An educational intervention on the liberation of ventilated adult patients in public critical care units
- Oamen, Benedict Raphael, ten Ham-Baloyi, Wilma
- Authors: Oamen, Benedict Raphael , ten Ham-Baloyi, Wilma
- Date: 2019
- Subjects: Intensive care nursing -- South Africa -- Eastern Cape , Intensive care units -- South Africa -- Eastern Cape Nursing -- Study and teaching -- South Africa -- Eastern Cape Nurse and patient
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/42968 , vital:36715
- Description: Professional nurses perform liberation of ventilated patients in the critical care units to ensure that ventilated patients can breathe on their own to maintain adequate oxygenation after the removal of an artificial airway and prevent liberation failure. The study aimed to describe the effect of an educational intervention on professional nurses’ knowledge concerning the liberation of ventilated adult patients in public critical care units. The research study described how an educational intervention increased the knowledge of professional nurses working in five public adult critical care units with a total of 54 beds for medical and surgical adult patients who are mechanically ventilated across the Eastern Cape Province. The objectives were first; to investigate the knowledge of professional nurses, concerning the liberation of ventilated adult patients. Secondly, to implement the evidence-based guidelines on liberation using an educational intervention. Thirdly, to describe the effect of an educational intervention on professional nurses’ knowledge concerning the liberation of ventilated adult patients in five public critical care units across the Eastern Cape Province. The researcher conducted an intervention research study using a quantitative, quasi-experimental pre-test/post-test with a control group design. The researcher recruited 150 participants who were professional nurses working in the five adult critical care units in academic hospitals. The five public adult critical care units were purposively divided into three sample groups, which consisted of two experimental groups and a control group. While considering the geographical location and proximity of the academic hospitals the groups were divided into Experimental Group 1 (comprised of 57 professional nurses from two critical care units) and Experimental Group 2 (comprised of 59 professional nurses from two critical care units), plus a Control Group (comprised of 34 professional nurses from one critical care unit). To achieve a large sample, all the professional nurses working in the five academic hospitals across the Eastern Cape Province were included in this study. The research study was conducted in three phases. In Phase One of the study, a pre-test questionnaire was administered to the professional nurses to investigate their current knowledge of the liberation of ventilated adult patients. Subsequently, in Phase Two, an educational intervention that was based on the liberation of ventilated adult patients used a PowerPoint in-service presentation in the form of a formal lecture, printed copies of the evidence-based guidelines on liberation and colour printed posters attached to the notice boards and strategic places such as the tea room and corridor of the critical care units in Experimental Group 1. Equally, Experimental Group 2 received only printed copies of the evidence-based guidelines. In the Control Group, the researcher did not implement the evidence-based guidelines. Three months after the implementation of the evidence-based guidelines, Phase Three was conducted, and a post-test questionnaire was administered to describe the effect of the educational intervention on the professional nurses’ knowledge. With the assistance of the statistician, data were analysed through descriptive analysis using the measure of frequency, central tendency, dispersion/variation and position. In addition to that, an inferential analysis used Analysis of Variance, Chi-square test, t-statistic (t-test), Cohen’s d, Cramér’s V, and Scheffe’s post-hoc test. Since there was no existing questionnaire, the researcher developed the questionnaires that were used in this study. The researcher ensured reliability and validity throughout the study. The ethical clearance reference number, H17-HEA-NUR-019 was obtained for the study from the Nelson Mandela University. A letter of permission was granted by the Provincial’s Department of Health, Bhisho, the Eastern Cape Province, with reference number, EC_201712_017. Other ethical principles were taking into consideration. The implementation of evidence-based guidelines on liberation using an educational intervention in the form of PowerPoint presentation, complemented with printed copies of the evidence-based guidelines and coloured posters as reminders showed an increase (Mean = 65,22; S.D = 12,08) in the mean knowledge score of professional nurses in Experimental Group 1. Contrary, the use of printed copies of the evidence-based guidelines on liberation showed a significant decrease (Mean = 53,41; S.D = 15,44; p = 0.033; Cohen's d = 0.49 small effect) in the mean knowledge score of professional nurses in Experimental Group 2. A single educational intervention method did not affect knowledge increase compared to a combined educational intervention method. Imparting knowledge in the public critical care units across the Eastern Cape Province is still very important. Further recommendations for practice, research and education were provided.
- Full Text:
- Date Issued: 2019
- Authors: Oamen, Benedict Raphael , ten Ham-Baloyi, Wilma
- Date: 2019
- Subjects: Intensive care nursing -- South Africa -- Eastern Cape , Intensive care units -- South Africa -- Eastern Cape Nursing -- Study and teaching -- South Africa -- Eastern Cape Nurse and patient
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/42968 , vital:36715
- Description: Professional nurses perform liberation of ventilated patients in the critical care units to ensure that ventilated patients can breathe on their own to maintain adequate oxygenation after the removal of an artificial airway and prevent liberation failure. The study aimed to describe the effect of an educational intervention on professional nurses’ knowledge concerning the liberation of ventilated adult patients in public critical care units. The research study described how an educational intervention increased the knowledge of professional nurses working in five public adult critical care units with a total of 54 beds for medical and surgical adult patients who are mechanically ventilated across the Eastern Cape Province. The objectives were first; to investigate the knowledge of professional nurses, concerning the liberation of ventilated adult patients. Secondly, to implement the evidence-based guidelines on liberation using an educational intervention. Thirdly, to describe the effect of an educational intervention on professional nurses’ knowledge concerning the liberation of ventilated adult patients in five public critical care units across the Eastern Cape Province. The researcher conducted an intervention research study using a quantitative, quasi-experimental pre-test/post-test with a control group design. The researcher recruited 150 participants who were professional nurses working in the five adult critical care units in academic hospitals. The five public adult critical care units were purposively divided into three sample groups, which consisted of two experimental groups and a control group. While considering the geographical location and proximity of the academic hospitals the groups were divided into Experimental Group 1 (comprised of 57 professional nurses from two critical care units) and Experimental Group 2 (comprised of 59 professional nurses from two critical care units), plus a Control Group (comprised of 34 professional nurses from one critical care unit). To achieve a large sample, all the professional nurses working in the five academic hospitals across the Eastern Cape Province were included in this study. The research study was conducted in three phases. In Phase One of the study, a pre-test questionnaire was administered to the professional nurses to investigate their current knowledge of the liberation of ventilated adult patients. Subsequently, in Phase Two, an educational intervention that was based on the liberation of ventilated adult patients used a PowerPoint in-service presentation in the form of a formal lecture, printed copies of the evidence-based guidelines on liberation and colour printed posters attached to the notice boards and strategic places such as the tea room and corridor of the critical care units in Experimental Group 1. Equally, Experimental Group 2 received only printed copies of the evidence-based guidelines. In the Control Group, the researcher did not implement the evidence-based guidelines. Three months after the implementation of the evidence-based guidelines, Phase Three was conducted, and a post-test questionnaire was administered to describe the effect of the educational intervention on the professional nurses’ knowledge. With the assistance of the statistician, data were analysed through descriptive analysis using the measure of frequency, central tendency, dispersion/variation and position. In addition to that, an inferential analysis used Analysis of Variance, Chi-square test, t-statistic (t-test), Cohen’s d, Cramér’s V, and Scheffe’s post-hoc test. Since there was no existing questionnaire, the researcher developed the questionnaires that were used in this study. The researcher ensured reliability and validity throughout the study. The ethical clearance reference number, H17-HEA-NUR-019 was obtained for the study from the Nelson Mandela University. A letter of permission was granted by the Provincial’s Department of Health, Bhisho, the Eastern Cape Province, with reference number, EC_201712_017. Other ethical principles were taking into consideration. The implementation of evidence-based guidelines on liberation using an educational intervention in the form of PowerPoint presentation, complemented with printed copies of the evidence-based guidelines and coloured posters as reminders showed an increase (Mean = 65,22; S.D = 12,08) in the mean knowledge score of professional nurses in Experimental Group 1. Contrary, the use of printed copies of the evidence-based guidelines on liberation showed a significant decrease (Mean = 53,41; S.D = 15,44; p = 0.033; Cohen's d = 0.49 small effect) in the mean knowledge score of professional nurses in Experimental Group 2. A single educational intervention method did not affect knowledge increase compared to a combined educational intervention method. Imparting knowledge in the public critical care units across the Eastern Cape Province is still very important. Further recommendations for practice, research and education were provided.
- Full Text:
- Date Issued: 2019
Guidelines for the responsible use of social media by nursing students
- Authors: Nyangeni, Thandolwakhe
- Date: 2015
- Subjects: Nursing students , Social media
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10065 , http://hdl.handle.net/10948/d1020658
- Description: Social media use is becoming a popular activity among students at Nursing Education Institutions in South Africa, with Facebook, WhatsApp, YouTube, Twitter, LinkedIn, Instagram, Blackberry Messaging, Mxit and Google Plus being some of the social networking sites adopted for various reasons by nursing students. However, lack of accountability and unethical use of social media by nursing students in South Africa has been reported. Owing to the lack of accountability and unethical misconduct associated with the use of social media, guidelines for responsible usage are needed. A qualitative, descriptive, explorative and contextual research study was conducted to explore and describe the perceptions of nursing students regarding the responsible use of social media. Nursing students registered for the undergraduate nursing degree at a Nursing Education Institution in the Eastern Cape, South Africa were interviewed using a semi-structured individual interview method in order to elicit rich descriptions of their perceptions regarding the use of social media. The goal of the study was to develop guidelines for the responsible use of social media by nursing students. In phase one, the researcher explores and describes the perceptions of nursing students regarding the use of social media. In phase two, guidelines for the responsible use of social media by nursing students were developed, using the findings of the study. Tesch’s method of thematic synthesis was utilised to analyse the data. To ensure rigour and trustworthiness in the study, the researcher used Guba and Lincoln’s criteria, namely: credibility, dependability, confirmability, and transferability. To protect the rights and dignity of the participants and to safeguard the integrity of this study, the researcher complied with the following ethical principles: beneficence and non-maleficence, autonomy, justice, privacy, and confidentiality. Twelve in-depth, semi-structured interviews provided saturated data, which was then transcribed and coded to yield the major and sub-themes that were identified in this study. The information shared by the participants provided the basis for the development of guidelines for the responsible use of social media by nursing students, which are intended to provide guidance for legally and ethically acceptable social networking. Three themes that emerged from the data were: Nursing student’s lives are centred around social media, Nursing students experience blurred personal and professional boundaries and lack of accountability, and Students expressed a need for the guidelines for the responsible use of social media. Six principle guidelines focusing on accountable and ethically acceptable use of social media were developed. The study concludes with the recommendations regarding nursing practice, nursing education and nursing research. The limitations of the study were that data was collected from students in the undergraduate nursing degree programme and therefore the experiences of the nursing students in the postgraduate degree and diploma programmes regarding the use of social media are not known. The researcher depended solely on the story as told by the participants and did not get the opportunity to observe their social networking conduct, so the researcher made inferences based on the information that was supplied by students. The paucity of research in this topic made it a challenge for the researcher to find context-specific research articles for South Africa. Recommendations from this study could be used to influence further research aimed at establishing the effectiveness of the guidelines. The findings of this research study could also be used to influence policy making at national and provincial levels of government regarding the use of social media at healthcare facilities.
