Perceptions of patients about poor attitudes and behaviours of midwives in the maternity sections in a public hospital of East London South Africa
- Authors: Lawrence, N W
- Date: 2019-11
- Subjects: Midwifery , Nursing ethics , Nurse and patient
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/26918 , vital:66099
- Description: Midwives are largely responsible for maternity care in hospitals. As such, they play a significant role in ensuring the health and well-being of pregnant women and newborn babies. To perform that duty effectively, midwives need to be professional in their conduct. However, there are reports that midwives have displayed poor attitudes and behaviour in South Africa. The main research question was “what are the perceptions of patients about attitudes and behaviours of midwives in the maternity section in a public hospital in East London, South Africa?” The aim of the study was to explore the reasons behind poor attitudes and behaviour of midwives in midwifery practice and suggest interventions that can be introduced to promote professional attitudes and behaviour by midwives in a public hospital in East London. This study used a qualitative approach to collect data. The research instrument that was used for this study was semi-structured interviews. The sample of 20 participants which was purposively selected consisted of women that have used the East London public hospital maternity section. Data was collected using coding and themes emanating from the data generated. Midwives are valued and play a very significant role in providing maternal care. Be that as it may, midwives exhibit poor attitudes and behaviours such as being rude, lack sympathy, and lack of empathy. On the other hand, midwives act professionally and are supportive of patients. There is, therefore, a need for the provision of professional etiquette training services, stress counseling, use of work development strategies and performance management systems, technical training, linkage system of traditional and modern midwives, and the use of internet platforms to increase interaction between midwives and those that need maternity care services. , Thesis (MPA) -- Faculty of Health Sciences, 2019
- Full Text:
- Date Issued: 2019-11
- Authors: Lawrence, N W
- Date: 2019-11
- Subjects: Midwifery , Nursing ethics , Nurse and patient
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/26918 , vital:66099
- Description: Midwives are largely responsible for maternity care in hospitals. As such, they play a significant role in ensuring the health and well-being of pregnant women and newborn babies. To perform that duty effectively, midwives need to be professional in their conduct. However, there are reports that midwives have displayed poor attitudes and behaviour in South Africa. The main research question was “what are the perceptions of patients about attitudes and behaviours of midwives in the maternity section in a public hospital in East London, South Africa?” The aim of the study was to explore the reasons behind poor attitudes and behaviour of midwives in midwifery practice and suggest interventions that can be introduced to promote professional attitudes and behaviour by midwives in a public hospital in East London. This study used a qualitative approach to collect data. The research instrument that was used for this study was semi-structured interviews. The sample of 20 participants which was purposively selected consisted of women that have used the East London public hospital maternity section. Data was collected using coding and themes emanating from the data generated. Midwives are valued and play a very significant role in providing maternal care. Be that as it may, midwives exhibit poor attitudes and behaviours such as being rude, lack sympathy, and lack of empathy. On the other hand, midwives act professionally and are supportive of patients. There is, therefore, a need for the provision of professional etiquette training services, stress counseling, use of work development strategies and performance management systems, technical training, linkage system of traditional and modern midwives, and the use of internet platforms to increase interaction between midwives and those that need maternity care services. , Thesis (MPA) -- Faculty of Health Sciences, 2019
- Full Text:
- Date Issued: 2019-11
Knowledge and attitudes of women towards companionship during labour and childbirth at midwife obstetric units
- Authors: Sogcwayi, Lulama Princess
- Date: 2019
- Subjects: Childbirth -- Social aspects -- South Africa , Childbirth -- Psychological aspects , Neonatal nursing , Midwifery , Obstetrics
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/44023 , vital:37093
- Description: Companions provide support to women during the antenatal, labour, delivery and post-natal period. During labour and delivery women experience much pain as well as fear, tension and anxiety. Companionship during labour and childbirth can take the form of physical, emotional and psychological support provided by a loved one. Literature suggests that companionship during labour and delivery has a positive influence on women’s birth experiences and improves neonatal outcomes and breastfeeding. Despite the benefits of companionship, however, it is still found to be an uncommon practice in the midwife obstetric units (MOUs) in South Africa and elsewhere. The objectives of the study were to determine: the knowledge of women regarding companionship during labour and childbirth at MOU facilities in the Nelson Mandela Bay Health District (NMBHD) and the attitudes of women towards companionship during labour and childbirth at MOU facilities in the NMBHD.bmake recommendations to the NMBHD and MOU managers in order to enhance the practice of companionship during labour and childbirth. Ethical