain the competencies needed to function independently after the training phase. The various prescribed competencies that the Bridging Course student nurse needs to complete are clinical, co-ordination and management competencies. Clinical competencies equip them to perform and teach all nursing duties and co-ordination competencies ensure smooth, effective running of a ward. Then there are management competencies to be able to meet the vision, mission and philosophy of the unit and to have control from an or Nursing faces many challenges today, such as an international shortage of nurses and high medico-legal risks. One way of becoming a professional nurse is to complete a diploma course called the Bridging Course at a private nursing college. This is a two-year diploma course that is controlled by the South African Nursing Council (SANC), Regulation 683. This course allows enrolled nurses to further their studies to become a professional nurse, thus becoming an independent practitioner. These Bridging Course students need to do mentoring as part of their training so as to socialise them into the requirements for the role they will fulfil as a professional nurse and assist them to attain the competencies needed to function independently after the training phase. The various prescribed competencies that the Bridging Course student nurse needs to complete are clinical, co-ordination and management competencies. Clinical competencies equip them to perform and teach all nursing duties and co-ordination competencies ensure smooth, effective running of a ward. Then there are management competencies to be able to meet the vision, mission and philosophy of the unit and to have control from an organisational, human resource and business perspective. Research studies have discovered higher retention and graduation rates to be one of the positive outcomes of the mentoring process; also that mentoring solidifies people as leaders (Seekoe, 2011:15). Due to the international shortage of professional nurses, effective mentoring is much needed. This will allow the professional nurses to be able to perform competently in all expected areas. Having competent, qualified professional nurses may help to reduce medico-legal risks and restore the public’s trust in the nursing profession. Despite extensive research on mentoring, there is little research on the Bridging Course student nurse’s perceptions regarding mentoring, ganisational, human resource and business perspective. Research studies have discovered higher retention and graduation rates to be one of the positive outcomes of the mentoring process; also that mentoring solidifies people as leaders (Seekoe, 2011:15). Due to the international shortage of professional nurses, effective mentoring is much needed. This will allow the professional nurses to be able to perform competently in all expected areas. Having competent, qualified professional nurses may help to reduce medico-legal risks and restore the public’s trust in the nursing profession. Despite extensive research on mentoring, there is little research on the Bridging Course student nurse’s perceptions regarding mentoring.
- Full Text:
- Date Issued: 2013