- Full Text:
- Date Issued: 2015
- Authors: Nyangeni, Thandolwakhe
- Date: 2015
- Subjects: Nursing students , Social media
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10065 , http://hdl.handle.net/10948/d1020658
- Description: Social media use is becoming a popular activity among students at Nursing Education Institutions in South Africa, with Facebook, WhatsApp, YouTube, Twitter, LinkedIn, Instagram, Blackberry Messaging, Mxit and Google Plus being some of the social networking sites adopted for various reasons by nursing students. However, lack of accountability and unethical use of social media by nursing students in South Africa has been reported. Owing to the lack of accountability and unethical misconduct associated with the use of social media, guidelines for responsible usage are needed. A qualitative, descriptive, explorative and contextual research study was conducted to explore and describe the perceptions of nursing students regarding the responsible use of social media. Nursing students registered for the undergraduate nursing degree at a Nursing Education Institution in the Eastern Cape, South Africa were interviewed using a semi-structured individual interview method in order to elicit rich descriptions of their perceptions regarding the use of social media. The goal of the study was to develop guidelines for the responsible use of social media by nursing students. In phase one, the researcher explores and describes the perceptions of nursing students regarding the use of social media. In phase two, guidelines for the responsible use of social media by nursing students were developed, using the findings of the study. Tesch’s method of thematic synthesis was utilised to analyse the data. To ensure rigour and trustworthiness in the study, the researcher used Guba and Lincoln’s criteria, namely: credibility, dependability, confirmability, and transferability. To protect the rights and dignity of the participants and to safeguard the integrity of this study, the researcher complied with the following ethical principles: beneficence and non-maleficence, autonomy, justice, privacy, and confidentiality. Twelve in-depth, semi-structured interviews provided saturated data, which was then transcribed and coded to yield the major and sub-themes that were identified in this study. The information shared by the participants provided the basis for the development of guidelines for the responsible use of social media by nursing students, which are intended to provide guidance for legally and ethically acceptable social networking. Three themes that emerged from the data were: Nursing student’s lives are centred around social media, Nursing students experience blurred personal and professional boundaries and lack of accountability, and Students expressed a need for the guidelines for the responsible use of social media. Six principle guidelines focusing on accountable and ethically acceptable use of social media were developed. The study concludes with the recommendations regarding nursing practice, nursing education and nursing research. The limitations of the study were that data was collected from students in the undergraduate nursing degree programme and therefore the experiences of the nursing students in the postgraduate degree and diploma programmes regarding the use of social media are not known. The researcher depended solely on the story as told by the participants and did not get the opportunity to observe their social networking conduct, so the researcher made inferences based on the information that was supplied by students. The paucity of research in this topic made it a challenge for the researcher to find context-specific research articles for South Africa. Recommendations from this study could be used to influence further research aimed at establishing the effectiveness of the guidelines. The findings of this research study could also be used to influence policy making at national and provincial levels of government regarding the use of social media at healthcare facilities.
- Full Text:
- Date Issued: 2015
Knowledge, attitudes and practises of professional nurses working with patients with tuberculosis in the Nelson Mandela Bay Health District
- Authors: Nxumalo, Avela
- Date: 2018
- Subjects: Tuberculosis -- Patients -- South Africa -- Nelson Mandela Bay Municipality , Tuberculosis -- Treatment -- South Africa -- Nelson Mandela Bay Municipality Primary health care -- South Africa -- Nelson Mandela Bay Municipality , Professional Nursing -- Dissertations
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/33715 , vital:32994
- Description: Tuberculosis (TB) is one of the major public health problems worldwide, and includes the development of drug resistant TB. Tuberculosis is reportedly the second most common infectious cause of death worldwide and thus a global threat. In 2014, 9.6 million people were estimated to have TB and 1.5 million people died of the disease worldwide. South Africa is one of the African countries with the highest burden of TB with 1% of the population of about 50 000 000 who develop the TB disease each year. The research study explored and described the knowledge, attitudes and practices of professional nurses working with patients with TB in primary health care clinics in the Nelson Mandela Bay Health District (NMBHD). A quantitative, exploratory, descriptive and contextual research design was used to operationalise the research objectives. The target population comprised professional nurses in primary health care clinics. Consecutive sampling, a type of non-probability sampling, was used in this study. Descriptive data analysis was applied to analyse and describe the data using the data analysis software programme Statistica Version 11. The majority of the participants (99%) had a high level of knowledge about the cause of TB as well as the question about contracting TB (94.9%). On the TB diagnostic tests: biopsy and sputum culture and sensitivity scored the lowest (22.2% and 36.4% respectively). Regarding the duration of TB treatment and the drug used to prevent TB most participants responded positively (97% and 91.9% respectively). Most of the participants had a positive attitude regarding TB (79.8%) confirming their willingness to wear masks although it makes them uncomfortable. Furthermore, most participants (99%) would like to be screened for TB if they have signs and symptoms suggestive of TB. The majority of participants (99%) responded positively to completing TB treatment if they were to be diagnosed with TB. The practices of professional nurses regarding TB were generally low (18.2%) in the areas of when to wear a mask, ventilation in the clinics and infection control. The results are displayed graphically using bar graphs and tables. Recommendations to the NMBHD were made and also for nursing practice, education, and research. Ethical principles have been maintained throughout the study.
- Full Text:
- Date Issued: 2018
- Authors: Nxumalo, Avela
- Date: 2018
- Subjects: Tuberculosis -- Patients -- South Africa -- Nelson Mandela Bay Municipality , Tuberculosis -- Treatment -- South Africa -- Nelson Mandela Bay Municipality Primary health care -- South Africa -- Nelson Mandela Bay Municipality , Professional Nursing -- Dissertations
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/33715 , vital:32994
- Description: Tuberculosis (TB) is one of the major public health problems worldwide, and includes the development of drug resistant TB. Tuberculosis is reportedly the second most common infectious cause of death worldwide and thus a global threat. In 2014, 9.6 million people were estimated to have TB and 1.5 million people died of the disease worldwide. South Africa is one of the African countries with the highest burden of TB with 1% of the population of about 50 000 000 who develop the TB disease each year. The research study explored and described the knowledge, attitudes and practices of professional nurses working with patients with TB in primary health care clinics in the Nelson Mandela Bay Health District (NMBHD). A quantitative, exploratory, descriptive and contextual research design was used to operationalise the research objectives. The target population comprised professional nurses in primary health care clinics. Consecutive sampling, a type of non-probability sampling, was used in this study. Descriptive data analysis was applied to analyse and describe the data using the data analysis software programme Statistica Version 11. The majority of the participants (99%) had a high level of knowledge about the cause of TB as well as the question about contracting TB (94.9%). On the TB diagnostic tests: biopsy and sputum culture and sensitivity scored the lowest (22.2% and 36.4% respectively). Regarding the duration of TB treatment and the drug used to prevent TB most participants responded positively (97% and 91.9% respectively). Most of the participants had a positive attitude regarding TB (79.8%) confirming their willingness to wear masks although it makes them uncomfortable. Furthermore, most participants (99%) would like to be screened for TB if they have signs and symptoms suggestive of TB. The majority of participants (99%) responded positively to completing TB treatment if they were to be diagnosed with TB. The practices of professional nurses regarding TB were generally low (18.2%) in the areas of when to wear a mask, ventilation in the clinics and infection control. The results are displayed graphically using bar graphs and tables. Recommendations to the NMBHD were made and also for nursing practice, education, and research. Ethical principles have been maintained throughout the study.
- Full Text:
- Date Issued: 2018
Attitutes of professional nurses towards the dimensions of quality care in the community health centres of the King Sabatha Dalindyebo sub-district, Eastern Cape
- Authors: Ntuku, Nonzukiso Sheila
- Date: 2017
- Subjects: Community health services -- South Africa -- Eastern Cape Nursing services -- South Africa-- Eastern Cape
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10353/13989 , vital:39737
- Description: The study focused on attitudes of professional nurses towards the dimensions of quality care. Quality care is the main focus of the Department of Health in the Republic of South Africa. The researcher believes that professional nurses form the backbone of the whole health care fraternity; hence they are central to the study of quality care dimensions. The aim of the study was to determine and describe the attitudes of professional nurses towards the dimensions of quality care in the community health centres of the KingSabatha Dalindyebo sub-district. A quantitative descriptive design was employed to meet the objectives of the study. The non-probability purposive sampling method was used to select participants to provide information on the attitudes of professional nurses towards the dimensions of quality care in the community health centres of the King Sabatha Dalindyebo sub-district, Eastern Cape. From the target of 84 professional nurses who were employed at the five community health centres of King Sabatha Dalindyebo sub-district of the O.R. Tambo District, Eastern Cape Province, 70 (83,3percent) professional nursesresponded to the questionnaires. A self-administered questionnaire written in simple English was used to collect data from the professional nurses regarding their attitudes towards dimensions of quality care. The researcher adhered to the ethical standards of nursing research as described by the Democratic Nursing Organisationof South Africa regarding anonymity, confidentiality, privacy and quality research, according to which the names of professional nurses were not recorded on the questionnaires. The data were analysed using the Statistical Package for the Social Sciences (SPSS) computer software. The distribution of the results has been presented in tables and a bar graph. The results of the study revealed that the professional nurses of these community health centres had positive attitudes towards the dimensions of quality care.
- Full Text:
- Date Issued: 2017
- Authors: Ntuku, Nonzukiso Sheila
- Date: 2017
- Subjects: Community health services -- South Africa -- Eastern Cape Nursing services -- South Africa-- Eastern Cape
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10353/13989 , vital:39737
- Description: The study focused on attitudes of professional nurses towards the dimensions of quality care. Quality care is the main focus of the Department of Health in the Republic of South Africa. The researcher believes that professional nurses form the backbone of the whole health care fraternity; hence they are central to the study of quality care dimensions. The aim of the study was to determine and describe the attitudes of professional nurses towards the dimensions of quality care in the community health centres of the KingSabatha Dalindyebo sub-district. A quantitative descriptive design was employed to meet the objectives of the study. The non-probability purposive sampling method was used to select participants to provide information on the attitudes of professional nurses towards the dimensions of quality care in the community health centres of the King Sabatha Dalindyebo sub-district, Eastern Cape. From the target of 84 professional nurses who were employed at the five community health centres of King Sabatha Dalindyebo sub-district of the O.R. Tambo District, Eastern Cape Province, 70 (83,3percent) professional nursesresponded to the questionnaires. A self-administered questionnaire written in simple English was used to collect data from the professional nurses regarding their attitudes towards dimensions of quality care. The researcher adhered to the ethical standards of nursing research as described by the Democratic Nursing Organisationof South Africa regarding anonymity, confidentiality, privacy and quality research, according to which the names of professional nurses were not recorded on the questionnaires. The data were analysed using the Statistical Package for the Social Sciences (SPSS) computer software. The distribution of the results has been presented in tables and a bar graph. The results of the study revealed that the professional nurses of these community health centres had positive attitudes towards the dimensions of quality care.
- Full Text:
- Date Issued: 2017
The effectiveness of medium-fidelity simulation on the clinical readiness of student midwives
- Authors: Ntlokonkulu, Zukiswa Brenda
- Date: 2017
- Subjects: Obstetrics Midwifery Emergency medical services , Simulated patients
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10353/4503 , vital:28345
- Description: Simulation affords the student a safe and supportive environment in which to practise skills repeatedly without causing any harm to a real patient. The Department of Nursing Sciences at the University of Fort Hare has a laboratory that offers lowto medium-fidelity simulation in the form of task trainers and mannequins. These task trainers and mannequins are used in general nursing, and in community and midwifery nursing sciences, for the demonstration of skills, the practising of skills by students and for formative assessments. In midwifery, task trainers are used for vaginal examinations, abdominal palpation breech and vaginal deliveries and the management of post-partum haemorrhage (PPH). Given that in a real-life clinical environment limited opportunities exist for students to practise during an obstetrical emergency, medium-fidelity simulation (MFS) in midwifery ideally positions the student in a practical environment without risking the patient’s safety. Despite the availability of MFS at UFH, its benefit on the clinical readiness of student midwives is not known. The present study was designed to assess the effectiveness of MFS in enhancing the clinical readiness of student midwives at the University of Fort Hare. The main research objective of the study was to explore, describe and analyse the effect of medium-fidelity simulation on student midwives’ confidence, critical thinking ability, communication, satisfaction and team work in an obstetrical clinical emergency environment. This was a qualitative, interpretive, phenomenological analysis designed to explore the student midwives’ lived experiences regarding the effectiveness of mediumfidelity simulation and the effect of these experiences on clinical readiness. The target population was fourth-year Bachelor of nursing student midwives at the University of Fort Hare. Purposive sampling was used to select five student midwives who were team leaders during the management of PPH using MFS. Ethical approval was granted by the University of Fort Hare Ethics Committee. Informed consent was obtained from the participants prior to data collection. Trustworthiness was ensured by observing the principles of transferability, credibility, confirmability and dependability. Data was collected through individual face-to-face interviews and a semi-structured interview guide. All fourth-year student midwives had viewed an on-line video entitled Essential Steps in Management of Obstetrical Emergency(ESMOE) Postpartum Haemorrhage, in which the procedure was demonstrated. The video, sent via Backboard, was presented in such a way that student midwives had the opportunity to watch it repeatedly in order to thoroughly comprehend the demonstrated skill. A semi-structured interview guide was used for data collection. Interviews were conducted in the simulation laboratory. A Samsung smartphone was used to record interviews and a notepad was used to make notes of gestures, such as smiles or other facial expressions. Data was analysed using thematic content analysis applicable to interpretative phenomenological analysis (IPA) studies using the six steps: reading and re-reading; initial noting taking; developing emergent themes; searching for connections across the emergent themes; moving to the next case and lastly, looking for patterns across cases. The major findings indicated that the participants had differing views regarding the concept of clinical readiness; some held that clinical readiness meant being ready or prepared to handle any eventuality in the course of work, others opined that it was a state of being conversant with the policies and procedures in the clinical ward. Participants believed that clinical readiness was parallel to being competent and that midwives should always be ready to anticipate complications that might arise with the patient, endeavouring to analyse and interpret such conditions clinically. Participants expressed the need to see the simulation skill demonstrated repeatedly for thorough understanding of the technique, so that they could work independently in an obstetrical emergency situation. During simulation, participants were confident in delegating duties to team members, affirming that in order to ensure that tasks were carried out, team leaders should receive regular updates from team members.