approval and permission were obtained from the relevant authorities prior to commencement of data collection of the study. Convenience sampling was used to select women from the target population. The research design was quantitative and descriptive. Questionnaires were used to collect data from delivered women at the five MOUs in the NMBHD. Data was collected from 130 delivered women at the five MOUs in the NMBHD between 4th December and 31st December 2018. Descriptive statistical analyses were utilised to analyse the collected data. Most delivered women 65.4% at MOUs in the NMBHD indicated they had knowledge about companionship during labour and childbirth. Majority of women 77.6% perceived companionship during labour and childbirth to be of importance. Some women were not aware of the purpose of companions as most women 39.2% disagreed that companions shorten length of labour, 45.8% agreed that companions monitor the progress of labour, 32.3% agreed that companions conduct deliveries. Most women 77.7% disagreed that companions as unhelpful, 65.4% are disruptive and 81.6% are affected by culture. However, 46.2% of the women in the study had no companion present during labour and childbirth, 56.2% preferred the presence of a female companion. Conclusions were made based on the research findings, that there is a need to educate and increase awareness to women regarding companionship during labour and childbirth so that they are more knowledgeable, and in order to strengthen the practice of companionship. Recommendations were made for more educational programmes to be available in antenatal services to increase awareness and enhance knowledge of women about companionship during labour and childbirth. Health educators need to conduct seminars, regular in-service training and include the concept of companions in the curriculum for midwifery students. Policies should be made available in the MOUs regarding companions, brochures or leaflets should also be available and accessible in all languages for the community to enhance awareness on the benefits of having a companion. Maternity registers should include information about companions in order to monitor the practice of companionship at the MOUs.
- Full Text:
- Date Issued: 2019
- Authors: Sogcwayi, Lulama Princess
- Date: 2019
- Subjects: Childbirth -- Social aspects -- South Africa , Childbirth -- Psychological aspects , Neonatal nursing , Midwifery , Obstetrics
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/44023 , vital:37093
- Description: Companions provide support to women during the antenatal, labour, delivery and post-natal period. During labour and delivery women experience much pain as well as fear, tension and anxiety. Companionship during labour and childbirth can take the form of physical, emotional and psychological support provided by a loved one. Literature suggests that companionship during labour and delivery has a positive influence on women’s birth experiences and improves neonatal outcomes and breastfeeding. Despite the benefits of companionship, however, it is still found to be an uncommon practice in the midwife obstetric units (MOUs) in South Africa and elsewhere. The objectives of the study were to determine: the knowledge of women regarding companionship during labour and childbirth at MOU facilities in the Nelson Mandela Bay Health District (NMBHD) and the attitudes of women towards companionship during labour and childbirth at MOU facilities in the NMBHD.bmake recommendations to the NMBHD and MOU managers in order to enhance the practice of companionship during labour and childbirth. Ethical approval and permission were obtained from the relevant authorities prior to commencement of data collection of the study. Convenience sampling was used to select women from the target population. The research design was quantitative and descriptive. Questionnaires were used to collect data from delivered women at the five MOUs in the NMBHD. Data was collected from 130 delivered women at the five MOUs in the NMBHD between 4th December and 31st December 2018. Descriptive statistical analyses were utilised to analyse the collected data. Most delivered women 65.4% at MOUs in the NMBHD indicated they had knowledge about companionship during labour and childbirth. Majority of women 77.6% perceived companionship during labour and childbirth to be of importance. Some women were not aware of the purpose of companions as most women 39.2% disagreed that companions shorten length of labour, 45.8% agreed that companions monitor the progress of labour, 32.3% agreed that companions conduct deliveries. Most women 77.7% disagreed that companions as unhelpful, 65.4% are disruptive and 81.6% are affected by culture. However, 46.2% of the women in the study had no companion present during labour and childbirth, 56.2% preferred the presence of a female companion. Conclusions were made based on the research findings, that there is a need to educate and increase awareness to women regarding companionship during labour and childbirth so that they are more knowledgeable, and in order to strengthen the practice of companionship. Recommendations were made for more educational programmes to be available in antenatal services to increase awareness and enhance knowledge of women about companionship during labour and childbirth. Health educators need to conduct seminars, regular in-service training and include the concept of companions in the curriculum for midwifery students. Policies should be made available in the MOUs regarding companions, brochures or leaflets should also be available and accessible in all languages for the community to enhance awareness on the benefits of having a companion. Maternity registers should include information about companions in order to monitor the practice of companionship at the MOUs.