- Full Text:
- Date Issued: 2017
- Authors: Ntlokonkulu, Zukiswa Brenda
- Date: 2017
- Subjects: Obstetrics Midwifery Emergency medical services , Simulated patients
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10353/4503 , vital:28345
- Description: Simulation affords the student a safe and supportive environment in which to practise skills repeatedly without causing any harm to a real patient. The Department of Nursing Sciences at the University of Fort Hare has a laboratory that offers lowto medium-fidelity simulation in the form of task trainers and mannequins. These task trainers and mannequins are used in general nursing, and in community and midwifery nursing sciences, for the demonstration of skills, the practising of skills by students and for formative assessments. In midwifery, task trainers are used for vaginal examinations, abdominal palpation breech and vaginal deliveries and the management of post-partum haemorrhage (PPH). Given that in a real-life clinical environment limited opportunities exist for students to practise during an obstetrical emergency, medium-fidelity simulation (MFS) in midwifery ideally positions the student in a practical environment without risking the patient’s safety. Despite the availability of MFS at UFH, its benefit on the clinical readiness of student midwives is not known. The present study was designed to assess the effectiveness of MFS in enhancing the clinical readiness of student midwives at the University of Fort Hare. The main research objective of the study was to explore, describe and analyse the effect of medium-fidelity simulation on student midwives’ confidence, critical thinking ability, communication, satisfaction and team work in an obstetrical clinical emergency environment. This was a qualitative, interpretive, phenomenological analysis designed to explore the student midwives’ lived experiences regarding the effectiveness of mediumfidelity simulation and the effect of these experiences on clinical readiness. The target population was fourth-year Bachelor of nursing student midwives at the University of Fort Hare. Purposive sampling was used to select five student midwives who were team leaders during the management of PPH using MFS. Ethical approval was granted by the University of Fort Hare Ethics Committee. Informed consent was obtained from the participants prior to data collection. Trustworthiness was ensured by observing the principles of transferability, credibility, confirmability and dependability. Data was collected through individual face-to-face interviews and a semi-structured interview guide. All fourth-year student midwives had viewed an on-line video entitled Essential Steps in Management of Obstetrical Emergency(ESMOE) Postpartum Haemorrhage, in which the procedure was demonstrated. The video, sent via Backboard, was presented in such a way that student midwives had the opportunity to watch it repeatedly in order to thoroughly comprehend the demonstrated skill. A semi-structured interview guide was used for data collection. Interviews were conducted in the simulation laboratory. A Samsung smartphone was used to record interviews and a notepad was used to make notes of gestures, such as smiles or other facial expressions. Data was analysed using thematic content analysis applicable to interpretative phenomenological analysis (IPA) studies using the six steps: reading and re-reading; initial noting taking; developing emergent themes; searching for connections across the emergent themes; moving to the next case and lastly, looking for patterns across cases. The major findings indicated that the participants had differing views regarding the concept of clinical readiness; some held that clinical readiness meant being ready or prepared to handle any eventuality in the course of work, others opined that it was a state of being conversant with the policies and procedures in the clinical ward. Participants believed that clinical readiness was parallel to being competent and that midwives should always be ready to anticipate complications that might arise with the patient, endeavouring to analyse and interpret such conditions clinically. Participants expressed the need to see the simulation skill demonstrated repeatedly for thorough understanding of the technique, so that they could work independently in an obstetrical emergency situation. During simulation, participants were confident in delegating duties to team members, affirming that in order to ensure that tasks were carried out, team leaders should receive regular updates from team members.
- Full Text:
- Date Issued: 2017
Perceptions of registered nurses regarding implementation of clinical practice guidelines in intensive care units in public hospitals
- Nondywana, Precious Nosindiso
- Authors: Nondywana, Precious Nosindiso
- Date: 2018
- Subjects: Intensive care nursing -- South Africa , Intensive care units Nurses -- South Africa -- Attitudes Hospitals -- Employees
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/33464 , vital:32876
- Description: An intensive care unit (ICU) is a specialised section of the hospital that provides comprehensive and continuous care for people who are critically ill and can be admitted for more individualised and intense monitoring. The decision-making process in the intensive care unit requires clinical practice guidelines (CPGs) to assist practitioners’ and patients’ decisions about the appropriate healthcare for specific clinical circumstances. The major benefit of CPGs is to improve the quality of care received by patients and has a potential to reduce morbidity and mortality. Although CPGs are popular for health care decision making by health care providers, there is a general lack of implementation in the nursing sphere. The aim of this study therefore, was to explore and describe the perceptions of registered nurses with regard to the implementation of CPGs in intensive care units in public hospitals and to make recommendations for the implementation thereof. A qualitative, explorative, descriptive and contextual study was conducted. The research population were registered nurses who are employed in intensive care units in three public hospitals in Nelson Mandela Bay in Port Elizabeth. Purposive sampling was utilised. Semi-structured interviews were used to collect the data and Tesch’s steps of data analysis were used. An independent coder analysed the raw data. Themes were identified and grouped together to form new categories. The researcher ensured the trustworthiness of the study by adhering to Lincoln and Guba’s model of trustworthiness, which consists of the following four constructs, namely: credibility, transferability, dependability and conformability. The researcher ensured that the study was conducted in an ethical manner by adhering to ethical principles such as autonomy, beneficence, non-maleficence, confidentiality and justice.
- Full Text:
- Date Issued: 2018
- Authors: Nondywana, Precious Nosindiso
- Date: 2018
- Subjects: Intensive care nursing -- South Africa , Intensive care units Nurses -- South Africa -- Attitudes Hospitals -- Employees
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/33464 , vital:32876
- Description: An intensive care unit (ICU) is a specialised section of the hospital that provides comprehensive and continuous care for people who are critically ill and can be admitted for more individualised and intense monitoring. The decision-making process in the intensive care unit requires clinical practice guidelines (CPGs) to assist practitioners’ and patients’ decisions about the appropriate healthcare for specific clinical circumstances. The major benefit of CPGs is to improve the quality of care received by patients and has a potential to reduce morbidity and mortality. Although CPGs are popular for health care decision making by health care providers, there is a general lack of implementation in the nursing sphere. The aim of this study therefore, was to explore and describe the perceptions of registered nurses with regard to the implementation of CPGs in intensive care units in public hospitals and to make recommendations for the implementation thereof. A qualitative, explorative, descriptive and contextual study was conducted. The research population were registered nurses who are employed in intensive care units in three public hospitals in Nelson Mandela Bay in Port Elizabeth. Purposive sampling was utilised. Semi-structured interviews were used to collect the data and Tesch’s steps of data analysis were used. An independent coder analysed the raw data. Themes were identified and grouped together to form new categories. The researcher ensured the trustworthiness of the study by adhering to Lincoln and Guba’s model of trustworthiness, which consists of the following four constructs, namely: credibility, transferability, dependability and conformability. The researcher ensured that the study was conducted in an ethical manner by adhering to ethical principles such as autonomy, beneficence, non-maleficence, confidentiality and justice.
- Full Text:
- Date Issued: 2018
The role of assessments in enhancing midwifery programme outcomes at a public nursing education institution in the Eastern Cape Province
- Authors: Njikija, Vuyelwa Francina
- Date: 2016
- Subjects: Maternity nursing -- South Africa -- Eastern Cape Midwifery -- Study and teaching Community health nursing
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/11597 , vital:26941
- Description: The substandard care noted and reported on in midwifery practice at level one midwifery care institutions in South Africa raises a concern about the effectiveness of the assessment strategies used at nursing institutions in enhancing midwifery programme outcomes. The concern is mainly directed particularly at the performance of the newly qualified professional nurses as they are the ones that practise at level one institutions, had just gone through training and been found to be competent practitioners. The success of any training programme and specifically midwifery practice as in the content of this study is dependent on the effectiveness of the assessment techniques or strategies used; hence assessment is considered integral to monitoring the quality of the midwifery care programme. The current study used a quantitative research design to explore and describe the role of assessments in enhancing midwifery programme outcomes at a public nursing education institution in the Eastern Cape Province. Recommendations to enhance the role of assessments for the benefit of midwifery programme outcomes at a public nursing education institution that were made were guided by the findings of the study. Participants were non-randomly selected and were personally provided with a self-developed questionnaire to complete. 134 participants returned fully completed questionnaires while approximately 25% of the selected sample did not return theirs. Data was captured on an excel spread sheet and analysed using Cronbach’s alpha programme under the guidance of the statistician and supervisor. Findings of the study were that: • the participants perceived the role of assessments as positively enhancing the midwifery programme outcomes, • though they also agreed and strongly agreed that there were major factors that prevented enhancement of midwifery programme outcomes. Ethical considerations were autonomy, beneficence, justice and non-maleficence. The validity and reliability of the data- collection instrument was ensured. Furthermore, recommendations were made for nursing education, clinical practice and future research. The study was conducted during the period of July 2014 to January 2016.
- Full Text:
- Date Issued: 2016
- Authors: Njikija, Vuyelwa Francina
- Date: 2016
- Subjects: Maternity nursing -- South Africa -- Eastern Cape Midwifery -- Study and teaching Community health nursing
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/11597 , vital:26941
- Description: The substandard care noted and reported on in midwifery practice at level one midwifery care institutions in South Africa raises a concern about the effectiveness of the assessment strategies used at nursing institutions in enhancing midwifery programme outcomes. The concern is mainly directed particularly at the performance of the newly qualified professional nurses as they are the ones that practise at level one institutions, had just gone through training and been found to be competent practitioners. The success of any training programme and specifically midwifery practice as in the content of this study is dependent on the effectiveness of the assessment techniques or strategies used; hence assessment is considered integral to monitoring the quality of the midwifery care programme. The current study used a quantitative research design to explore and describe the role of assessments in enhancing midwifery programme outcomes at a public nursing education institution in the Eastern Cape Province. Recommendations to enhance the role of assessments for the benefit of midwifery programme outcomes at a public nursing education institution that were made were guided by the findings of the study. Participants were non-randomly selected and were personally provided with a self-developed questionnaire to complete. 134 participants returned fully completed questionnaires while approximately 25% of the selected sample did not return theirs. Data was captured on an excel spread sheet and analysed using Cronbach’s alpha programme under the guidance of the statistician and supervisor. Findings of the study were that: • the participants perceived the role of assessments as positively enhancing the midwifery programme outcomes, • though they also agreed and strongly agreed that there were major factors that prevented enhancement of midwifery programme outcomes. Ethical considerations were autonomy, beneficence, justice and non-maleficence. The validity and reliability of the data- collection instrument was ensured. Furthermore, recommendations were made for nursing education, clinical practice and future research. The study was conducted during the period of July 2014 to January 2016.
- Full Text:
- Date Issued: 2016
Facilitated empowerment of midwives to enhance utilization of antenatal care services by pregnant women in the Mnquma sub-district in the Eastern Cape province
- Ngwanya, Thandi Rose-mary, Williams, Marie
- Authors: Ngwanya, Thandi Rose-mary , Williams, Marie
- Date: 2016
- Subjects: Prenatal care -- South Africa -- Eastern Cape Prenatal education -- South Africa -- Eastern Cape Midwifery -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/12517 , vital:27080
- Description: Background: Antenatal care is essential care that assists in maintaining a state of good health for the woman and her unborn baby. Globally the use of antenatal care services remains a challenge and this tendency is closely associated with maternal and neonatal mortalities and morbidities. South Africa has adopted a free service policy for pregnant women, their infants and for children up to the age of six. Despite this policy, the problem of limited utilisation of antenatal care services by pregnant women is still observed in this country and is associated with increased maternal and neonatal mortalities and morbidities.The purpose of the current proposed study was to explore and describe the reasons for limited utilisation of antenatal care services in the Mnquma sub-district, and to develop guidelines to assist the midwives to encourage the use of antenatal care services. Objectives:To explore and describe the reasons for the limited utilisation of antenatal care services by pregnant women at Mnquma sub-district.To explore and describe the knowledge of antenatal care services by the pregnant women.To develop guidelines to facilitate empowerment of midwives to enhance utilisation of antenatal care services by pregnant women in the Mnquma sub-district in Eastern Cape Province. The study was conducted in Mnquma sub-district during the months of July to January in 2016 using a qualitative, exploratory, descriptive and contextual research design. The research population were post-delivery women and the purposive sampling was used to identify women who met the stated criteria. One-on-one audio-taped semi-structured interviews were conducted and field notes were kept to justify some of the themes identified. Thirteen interviews were conducted and transcribed verbatim. Collected data was analysed using Tesch’s data analysis method. Trustworthiness was maintained through the standards of truth value, credibility, transferability, dependability and conformability. The ethical considerations of beneficence, justice, autonomy, non-maleficence and veracity were maintained. From the findings it emerged that the participants raised various concerns with regard to barriers influencing limited utilization of antenatal care services. The participants had limited knowledge of antenatal care services. Furthermore, participants recommended some solutions to enhance utilization of antenatal care services. Recommendations were made with regard to clinical practice, nursing education and nursing research. Guidelines were formulated to assist midwives to enhance the utilization of antenatal care services by pregnant women in the Mnquma sub-district in the Eastern Cape.
- Full Text:
- Date Issued: 2016
- Authors: Ngwanya, Thandi Rose-mary , Williams, Marie
- Date: 2016
- Subjects: Prenatal care -- South Africa -- Eastern Cape Prenatal education -- South Africa -- Eastern Cape Midwifery -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/12517 , vital:27080
- Description: Background: Antenatal care is essential care that assists in maintaining a state of good health for the woman and her unborn baby. Globally the use of antenatal care services remains a challenge and this tendency is closely associated with maternal and neonatal mortalities and morbidities. South Africa has adopted a free service policy for pregnant women, their infants and for children up to the age of six. Despite this policy, the problem of limited utilisation of antenatal care services by pregnant women is still observed in this country and is associated with increased maternal and neonatal mortalities and morbidities.The purpose of the current proposed study was to explore and describe the reasons for limited utilisation of antenatal care services in the Mnquma sub-district, and to develop guidelines to assist the midwives to encourage the use of antenatal care services. Objectives:To explore and describe the reasons for the limited utilisation of antenatal care services by pregnant women at Mnquma sub-district.To explore and describe the knowledge of antenatal care services by the pregnant women.To develop guidelines to facilitate empowerment of midwives to enhance utilisation of antenatal care services by pregnant women in the Mnquma sub-district in Eastern Cape Province. The study was conducted in Mnquma sub-district during the months of July to January in 2016 using a qualitative, exploratory, descriptive and contextual research design. The research population were post-delivery women and the purposive sampling was used to identify women who met the stated criteria. One-on-one audio-taped semi-structured interviews were conducted and field notes were kept to justify some of the themes identified. Thirteen interviews were conducted and transcribed verbatim. Collected data was analysed using Tesch’s data analysis method. Trustworthiness was maintained through the standards of truth value, credibility, transferability, dependability and conformability. The ethical considerations of beneficence, justice, autonomy, non-maleficence and veracity were maintained. From the findings it emerged that the participants raised various concerns with regard to barriers influencing limited utilization of antenatal care services. The participants had limited knowledge of antenatal care services. Furthermore, participants recommended some solutions to enhance utilization of antenatal care services. Recommendations were made with regard to clinical practice, nursing education and nursing research. Guidelines were formulated to assist midwives to enhance the utilization of antenatal care services by pregnant women in the Mnquma sub-district in the Eastern Cape.
- Full Text:
- Date Issued: 2016
Perceptions of employees at an automotive-manufacturing company regarding the use of hearing -protection devices
- Authors: Ngcipe, Thanduxolo Kemsley
- Date: 2020
- Subjects: Hearing aids
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/46360 , vital:39592
- Description: Occupational noise-induced hearing loss (NIHL) develops as a result of continuous excessive noise-exposure levels above 85 dB(A) occupational exposure limit (OEL), over an average period of eight hours per day. Many employees incur hearing loss during a period of five to ten years of employment. Noise-induced hearing loss can be prevented and even be eliminated if the exposed employees adhere to the proper and consistent use of hearing protection devices (HPDs). However, non-compliance makes it impossible to eliminate NIHL. The purpose of the study was to explore and describe the perceptions of employees working in an automotive manufacturing company with regard to the use of HPDs and to make recommendations to the company’s management in relation to the findings of the study. A qualitative, explorative, descriptive and contextual design was used to conduct this study. The research sample comprised all employees working in noise-zone areas above 85 dB(A). Purposive sampling was used to select the research sample. The data were collected by using in-depth interviews. The data analysis was conducted by using Tesch’s method of data analysis. A pilot study was conducted before the main study. Ethical considerations were adhered to throughout the study. The main findings revealed that the participants at the automotive manufacturing company were knowledgeable about the use of different types of HPDs that are used in their work environment even though some participants do not use it all the time. Most employees were aware of the hazardous noise levels emitted by hydraulic presses in their areas, however, some employees become accustomed to the level of noise and ignore using HPDs. Some employees reported use of their preferred types of HPDs. However, issues like comfort design and work-related communications were factors influencing the use of HPDs. In conclusion, it is evident that the people were knowledgeable about the types of hearing protection devices that are used in their areas and the reasons for them. However, the study findings revealed that the employees are not directly involved in selecting the type of HPDs with which they are comfortable. This could have a negative effect on the employees’ morale and their compliance with the use of HPDs. Based on the research findings, the recommendations were made, according to training and future research.
- Full Text:
- Date Issued: 2020
- Authors: Ngcipe, Thanduxolo Kemsley
- Date: 2020
- Subjects: Hearing aids
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/46360 , vital:39592
- Description: Occupational noise-induced hearing loss (NIHL) develops as a result of continuous excessive noise-exposure levels above 85 dB(A) occupational exposure limit (OEL), over an average period of eight hours per day. Many employees incur hearing loss during a period of five to ten years of employment. Noise-induced hearing loss can be prevented and even be eliminated if the exposed employees adhere to the proper and consistent use of hearing protection devices (HPDs). However, non-compliance makes it impossible to eliminate NIHL. The purpose of the study was to explore and describe the perceptions of employees working in an automotive manufacturing company with regard to the use of HPDs and to make recommendations to the company’s management in relation to the findings of the study. A qualitative, explorative, descriptive and contextual design was used to conduct this study. The research sample comprised all employees working in noise-zone areas above 85 dB(A). Purposive sampling was used to select the research sample. The data were collected by using in-depth interviews. The data analysis was conducted by using Tesch’s method of data analysis. A pilot study was conducted before the main study. Ethical considerations were adhered to throughout the study. The main findings revealed that the participants at the automotive manufacturing company were knowledgeable about the use of different types of HPDs that are used in their work environment even though some participants do not use it all the time. Most employees were aware of the hazardous noise levels emitted by hydraulic presses in their areas, however, some employees become accustomed to the level of noise and ignore using HPDs. Some employees reported use of their preferred types of HPDs. However, issues like comfort design and work-related communications were factors influencing the use of HPDs. In conclusion, it is evident that the people were knowledgeable about the types of hearing protection devices that are used in their areas and the reasons for them. However, the study findings revealed that the employees are not directly involved in selecting the type of HPDs with which they are comfortable. This could have a negative effect on the employees’ morale and their compliance with the use of HPDs. Based on the research findings, the recommendations were made, according to training and future research.
- Full Text:
- Date Issued: 2020
Experiences of the Xhosa diabetic patient
- Authors: Ngamlana, Zodumo Princess
- Date: 2006
- Subjects: Diabetes -- Treatment -- South Africa , Diabetics -- Rehabilitation -- South Africa , Xhosa (African people) -- South Africa
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10014 , http://hdl.handle.net/10948/465 , Diabetes -- Treatment -- South Africa , Diabetics -- Rehabilitation -- South Africa , Xhosa (African people) -- South Africa
- Description: This study will be focussing on the experiences of Xhosa-speaking patients with DM utilising the NMMM public hospitals complex. In the OPD patients are assessed and treated for all chronic conditions including DM, and patients are seen at monthly intervals or when necessary. The OPD serves the neighbouring black population from the surrounding townships as well as the informal settlements. The effects of urbanisation have resulted in this area having a semi–rural, semi-urban population that is mostly Xhosa speaking. The bulk of the population is unemployed, while others are living on a minimal income. Unemployment in the Eastern Cape ranges from 40% in rural areas, rising to 50 - 60% in the urban areas (Proposed aluminium Pechiney smelter within the Coega IDZ, 2002:4-8). In some homes there is no or little money to buy food, and even less to make use of a health service. Some people live on either a social grant for the elderly, a grant for young children or a disability grant and most people in this area have an income below the level at which payment of taxes for contribution to the economy is possible.
- Full Text:
- Date Issued: 2006
- Authors: Ngamlana, Zodumo Princess
- Date: 2006
- Subjects: Diabetes -- Treatment -- South Africa , Diabetics -- Rehabilitation -- South Africa , Xhosa (African people) -- South Africa
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10014 , http://hdl.handle.net/10948/465 , Diabetes -- Treatment -- South Africa , Diabetics -- Rehabilitation -- South Africa , Xhosa (African people) -- South Africa
- Description: This study will be focussing on the experiences of Xhosa-speaking patients with DM utilising the NMMM public hospitals complex. In the OPD patients are assessed and treated for all chronic conditions including DM, and patients are seen at monthly intervals or when necessary. The OPD serves the neighbouring black population from the surrounding townships as well as the informal settlements. The effects of urbanisation have resulted in this area having a semi–rural, semi-urban population that is mostly Xhosa speaking. The bulk of the population is unemployed, while others are living on a minimal income. Unemployment in the Eastern Cape ranges from 40% in rural areas, rising to 50 - 60% in the urban areas (Proposed aluminium Pechiney smelter within the Coega IDZ, 2002:4-8). In some homes there is no or little money to buy food, and even less to make use of a health service. Some people live on either a social grant for the elderly, a grant for young children or a disability grant and most people in this area have an income below the level at which payment of taxes for contribution to the economy is possible.
- Full Text:
- Date Issued: 2006
Midwives' experiences of high stress levels due to emergency childbirths in Namibia Regional Hospital
- Authors: Ndikwetepo, Monika Ndaudika
- Date: 2015
- Subjects: Midwifery -- Namibia , Medical personnel -- Job stress -- Namibia , Childbirth -- Namibia
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10073 , http://hdl.handle.net/10948/d1021162
- Description: Many midwives throughout the world experienced high stress levels when they deal with emergency childbirths. Midwifery professionals experience certain unique stressors, such as midwives being responsible for the care of women when they are giving birth. Complications of childbirth may occur during labour leading to the life of the baby and the mother being threatened. Situations such as this leave midwives experiencing high levels of stress for which they often do not have effective coping mechanisms. When the stress is not managed, it may lead to burnout. When burnout occurs the midwives present with physical and psychological symptoms of stress, grief for the loss and lack of motivation, which results in staff turnover and a fear of working in a maternity ward. Consequently, patient care may be compromised as some midwives became apathetic and develop unacceptable attitudes toward their patients. Such behavior led to poor work performances, maternity services that are not woman-friendly and women seeing the maternity ward as a place where they are treated in rude and unfriendly manner which increased the chances of adverse childbirth outcomes. The aim of the study was to explore and describe the experiences of midwives who have to cope with stress associated with emergency childbirths. This information was used to develop the guidelines to help midwives to cope with the high stress associated with emergency childbirths. The researcher used a phenomenological, qualitative approach. The study was explorative, as little was known on this topic in the Namibian context and it was also descriptive and contextual. Purposive and convenient sampling was used to select the research sample. The research population was all the midwives working in the maternity ward of a Namibian regional hospital, who met the inclusion criteria. Data gathering was done using semi-structured interviews. Once data saturation occurred, interviewing stopped. The interviews were audio-taped and transcribed verbatim. Tesch’s eight steps of data analysis were followed to create meaning from the data collected. An independent coder assisted with the coding process to ensure the trustworthiness of the findings. Literature control was done after data collection to support and strengthen the study’s findings. Trustworthiness, as suggested by using Lincoln & Guba’s model of trustworthiness, included truth-value/credibility, applicability/transferability, consistency/dependability and neutrality/conformability was implemented. Ethical principles of beneficence, non-maleficence, autonomy and justice were ensured by obtaining permission to conduct the research from relevant authorities and from University structures, obtaining consent from the participants before the interviews, voluntary participation and right to withdraw from the study, privacy, confidentiality and dissemination of the results. Three main themes and sub-themes were identified namely: Midwives experienced significant stressors associated with emergency childbirth situations. Midwives experienced mixed emotions about dealing with emergency childbirth situations Midwives shared their views regarding their support needs associated with emergency childbirth situations. Recommendations for nursing education, clinical midwifery and for further research were made. Four guidelines were developed based on the study findings as well as literature related to these findings, to help the midwives to cope with high stress levels associated with emergency childbirths.