- Full Text:
- Date Issued: 2019
Motherhood experiences of teenagers : a Xhosa perspective
- Authors: Mlotana, Pumla Princess
- Date: 2012
- Subjects: Motherhood , Midwifery
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10058 , http://hdl.handle.net/10948/d1019998
- Description: In South Africa and worldwide high rates of teenage pregnancy and motherhood remains a concern. According to Mkhwanazi (2010:349) most of teenage pregnancy occurs among poor black and coloured communities. The majority of these pregnancies are unwanted and unplanned resulting teenage mother experiencing problems with motherhood. The relationship in family peers and communities are adversely affected. Teenage motherhood seen as to be socially economically and physically delirious for the teenage mother and her baby. Teenage motherhood became a burden not only on the teenage mother but also to the family and the State. Cultural issues aggravated the situation in which the teenage mother finds herself in which is the lack of support from the communities in which they live. This results to the teenage mother having a feeling being alienated. The researcher as a midwife working in labour ward observed that the teenagers of younger ages are frequently admitted in labour wards in one of the hospitals in Nelson Mandela Metropolitan Municipality. The researcher became interested to conduct a study on mother hood experiences of teenage mothers: A Xhosa Pespective. The first objective of the study was to explore and describe the motherhood experiences of Xhosa teenagers. The second objective was to make recommendations to assist the midwives to help teenage mothers cope with motherhood. These recommendations could be used by health professionals to address the research findings. A qualitative, explorative descriptive and contextual research design was used to reach the objectives of the study. The research population consisted of Xhosa speaking teenage mothers who were residing at Kwazakhele Township and whose age was between 12 -16 years. Teenage mothers who gave birth to live babies during the last 6-12 months. Ethical considerations were maintained throughout the research study .Semi- structured interviews were conducted before data saturation was reached. The data collected during the interviews were transcribed and analyzed using Tech’s model of data analysis. The aspect of trustworthiness according to Guba’s model was implemented in the research study and included credibility, applicability, consistency and neutrality.
- Full Text:
- Date Issued: 2012
- Authors: Mlotana, Pumla Princess
- Date: 2012
- Subjects: Motherhood , Midwifery
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10058 , http://hdl.handle.net/10948/d1019998
- Description: In South Africa and worldwide high rates of teenage pregnancy and motherhood remains a concern. According to Mkhwanazi (2010:349) most of teenage pregnancy occurs among poor black and coloured communities. The majority of these pregnancies are unwanted and unplanned resulting teenage mother experiencing problems with motherhood. The relationship in family peers and communities are adversely affected. Teenage motherhood seen as to be socially economically and physically delirious for the teenage mother and her baby. Teenage motherhood became a burden not only on the teenage mother but also to the family and the State. Cultural issues aggravated the situation in which the teenage mother finds herself in which is the lack of support from the communities in which they live. This results to the teenage mother having a feeling being alienated. The researcher as a midwife working in labour ward observed that the teenagers of younger ages are frequently admitted in labour wards in one of the hospitals in Nelson Mandela Metropolitan Municipality. The researcher became interested to conduct a study on mother hood experiences of teenage mothers: A Xhosa Pespective. The first objective of the study was to explore and describe the motherhood experiences of Xhosa teenagers. The second objective was to make recommendations to assist the midwives to help teenage mothers cope with motherhood. These recommendations could be used by health professionals to address the research findings. A qualitative, explorative descriptive and contextual research design was used to reach the objectives of the study. The research population consisted of Xhosa speaking teenage mothers who were residing at Kwazakhele Township and whose age was between 12 -16 years. Teenage mothers who gave birth to live babies during the last 6-12 months. Ethical considerations were maintained throughout the research study .Semi- structured interviews were conducted before data saturation was reached. The data collected during the interviews were transcribed and analyzed using Tech’s model of data analysis. The aspect of trustworthiness according to Guba’s model was implemented in the research study and included credibility, applicability, consistency and neutrality.
- Full Text:
- Date Issued: 2012
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