- Full Text:
- Date Issued: 2015
- Authors: Ndikwetepo, Monika Ndaudika
- Date: 2015
- Subjects: Midwifery -- Namibia , Medical personnel -- Job stress -- Namibia , Childbirth -- Namibia
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10073 , http://hdl.handle.net/10948/d1021162
- Description: Many midwives throughout the world experienced high stress levels when they deal with emergency childbirths. Midwifery professionals experience certain unique stressors, such as midwives being responsible for the care of women when they are giving birth. Complications of childbirth may occur during labour leading to the life of the baby and the mother being threatened. Situations such as this leave midwives experiencing high levels of stress for which they often do not have effective coping mechanisms. When the stress is not managed, it may lead to burnout. When burnout occurs the midwives present with physical and psychological symptoms of stress, grief for the loss and lack of motivation, which results in staff turnover and a fear of working in a maternity ward. Consequently, patient care may be compromised as some midwives became apathetic and develop unacceptable attitudes toward their patients. Such behavior led to poor work performances, maternity services that are not woman-friendly and women seeing the maternity ward as a place where they are treated in rude and unfriendly manner which increased the chances of adverse childbirth outcomes. The aim of the study was to explore and describe the experiences of midwives who have to cope with stress associated with emergency childbirths. This information was used to develop the guidelines to help midwives to cope with the high stress associated with emergency childbirths. The researcher used a phenomenological, qualitative approach. The study was explorative, as little was known on this topic in the Namibian context and it was also descriptive and contextual. Purposive and convenient sampling was used to select the research sample. The research population was all the midwives working in the maternity ward of a Namibian regional hospital, who met the inclusion criteria. Data gathering was done using semi-structured interviews. Once data saturation occurred, interviewing stopped. The interviews were audio-taped and transcribed verbatim. Tesch’s eight steps of data analysis were followed to create meaning from the data collected. An independent coder assisted with the coding process to ensure the trustworthiness of the findings. Literature control was done after data collection to support and strengthen the study’s findings. Trustworthiness, as suggested by using Lincoln & Guba’s model of trustworthiness, included truth-value/credibility, applicability/transferability, consistency/dependability and neutrality/conformability was implemented. Ethical principles of beneficence, non-maleficence, autonomy and justice were ensured by obtaining permission to conduct the research from relevant authorities and from University structures, obtaining consent from the participants before the interviews, voluntary participation and right to withdraw from the study, privacy, confidentiality and dissemination of the results. Three main themes and sub-themes were identified namely: Midwives experienced significant stressors associated with emergency childbirth situations. Midwives experienced mixed emotions about dealing with emergency childbirth situations Midwives shared their views regarding their support needs associated with emergency childbirth situations. Recommendations for nursing education, clinical midwifery and for further research were made. Four guidelines were developed based on the study findings as well as literature related to these findings, to help the midwives to cope with high stress levels associated with emergency childbirths.
- Full Text:
- Date Issued: 2015
Women's perceptions and experiences of antenatal care rendered by midwives
- Authors: Mxoli, Winnifred Nonkonzo
- Date: 2007
- Subjects: Prenatal care -- South Africa -- Eastern Cape , Midwives -- South Africa -- Eastern Cape , Maternal health services -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10041 , http://hdl.handle.net/10948/575 , Prenatal care -- South Africa -- Eastern Cape , Midwives -- South Africa -- Eastern Cape , Maternal health services -- South Africa -- Eastern Cape
- Description: The general health status of pregnant women depends largely on the quality of the antenatal services available to them. The provision of good antenatal services ensures early detection and prompt management of any complication or disease that may adversely affect pregnancy outcome. In order to ensure high quality care, antenatal services need to be evaluated at regular intervals, both from provider and client perspective, to ensure their effectiveness in improving the health status of pregnant women. The midwife, as the first contact person for most pregnant women attending antenatal clinics in South Africa, has the potential to play a major role in improving the health status of these women. However, for the midwife to be effective in achieving this, antenatal services need to be effectively utilized by women. One of the factors that affect utilization of any service is client satisfaction with the service being rendered. This study, therefore, explores the perceptions that pregnant women have of the care that they receive from midwives at the selected antenatal clinics. The objectives of the study are to: {u100083} Explore and describe the perceptions and experiences of pregnant women attending antenatal clinic regarding the care they receive from midwives. {u100083} Make recommendations to assist registered midwives in optimizing the accompaniment of women during the antenatal period. A qualitative, descriptive, exploratory and contextual design was used for the study. The sample was chosen from the target population by means of purposive sampling and data was collected through unstructured interviews with the participants. Before data collection, permission was obtained from the Eastern Cape Department of Health and the Nursing Service Manager of the Gateway clinic, in the district hospital where the research was conducted. The Nursing Service Manager was acting as a Medical Superintendent at the time of the study. Written, informed consent was obtained from all participants before conducting interviews. Trustworthiness was ensured by means of Guba’s model throughout the study, and the aspects of truth value, applicability, consistency and neutrality were considered. Tesch’s eight steps of data analysis were used to analyze the data collected, and four main themes were identified namely: • Women perceive midwives as considerate and knowledgeable • Women perceive midwives as lazy and rude • Women experience mixed emotions about the care they receive from midwives • Though their experiences, women identified certain needs in the services and care they received at the clinic. Conclusions were drawn and recommendations for midwifery practice made based on the results of the study, with the aim of improving antenatal services rendered to pregnant women.
- Full Text:
- Date Issued: 2007
- Authors: Mxoli, Winnifred Nonkonzo
- Date: 2007
- Subjects: Prenatal care -- South Africa -- Eastern Cape , Midwives -- South Africa -- Eastern Cape , Maternal health services -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10041 , http://hdl.handle.net/10948/575 , Prenatal care -- South Africa -- Eastern Cape , Midwives -- South Africa -- Eastern Cape , Maternal health services -- South Africa -- Eastern Cape
- Description: The general health status of pregnant women depends largely on the quality of the antenatal services available to them. The provision of good antenatal services ensures early detection and prompt management of any complication or disease that may adversely affect pregnancy outcome. In order to ensure high quality care, antenatal services need to be evaluated at regular intervals, both from provider and client perspective, to ensure their effectiveness in improving the health status of pregnant women. The midwife, as the first contact person for most pregnant women attending antenatal clinics in South Africa, has the potential to play a major role in improving the health status of these women. However, for the midwife to be effective in achieving this, antenatal services need to be effectively utilized by women. One of the factors that affect utilization of any service is client satisfaction with the service being rendered. This study, therefore, explores the perceptions that pregnant women have of the care that they receive from midwives at the selected antenatal clinics. The objectives of the study are to: {u100083} Explore and describe the perceptions and experiences of pregnant women attending antenatal clinic regarding the care they receive from midwives. {u100083} Make recommendations to assist registered midwives in optimizing the accompaniment of women during the antenatal period. A qualitative, descriptive, exploratory and contextual design was used for the study. The sample was chosen from the target population by means of purposive sampling and data was collected through unstructured interviews with the participants. Before data collection, permission was obtained from the Eastern Cape Department of Health and the Nursing Service Manager of the Gateway clinic, in the district hospital where the research was conducted. The Nursing Service Manager was acting as a Medical Superintendent at the time of the study. Written, informed consent was obtained from all participants before conducting interviews. Trustworthiness was ensured by means of Guba’s model throughout the study, and the aspects of truth value, applicability, consistency and neutrality were considered. Tesch’s eight steps of data analysis were used to analyze the data collected, and four main themes were identified namely: • Women perceive midwives as considerate and knowledgeable • Women perceive midwives as lazy and rude • Women experience mixed emotions about the care they receive from midwives • Though their experiences, women identified certain needs in the services and care they received at the clinic. Conclusions were drawn and recommendations for midwifery practice made based on the results of the study, with the aim of improving antenatal services rendered to pregnant women.
- Full Text:
- Date Issued: 2007
Role of midwives in facilitating the choice of delivery mode for labouring women in public sector birthing units in the Nelson Mandela Bay Municipality and Sarah Baartman District
- Authors: Muthige, Noluthando
- Date: 2017
- Subjects: Midwives -- South Africa -- Eastern Cape Midwifery -- South Africa -- Eastern Cape , Delivery (Obstetrics) Infants -- Care -- South Africa -- Eastern Cape Public hospitals -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/19375 , vital:28860
- Description: The World Health Organization (WHO) recommends that of all the live births per year no more than 10-15% of these should be delivered by caesarean section. Despite this recommendation there has been a global increase in the percentage of caesarean section deliveries over the past few decades. In South Africa the percentage is as high as 70% in certain health care institutions which is of concern to midwives. Caesarean section deliveries are needed when the life of the baby, mother or both are at stake. However, this method of delivery bears more disadvantages than advantages to the baby and mother. Despite these disadvantages, some women request a caesarean section in their birth plans while others are influenced by health professionals to request a caesarean section. Therefore, there is a need for labouring women to be guided where possible to have vaginal birth because of its many advantages. This study sought to explore and describe the perceptions of the midwives regarding their role in facilitating the choice of delivery mode for labouring women in public hospitals and midwifery obstetric units (MOUs) of the Nelson Mandela Bay and Sarah Baartman districts. Based on the results of the study, guidelines for midwives in this role were developed. Maputle’sWoman-Centred Childbirth Model (2010) was used as the theoretical lens through which this study was viewed. The researcher selected a quantitative survey design using an explorative, descriptive and contextual research approach. The population consisted of midwives who were working in labour wards at public hospitals and midwife-led MOUs. A non-probability convenience sample was used to collect data using a structured, self-administered questionnaire. The reliability and validity of the data collection instrument were ensured by using various means including a pre-test and an expert panel. Altogether, 300 questionnaires were distributed and 288 were returned. This number excluded the pilot study. Data was collected over a period of three months using the assistance of two fieldworkers. Data was captured and analysed under the supervision of the statistician and supervisors. Analysis was done by means of descriptive analyses that involved the production of frequencies and presented using charts, figures and tables. The major findings of the study are: -The midwives perceived themselves as the main facilitators of a suitable decision by the labouring woman for a safe delivery method - The midwives emphasised the importance of the delivery position preferred by the labouring woman -The midwives indicated that a collaboration between doctors, senior midwives, midwives and midwives in management positions could assist with a decision for a suitable delivery mode option. -The midwives agreed that the culture of the labouring woman should be considered when deciding on a delivery mode and therefore midwifery curriculum should include lessons about cultural diversity. Three principal guidelines were developed, namely: 1. Create an environment that promotes acceptance of a woman’s choice of a delivery mode. 2. Create an environment promoting a collaborative health care relationship 3. Create an environment that is sensitive to cultural needs in the maternity unit Ethical considerations in this study were upheld by maintaining the principles of beneficence, maleficence, autonomy and justice.
- Full Text:
- Date Issued: 2017
- Authors: Muthige, Noluthando
- Date: 2017
- Subjects: Midwives -- South Africa -- Eastern Cape Midwifery -- South Africa -- Eastern Cape , Delivery (Obstetrics) Infants -- Care -- South Africa -- Eastern Cape Public hospitals -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/19375 , vital:28860
- Description: The World Health Organization (WHO) recommends that of all the live births per year no more than 10-15% of these should be delivered by caesarean section. Despite this recommendation there has been a global increase in the percentage of caesarean section deliveries over the past few decades. In South Africa the percentage is as high as 70% in certain health care institutions which is of concern to midwives. Caesarean section deliveries are needed when the life of the baby, mother or both are at stake. However, this method of delivery bears more disadvantages than advantages to the baby and mother. Despite these disadvantages, some women request a caesarean section in their birth plans while others are influenced by health professionals to request a caesarean section. Therefore, there is a need for labouring women to be guided where possible to have vaginal birth because of its many advantages. This study sought to explore and describe the perceptions of the midwives regarding their role in facilitating the choice of delivery mode for labouring women in public hospitals and midwifery obstetric units (MOUs) of the Nelson Mandela Bay and Sarah Baartman districts. Based on the results of the study, guidelines for midwives in this role were developed. Maputle’sWoman-Centred Childbirth Model (2010) was used as the theoretical lens through which this study was viewed. The researcher selected a quantitative survey design using an explorative, descriptive and contextual research approach. The population consisted of midwives who were working in labour wards at public hospitals and midwife-led MOUs. A non-probability convenience sample was used to collect data using a structured, self-administered questionnaire. The reliability and validity of the data collection instrument were ensured by using various means including a pre-test and an expert panel. Altogether, 300 questionnaires were distributed and 288 were returned. This number excluded the pilot study. Data was collected over a period of three months using the assistance of two fieldworkers. Data was captured and analysed under the supervision of the statistician and supervisors. Analysis was done by means of descriptive analyses that involved the production of frequencies and presented using charts, figures and tables. The major findings of the study are: -The midwives perceived themselves as the main facilitators of a suitable decision by the labouring woman for a safe delivery method - The midwives emphasised the importance of the delivery position preferred by the labouring woman -The midwives indicated that a collaboration between doctors, senior midwives, midwives and midwives in management positions could assist with a decision for a suitable delivery mode option. -The midwives agreed that the culture of the labouring woman should be considered when deciding on a delivery mode and therefore midwifery curriculum should include lessons about cultural diversity. Three principal guidelines were developed, namely: 1. Create an environment that promotes acceptance of a woman’s choice of a delivery mode. 2. Create an environment promoting a collaborative health care relationship 3. Create an environment that is sensitive to cultural needs in the maternity unit Ethical considerations in this study were upheld by maintaining the principles of beneficence, maleficence, autonomy and justice.
- Full Text:
- Date Issued: 2017
The relationship between clinical learning environmental factors and clinical competence of newly qualified registered nurses in public hospitals
- Authors: Mugerwa, Pumla Princess
- Date: 2017
- Subjects: Clinical competence -- Hospitals -- South Africa Medical care -- South Africa -- Quality control , Nursing students -- South Africa Nursing -- Study and teaching -- South Africa
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/19266 , vital:28812
- Description: There is increasing concern that newly qualified registered nurses (RNs) find it difficult to make a smooth transition from completing their four-year nursing training to taking up their posts as first time RNs. In a constantly changing healthcare system, these newly qualified RNs are expected to work independently and be competent in applying the decision making and problem-solving skills gained during their training. While certain aspects of clinical incompetence may be ascribed to individual factors, the importance of the clinical learning environment and its influence on the development of clinical competence cannot be ignored. Nurses need support and guidance to effect a successful transition from being novice to competent nurse and the environment is regarded as important in developing technical competencies. The research study followed a positivistic, quantitative paradigm, where the hypothesized relationship between clinical learning environmental factors and clinical competence of newly qualified RNs were explored. Data was collected from the experienced RNs in the hospitals by means of a structured pre-existing questionnaire, namely the Competency Inventory for Registered Nurses (CIRN). Descriptive statistics and inferential statistics were used to analyse data. The analysed data was used to describe the findings. Recommendations were made based on the findings. Results suggested that the development of clinical competence is dependent on both the individual and context. Positive relations were reported between clinical learning environmental factors and clinical competencies.
- Full Text:
- Date Issued: 2017
- Authors: Mugerwa, Pumla Princess
- Date: 2017
- Subjects: Clinical competence -- Hospitals -- South Africa Medical care -- South Africa -- Quality control , Nursing students -- South Africa Nursing -- Study and teaching -- South Africa
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/19266 , vital:28812
- Description: There is increasing concern that newly qualified registered nurses (RNs) find it difficult to make a smooth transition from completing their four-year nursing training to taking up their posts as first time RNs. In a constantly changing healthcare system, these newly qualified RNs are expected to work independently and be competent in applying the decision making and problem-solving skills gained during their training. While certain aspects of clinical incompetence may be ascribed to individual factors, the importance of the clinical learning environment and its influence on the development of clinical competence cannot be ignored. Nurses need support and guidance to effect a successful transition from being novice to competent nurse and the environment is regarded as important in developing technical competencies. The research study followed a positivistic, quantitative paradigm, where the hypothesized relationship between clinical learning environmental factors and clinical competence of newly qualified RNs were explored. Data was collected from the experienced RNs in the hospitals by means of a structured pre-existing questionnaire, namely the Competency Inventory for Registered Nurses (CIRN). Descriptive statistics and inferential statistics were used to analyse data. The analysed data was used to describe the findings. Recommendations were made based on the findings. Results suggested that the development of clinical competence is dependent on both the individual and context. Positive relations were reported between clinical learning environmental factors and clinical competencies.
- Full Text:
- Date Issued: 2017
Experiences of professional nurses regarding clinical placement exposure during their compulsory community service at state hospitals in Nelson Mandela Bay
- Authors: Mshweshwe, Nonkululeko Mica
- Date: 2015
- Subjects: Nurses -- In-service training -- South Africa -- Nelson Mandela Bay Municipality , Community health services -- South Africa -- Nelson Mandela Bay Municipality , Nursing -- Practice -- South Africa -- Nelson Mandela Bay Municipality
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10069 , http://hdl.handle.net/10948/d1021074
- Description: The nursing student who has undergone the four year diploma or degree training as a nurse also has to undergo compulsory community service as a requirement before she/he can be registered as a qualified professional nurse. While it has been compulsory for other health professionals such as doctors, dieticians or dentists to place students in compulsory community service, it has only been compulsory for nursing students since 2008. This means that the practice is relatively new in nursing and it is not clear how the newly qualified professional nurse experiences compulsory community service (CCS). The overall goal of this study is to determine the experiences of professional nurses placed at the state hospitals in Nelson Mandela Bay regarding compulsory community service clinical placement exposure and to use these descriptions to develop guidelines. The study followed a qualitative, exploratory, descriptive, contextual design. Literature was reviewed in order to identify research that was done previously regarding compulsory community service amongst health care professionals. The research population included professional nurses who underwent compulsory community service in the three state hospitals in the Nelson Mandela Bay. Purposive sampling was utilised to identify the participants. Semi-structured interviews were conducted to collect information and field notes were kept. The interviews were transcribed and Tech’s (1990) in Creswell, 2009:186) eight steps of data analysis were followed to create meaning from the data collected. An independent coder assisted with the coding process to ensure the trustworthiness of the findings. The researcher ensured the validity of the study by conforming to Lincoln and Guba’s model of trustworthiness which consists of the following four constructs, namely credibility, transferability, dependability and conformability (Lincoln & Guba, 1999, as cited in Schurink, Fouche & de Vos, 2011:419- 421). Three themes and sub themes were identified. Literature control was done to compare the findings with existing research results. The researcher ensured that the study was conducted in an ethical manner by adhering to ethical principles such as beneficence, justice and fidelity. All the participants in the study felt that the clinical placement exposure was a worthwhile experience. The participants expressed a feeling of gratitude that they were afforded this opportunity of practicing under the guidance of experienced professional nurses. To them it was an opportunity to master whatever they were taught as student nurses so that by the time they practice as independent practitioners they would be confident and knowledgeable. The CCS nurses indicated that orientation and mentorship were not always of good quality and professional nurses were not always available as in some units professional nurses were not readily accessible. The CCS nurses were left alone and isolated with no one to consult. If proper orientation and mentorship had been in place the CCS nurses would have enjoyed the community service year more and they felt that they would have benefited more. Had there been a mentoring system in place it could have gone a long way to ascertain that the participants gained confidence and were able to perform tasks independently and confidently. The participants overwhelmingly indicated that unit management should have been included in their CCS year placement. During the CCS year the CCS nurses were not exposed to unit management. This was seen by CCS nurses as a missed opportunity. Had they been afforded the opportunity to practice unit management under the supervision of unit nursing managers, professional growth and development in unit management could have been facilitated. That they were not afforded that opportunity deprived them of a valuable skill as well as personal and professional growth. In conclusion guidelines for placement of CCS nurses in the Nelson Mandela State hospitals have been formulated for implementation. Recommendations were made to enhance nursing practice, nursing education and nursing research.
- Full Text:
- Date Issued: 2015
- Authors: Mshweshwe, Nonkululeko Mica
- Date: 2015
- Subjects: Nurses -- In-service training -- South Africa -- Nelson Mandela Bay Municipality , Community health services -- South Africa -- Nelson Mandela Bay Municipality , Nursing -- Practice -- South Africa -- Nelson Mandela Bay Municipality
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10069 , http://hdl.handle.net/10948/d1021074
- Description: The nursing student who has undergone the four year diploma or degree training as a nurse also has to undergo compulsory community service as a requirement before she/he can be registered as a qualified professional nurse. While it has been compulsory for other health professionals such as doctors, dieticians or dentists to place students in compulsory community service, it has only been compulsory for nursing students since 2008. This means that the practice is relatively new in nursing and it is not clear how the newly qualified professional nurse experiences compulsory community service (CCS). The overall goal of this study is to determine the experiences of professional nurses placed at the state hospitals in Nelson Mandela Bay regarding compulsory community service clinical placement exposure and to use these descriptions to develop guidelines. The study followed a qualitative, exploratory, descriptive, contextual design. Literature was reviewed in order to identify research that was done previously regarding compulsory community service amongst health care professionals. The research population included professional nurses who underwent compulsory community service in the three state hospitals in the Nelson Mandela Bay. Purposive sampling was utilised to identify the participants. Semi-structured interviews were conducted to collect information and field notes were kept. The interviews were transcribed and Tech’s (1990) in Creswell, 2009:186) eight steps of data analysis were followed to create meaning from the data collected. An independent coder assisted with the coding process to ensure the trustworthiness of the findings. The researcher ensured the validity of the study by conforming to Lincoln and Guba’s model of trustworthiness which consists of the following four constructs, namely credibility, transferability, dependability and conformability (Lincoln & Guba, 1999, as cited in Schurink, Fouche & de Vos, 2011:419- 421). Three themes and sub themes were identified. Literature control was done to compare the findings with existing research results. The researcher ensured that the study was conducted in an ethical manner by adhering to ethical principles such as beneficence, justice and fidelity. All the participants in the study felt that the clinical placement exposure was a worthwhile experience. The participants expressed a feeling of gratitude that they were afforded this opportunity of practicing under the guidance of experienced professional nurses. To them it was an opportunity to master whatever they were taught as student nurses so that by the time they practice as independent practitioners they would be confident and knowledgeable. The CCS nurses indicated that orientation and mentorship were not always of good quality and professional nurses were not always available as in some units professional nurses were not readily accessible. The CCS nurses were left alone and isolated with no one to consult. If proper orientation and mentorship had been in place the CCS nurses would have enjoyed the community service year more and they felt that they would have benefited more. Had there been a mentoring system in place it could have gone a long way to ascertain that the participants gained confidence and were able to perform tasks independently and confidently. The participants overwhelmingly indicated that unit management should have been included in their CCS year placement. During the CCS year the CCS nurses were not exposed to unit management. This was seen by CCS nurses as a missed opportunity. Had they been afforded the opportunity to practice unit management under the supervision of unit nursing managers, professional growth and development in unit management could have been facilitated. That they were not afforded that opportunity deprived them of a valuable skill as well as personal and professional growth. In conclusion guidelines for placement of CCS nurses in the Nelson Mandela State hospitals have been formulated for implementation. Recommendations were made to enhance nursing practice, nursing education and nursing research.
- Full Text:
- Date Issued: 2015
Strategies for the implementation of clinical practice guidelines in the intensive care : a systematic review
- Authors: Mpasa, Ferestas
- Date: 2014
- Subjects: Systematic reviews (Medical research) , Physician practice patterns , Intensive care units
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10059 , http://hdl.handle.net/10948/d1020046
- Description: Implementation strategies for the use of clinical practice guidelines are an integral component in bridging the gap between the best research evidence and clinical practice. However, despite some remarkable investments in health research regarding clinical practice guidelines implementation strategies, it is not yet known which of these are the most effective for intensive care units. The purpose of this research study was to systematically identify and /or search, appraise, extract and synthesize the best available evidence for clinical practice guidelines implementation strategies in intensive care units, in order to develop a draft guideline for clinical practice guidelines implementation strategies in the intensive care units. A systematic review design was used to systematically identify and /or search, appraise, extract and synthesize the best available evidence from the eligible included Level 2 studies (randomized controlled trials and quasi-experimental studies). Level 2 studies were applicable because they present robust evidence in the research results regarding effectiveness of clinical practice guideline implementation strategies. Furthermore, although other systematic reviews conducted in this area before, they included studies of In addition, no systematic review was identified that reviewed Level 2 studies and developed a guideline for clinical practice guideline implementation strategies in the intensive care units. Hence, including only Level 2 studies was distinctive to this research study. Databases searched included: CINAHL with full text, Google Scholar, Academic search complete, Cochrane Register for Randomized Controlled Trials Issue 8 of 12, August 2013, and MEDLINE via PUBMED. Hand search in bound journals was also done. The search strategy identified 315 potentially relevant studies. After the process of critical appraisal, thirteen Level 2 studies were identified as relevant for the review. Of the 13 relevant studies, 10 were randomized controlled trials and three were quasi experimental studies. After the critical appraisal ten RCTs were included in the systematic review. Three studies (quasi-experimental) were excluded on the basis of methodological quality after the critical appraisal and agreement by the two independent reviewers. The Joanna Briggs Institute Critical Appraisal MASTARI Instrument for Randomized Controlled trials/ Experimental studies, and The Joanna Briggs Institute data extraction tools were used to critically appraise, and extract data from the ten included randomized controlled trials. The two reviewers who performed the critical appraisal were qualified critical care professional nurses and experts in research methodology. These reviewers conducted the critical appraisal independently to ensure the objectivity of the process. Appropriate ethical considerations were maintained throughout the process of the research study. The results indicated that 80 percent of the included studies were conducted in adult intensive care units while 20 percent were conducted in the neonatal intensive care units. Furthermore, 60 percent of the studies were conducted in the United States of America, 10 percent in France, a further 10 percent in Taiwan, another 10 percent in England and yet another 10 percfent was conducted in Australia and Newzealand. The included studies utilized more than one (multifaceted) implementation strategies to implement clinical practice guidelines in the intensive care units. The first most utilized were: printed educational materials; Information/ educational sessions/meetings; audit and feedback and champion/local opinion leaders; seconded by educational outreach visits; and computer or internet usage. Third most used were active/passive reminders; systems support; academic detailing/ one-on-one sessions teleconferences/videoconferences and workshops/in services. Fourth most used were ollaboration/interdisciplinary teams; slide shows, teleconferences/videoconferences and discussions. Fifth most used were practical training; monitoring visits and grand rounds. However all the strategies were of equal importance. Conclusively, the included studies utilized multifaceted implementation strategies. However, no study indicated the use of a guideline for the implementation strategies in the process of clinical practice guidelines implementation. The systematic review developed a draft guideline for clinical practice guideline implementation strategies in the intensive care units. The guideline will enhance effective implementation of clinical practice guidelines in such a complex environment.
- Full Text:
- Date Issued: 2014
- Authors: Mpasa, Ferestas
- Date: 2014
- Subjects: Systematic reviews (Medical research) , Physician practice patterns , Intensive care units
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10059 , http://hdl.handle.net/10948/d1020046
- Description: Implementation strategies for the use of clinical practice guidelines are an integral component in bridging the gap between the best research evidence and clinical practice. However, despite some remarkable investments in health research regarding clinical practice guidelines implementation strategies, it is not yet known which of these are the most effective for intensive care units. The purpose of this research study was to systematically identify and /or search, appraise, extract and synthesize the best available evidence for clinical practice guidelines implementation strategies in intensive care units, in order to develop a draft guideline for clinical practice guidelines implementation strategies in the intensive care units. A systematic review design was used to systematically identify and /or search, appraise, extract and synthesize the best available evidence from the eligible included Level 2 studies (randomized controlled trials and quasi-experimental studies). Level 2 studies were applicable because they present robust evidence in the research results regarding effectiveness of clinical practice guideline implementation strategies. Furthermore, although other systematic reviews conducted in this area before, they included studies of In addition, no systematic review was identified that reviewed Level 2 studies and developed a guideline for clinical practice guideline implementation strategies in the intensive care units. Hence, including only Level 2 studies was distinctive to this research study. Databases searched included: CINAHL with full text, Google Scholar, Academic search complete, Cochrane Register for Randomized Controlled Trials Issue 8 of 12, August 2013, and MEDLINE via PUBMED. Hand search in bound journals was also done. The search strategy identified 315 potentially relevant studies. After the process of critical appraisal, thirteen Level 2 studies were identified as relevant for the review. Of the 13 relevant studies, 10 were randomized controlled trials and three were quasi experimental studies. After the critical appraisal ten RCTs were included in the systematic review. Three studies (quasi-experimental) were excluded on the basis of methodological quality after the critical appraisal and agreement by the two independent reviewers. The Joanna Briggs Institute Critical Appraisal MASTARI Instrument for Randomized Controlled trials/ Experimental studies, and The Joanna Briggs Institute data extraction tools were used to critically appraise, and extract data from the ten included randomized controlled trials. The two reviewers who performed the critical appraisal were qualified critical care professional nurses and experts in research methodology. These reviewers conducted the critical appraisal independently to ensure the objectivity of the process. Appropriate ethical considerations were maintained throughout the process of the research study. The results indicated that 80 percent of the included studies were conducted in adult intensive care units while 20 percent were conducted in the neonatal intensive care units. Furthermore, 60 percent of the studies were conducted in the United States of America, 10 percent in France, a further 10 percent in Taiwan, another 10 percent in England and yet another 10 percfent was conducted in Australia and Newzealand. The included studies utilized more than one (multifaceted) implementation strategies to implement clinical practice guidelines in the intensive care units. The first most utilized were: printed educational materials; Information/ educational sessions/meetings; audit and feedback and champion/local opinion leaders; seconded by educational outreach visits; and computer or internet usage. Third most used were active/passive reminders; systems support; academic detailing/ one-on-one sessions teleconferences/videoconferences and workshops/in services. Fourth most used were ollaboration/interdisciplinary teams; slide shows, teleconferences/videoconferences and discussions. Fifth most used were practical training; monitoring visits and grand rounds. However all the strategies were of equal importance. Conclusively, the included studies utilized multifaceted implementation strategies. However, no study indicated the use of a guideline for the implementation strategies in the process of clinical practice guidelines implementation. The systematic review developed a draft guideline for clinical practice guideline implementation strategies in the intensive care units. The guideline will enhance effective implementation of clinical practice guidelines in such a complex environment.
- Full Text:
- Date Issued: 2014
The experiences and perceptions of midwives at Provincial Hospitals in the Nelson Mandela Metropolitan Municipality regarding exclusive breastfeeding by HIV positive first-time mothers
- Authors: Moobi, Emily Keadimilwe
- Date: 2006
- Subjects: Breastfeeding -- South Africa -- Port Elizabeth , Midwives -- South Africa -- Port Elizabeth -- Attitudes , HIV infections -- South Africa -- Port Elizabeth -- Prevention
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10016 , http://hdl.handle.net/10948/427 , Breastfeeding -- South Africa -- Port Elizabeth , Midwives -- South Africa -- Port Elizabeth -- Attitudes , HIV infections -- South Africa -- Port Elizabeth -- Prevention
- Description: The Department of Health in South Africa, as in many countries, has developed a policy guideline and recommendations for feeding of infants of HIV positive mothers. This is aimed at providing midwives with detailed and sound information about HIV and infant feeding practices based on current understanding of HIV and exclusive breastfeeding for the first six months of the infant’s life. The policy states that breastfeeding is a significant and preventable mode of HIV transmission to infants and there is an urgent need to educate, counsel and support women and families, so that they can make decisions about how best to feed infants in the context of HIV (http://www.doh.gov.za/aids/doc/feeding/html.2005-03-07). Speaking to midwives from the Provincial Hospitals in the Nelson Mandela Metropole, the researcher became aware of the midwives’ often-expressed unhappiness about the new policy from the Department of Health on exclusive breastfeeding. Midwives complained about the dilemma with which they are faced regarding infant feeding practices. They could not understand the advocacy of exclusive breastfeeding, when breastfeeding is recognised as one of the modes of Mother-to-Child Transmission (MTCT) of HIV. The aim of the study was to help, support and encourage midwives to implement the policy of exclusive breastfeeding. The objectives of the study were to: • Explore and describe the experiences and perceptions of midwives related to promoting exclusive breastfeeding in HIV positive first-time mothers. • Make recommendations to the Department of Health regarding the support and help that can be given to midwives to encourage their implementation of the exclusive breastfeeding policy. The researcher made use of a qualitative, phenomenological, descriptive, explorative and contextual design. Permission for conducting the research was iv obtained from relevant authorities, and participants were asked to sign a consent form before the researcher proceeded with the study. Collection of data was done by means of unstructured interviews using an audiotape recorder. Once data was saturated, the interviews were transcribed verbatim and analysed, using the steps described by Tesch’s (1990 in Creswell, 1994: 153) method of descriptive analysis. Field notes were also taken to record non-verbal communication during the interviews. In order to ensure trustworthiness of the study, the ethical principles of Guba’s model (in Krefting, 1991:215), namely truth-value, applicability, consistency and neutrality were used. The services of an independent coder were utilised and a consensus meeting was held between the researcher and the independent coder in order to discuss the identified themes. Prior to the consensus meeting, the independent coder was provided with interview transcripts and a protocol to guide the data analysis. Following the data analysis, a literature control was undertaken to highlight the similarities and differences found in the data analysis. Three themes with sub-themes were identified. The participants expressed positive views on the policy of exclusive breastfeeding in HIV positive first-time mothers. They were satisfied with the policy and viewed the policy of exclusive breastfeeding as an effective contribution to feeding options of babies born of HIV positive first-time mothers. However, the participants identified several factors hindering the effective implementation of the policy of exclusive breastfeeding in HIV positive first-time mothers. Factors identified were staffshortages, lack of cooperation among staff members regarding promotion of exclusive breastfeeding, lack of information regarding the CD4 count of patients on admission in the ward, cultural beliefs, lack of training among staff members and inadequate counseling facilities to ensure privacy and confidentiality for mothers. Participants also experienced a variety of emotions related to exclusive breastfeeding such as happiness, confidence, helplessness, frustration, worry and concern, stress and exhaustion. Based on the findings of the study, guidelines were developed and recommendations made concerning nursing practice, nursing education and nursing research.
- Full Text:
- Date Issued: 2006
- Authors: Moobi, Emily Keadimilwe
- Date: 2006
- Subjects: Breastfeeding -- South Africa -- Port Elizabeth , Midwives -- South Africa -- Port Elizabeth -- Attitudes , HIV infections -- South Africa -- Port Elizabeth -- Prevention
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10016 , http://hdl.handle.net/10948/427 , Breastfeeding -- South Africa -- Port Elizabeth , Midwives -- South Africa -- Port Elizabeth -- Attitudes , HIV infections -- South Africa -- Port Elizabeth -- Prevention
- Description: The Department of Health in South Africa, as in many countries, has developed a policy guideline and recommendations for feeding of infants of HIV positive mothers. This is aimed at providing midwives with detailed and sound information about HIV and infant feeding practices based on current understanding of HIV and exclusive breastfeeding for the first six months of the infant’s life. The policy states that breastfeeding is a significant and preventable mode of HIV transmission to infants and there is an urgent need to educate, counsel and support women and families, so that they can make decisions about how best to feed infants in the context of HIV (http://www.doh.gov.za/aids/doc/feeding/html.2005-03-07). Speaking to midwives from the Provincial Hospitals in the Nelson Mandela Metropole, the researcher became aware of the midwives’ often-expressed unhappiness about the new policy from the Department of Health on exclusive breastfeeding. Midwives complained about the dilemma with which they are faced regarding infant feeding practices. They could not understand the advocacy of exclusive breastfeeding, when breastfeeding is recognised as one of the modes of Mother-to-Child Transmission (MTCT) of HIV. The aim of the study was to help, support and encourage midwives to implement the policy of exclusive breastfeeding. The objectives of the study were to: • Explore and describe the experiences and perceptions of midwives related to promoting exclusive breastfeeding in HIV positive first-time mothers. • Make recommendations to the Department of Health regarding the support and help that can be given to midwives to encourage their implementation of the exclusive breastfeeding policy. The researcher made use of a qualitative, phenomenological, descriptive, explorative and contextual design. Permission for conducting the research was iv obtained from relevant authorities, and participants were asked to sign a consent form before the researcher proceeded with the study. Collection of data was done by means of unstructured interviews using an audiotape recorder. Once data was saturated, the interviews were transcribed verbatim and analysed, using the steps described by Tesch’s (1990 in Creswell, 1994: 153) method of descriptive analysis. Field notes were also taken to record non-verbal communication during the interviews. In order to ensure trustworthiness of the study, the ethical principles of Guba’s model (in Krefting, 1991:215), namely truth-value, applicability, consistency and neutrality were used. The services of an independent coder were utilised and a consensus meeting was held between the researcher and the independent coder in order to discuss the identified themes. Prior to the consensus meeting, the independent coder was provided with interview transcripts and a protocol to guide the data analysis. Following the data analysis, a literature control was undertaken to highlight the similarities and differences found in the data analysis. Three themes with sub-themes were identified. The participants expressed positive views on the policy of exclusive breastfeeding in HIV positive first-time mothers. They were satisfied with the policy and viewed the policy of exclusive breastfeeding as an effective contribution to feeding options of babies born of HIV positive first-time mothers. However, the participants identified several factors hindering the effective implementation of the policy of exclusive breastfeeding in HIV positive first-time mothers. Factors identified were staffshortages, lack of cooperation among staff members regarding promotion of exclusive breastfeeding, lack of information regarding the CD4 count of patients on admission in the ward, cultural beliefs, lack of training among staff members and inadequate counseling facilities to ensure privacy and confidentiality for mothers. Participants also experienced a variety of emotions related to exclusive breastfeeding such as happiness, confidence, helplessness, frustration, worry and concern, stress and exhaustion. Based on the findings of the study, guidelines were developed and recommendations made concerning nursing practice, nursing education and nursing research.
- Full Text:
- Date Issued: 2006
The knowledge and attitudes of registered nurses in public hospitals related to the prevention of HIV and AIDS transmission
- Authors: Mo, Yabin
- Date: 2006
- Subjects: Nurses -- South Africa -- Attitudes , AIDS (Disease) -- Nursing -- South Africa , HIV infections -- Nursing -- South Africa , Nurse and patient -- South Africa
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10018 , http://hdl.handle.net/10948/571 , Nurses -- South Africa -- Attitudes , AIDS (Disease) -- Nursing -- South Africa , HIV infections -- Nursing -- South Africa , Nurse and patient -- South Africa
- Description: Human Immunodeficiency Virus (HIV) and Acquired Immuno-Deficiency Syndrome (AIDS) have brought about a global epidemic far more extensive than was predicted even a decade ago (van Rensburg, 2002:1). South Africa has one of the highest HIV prevalence rates in the world (South African Department of Health, 2000: 5), it still increase yearly. Before a vaccine and/or effective treatment become available, effective education and information campaigns are necessary for preventing the spreading of HIV and AIDS (WHO (the World Health Organization), 1988:21). According to WHO and ICN (International Council of Nurses) (1988:12), Nurses can play a pivotal role in the education of patients, their families and friends with regard to the prevention of HIV and AIDS transmission, so as to control the spread of this disease. In South Africa, more than 60 percent of the healthcare human resources comprise professional nursing practitioners (Muller, 2002: 95). Therefore, the education and training of nurses is one of the effective methods to preventing further spread of HIV and AIDS infection in South Africa. Accordingly, nurses need to reduce both personal and occupational risk of becoming infected with HIV themselves, as well as provide education to patients and their families. Before effective and efficient in-service education guidelines on the prevention of HIV and AIDS transmission can be developed, any knowledge deficit and negative attitudes of registered nurses regarding the prevention of HIV and AIDS transmission should be identified. Thus, it is important to survey the knowledge and attitudes of nurses in healthcare institutions related to the prevention of HIV and AIDS transmission. The main goal of the study was to explore and describe the knowledge and attitudes of registered nurses in public hospitals related to the prevention of HIV and AIDS transmission. The secondary objective was to develop in-service education guidelines for registered nurses in public hospitals to optimise both personal and occupational prevention measures relating to HIV and AIDS transmission. The research was conducted using a quantitative, explorative, descriptive and contextual design. The purposive sampling method was used to select the participants and a self-administered questionnaire was used to collect data. This data was analysed by inferential statistics and descriptive statistics and areas of deficits concerning knowledge and negative attitudes were identified. In this study there were deficits concerning the knowledge and negative attitudes regarding the prevention of HIV and AIDS transmission to a greater or lesser degree in all the subgroups of the questionnaire. In general, the registered nurses with the attendance of HIV and AIDS training program, experience in caring for HIV and AIDS patients made the level of certain knowledge related to the prevention of HIV and AIDS transmission different; Working experience as a registered nurses and the attendance of HIV and AIDS training programmes did not make attitudes towards the prevention of HIV and AIDS transmission significantly different. The registered nurses with experience of caring for HIV and AIDS patients had more positive attitudes than those without the experience. This information was used to compile in-service education guidelines for registered nurses concerning the prevention of HIV and AIDS transmission. The in-service education guidelines will be given to clinical facilitators at public hospitals. It is envisaged that this will guide them as to what to include in their in-service education programmes concerning the prevention of HIV and AIDS transmission for registered nurses.
- Full Text:
- Date Issued: 2006
- Authors: Mo, Yabin
- Date: 2006
- Subjects: Nurses -- South Africa -- Attitudes , AIDS (Disease) -- Nursing -- South Africa , HIV infections -- Nursing -- South Africa , Nurse and patient -- South Africa
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10018 , http://hdl.handle.net/10948/571 , Nurses -- South Africa -- Attitudes , AIDS (Disease) -- Nursing -- South Africa , HIV infections -- Nursing -- South Africa , Nurse and patient -- South Africa
- Description: Human Immunodeficiency Virus (HIV) and Acquired Immuno-Deficiency Syndrome (AIDS) have brought about a global epidemic far more extensive than was predicted even a decade ago (van Rensburg, 2002:1). South Africa has one of the highest HIV prevalence rates in the world (South African Department of Health, 2000: 5), it still increase yearly. Before a vaccine and/or effective treatment become available, effective education and information campaigns are necessary for preventing the spreading of HIV and AIDS (WHO (the World Health Organization), 1988:21). According to WHO and ICN (International Council of Nurses) (1988:12), Nurses can play a pivotal role in the education of patients, their families and friends with regard to the prevention of HIV and AIDS transmission, so as to control the spread of this disease. In South Africa, more than 60 percent of the healthcare human resources comprise professional nursing practitioners (Muller, 2002: 95). Therefore, the education and training of nurses is one of the effective methods to preventing further spread of HIV and AIDS infection in South Africa. Accordingly, nurses need to reduce both personal and occupational risk of becoming infected with HIV themselves, as well as provide education to patients and their families. Before effective and efficient in-service education guidelines on the prevention of HIV and AIDS transmission can be developed, any knowledge deficit and negative attitudes of registered nurses regarding the prevention of HIV and AIDS transmission should be identified. Thus, it is important to survey the knowledge and attitudes of nurses in healthcare institutions related to the prevention of HIV and AIDS transmission. The main goal of the study was to explore and describe the knowledge and attitudes of registered nurses in public hospitals related to the prevention of HIV and AIDS transmission. The secondary objective was to develop in-service education guidelines for registered nurses in public hospitals to optimise both personal and occupational prevention measures relating to HIV and AIDS transmission. The research was conducted using a quantitative, explorative, descriptive and contextual design. The purposive sampling method was used to select the participants and a self-administered questionnaire was used to collect data. This data was analysed by inferential statistics and descriptive statistics and areas of deficits concerning knowledge and negative attitudes were identified. In this study there were deficits concerning the knowledge and negative attitudes regarding the prevention of HIV and AIDS transmission to a greater or lesser degree in all the subgroups of the questionnaire. In general, the registered nurses with the attendance of HIV and AIDS training program, experience in caring for HIV and AIDS patients made the level of certain knowledge related to the prevention of HIV and AIDS transmission different; Working experience as a registered nurses and the attendance of HIV and AIDS training programmes did not make attitudes towards the prevention of HIV and AIDS transmission significantly different. The registered nurses with experience of caring for HIV and AIDS patients had more positive attitudes than those without the experience. This information was used to compile in-service education guidelines for registered nurses concerning the prevention of HIV and AIDS transmission. The in-service education guidelines will be given to clinical facilitators at public hospitals. It is envisaged that this will guide them as to what to include in their in-service education programmes concerning the prevention of HIV and AIDS transmission for registered nurses.
- Full Text:
- Date Issued: 2006
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
Risk factors of cardio-metabolic diseases among student nurses at Lilitha College of Nursing, East London, South Africa
- Authors: Mkanzi, Noluthando
- Date: 2018
- Subjects: Risk assessment Cardiovascular system -- Diseases Human physiology
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10353/12924 , vital:39404
- Description: Background: Non-communicable diseases are a growing public health concern and its prevalence is escalating exponentially, with a high frequency of morbidity, premature mortality, disability and loss of productivity. Since health education has become an important part of medical care, student nurses are potentially well suited to assist with the combat of these diseases. Early identification and treatment of modifiable risk factors among young adults would reduce the risk of developing cardio-metabolic diseases, thus, promoting health, prolonging life as well as saving costs related to healthcare. Objective: This study aimed to investigate the prevalence of cardio-metabolic risk factors among student nurses. Method: This was a descriptive cross sectional study, involving a convenience sample of 228 students during the educational year of 2017-2018 at Lilitha Collegeof Nursing in East London, South Africa. The WHO STEPwise standardized questionnaire was used to collect information on socio-demographic data (age, gender, year of study) and behavioural characteristics (smoking, alcohol consumption, physical inactivity, and dietary intake) of the participants. Anthropometric screening included measurement of height, weight and waist circumference. The biochemical screening included measurement of blood pressure and determination of fasting blood glucose concentration. Only students with complete data set were included in the data analysis. Statistical Package for Social Science (SPSS) version 23.0 was employed for descriptive and inferential analysis. Results: About half (41.7 percent) of the study participants were between the ages of 21 to 25 years and majority were females (67.5 percent).The prevalence of overweight and obesity were found to be 33 percent and 44 percent respectively. The prevalence of overweight was higher in males (44.6 percent), while females (53.9 percent) had higher prevalence of obesity. Female gender and increasing age are the only independent predictors of obesity. Results on blood pressure measurement showed that 25 percent of the participants had elevated blood pressure, and 22 percent were on stage 1 of hypertension while 2 percent were on stage 2. According to Joint National Committee on hypertension (JNC)’s criteria for defining hypertension, 44 percent of the participants had pre hypertension and 11percent had hypertension, diabetes and vegetables consumption were statistically associated with hypertension. The prevalence of pre-diabetes and diabetes was 6 percent and 7 percent respectively. Only abdominal obesity measured by waistto- hip ratio had a significant relationship with diabetes. Just 4.8 percent of the participants smoked daily and 33.3 percent consumed alcohol. Regarding physical activity, males were more active (60.8 percent) compared to females (54.8 percent). Conclusion: A high burden of overweight, obesity, and physical inactivity was observed among student nurses in East London. Screening for cardio-metabolic risk factors (CMRFs) among nursing students and implementation of intervention programs are recommended. Programs to raise awareness about CMRFs, encourage young adult students to adopt a healthy dietary behaviour and promote physical exercise should be initiated.
- Full Text:
- Date Issued: 2018
- Authors: Mkanzi, Noluthando
- Date: 2018
- Subjects: Risk assessment Cardiovascular system -- Diseases Human physiology
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10353/12924 , vital:39404
- Description: Background: Non-communicable diseases are a growing public health concern and its prevalence is escalating exponentially, with a high frequency of morbidity, premature mortality, disability and loss of productivity. Since health education has become an important part of medical care, student nurses are potentially well suited to assist with the combat of these diseases. Early identification and treatment of modifiable risk factors among young adults would reduce the risk of developing cardio-metabolic diseases, thus, promoting health, prolonging life as well as saving costs related to healthcare. Objective: This study aimed to investigate the prevalence of cardio-metabolic risk factors among student nurses. Method: This was a descriptive cross sectional study, involving a convenience sample of 228 students during the educational year of 2017-2018 at Lilitha Collegeof Nursing in East London, South Africa. The WHO STEPwise standardized questionnaire was used to collect information on socio-demographic data (age, gender, year of study) and behavioural characteristics (smoking, alcohol consumption, physical inactivity, and dietary intake) of the participants. Anthropometric screening included measurement of height, weight and waist circumference. The biochemical screening included measurement of blood pressure and determination of fasting blood glucose concentration. Only students with complete data set were included in the data analysis. Statistical Package for Social Science (SPSS) version 23.0 was employed for descriptive and inferential analysis. Results: About half (41.7 percent) of the study participants were between the ages of 21 to 25 years and majority were females (67.5 percent).The prevalence of overweight and obesity were found to be 33 percent and 44 percent respectively. The prevalence of overweight was higher in males (44.6 percent), while females (53.9 percent) had higher prevalence of obesity. Female gender and increasing age are the only independent predictors of obesity. Results on blood pressure measurement showed that 25 percent of the participants had elevated blood pressure, and 22 percent were on stage 1 of hypertension while 2 percent were on stage 2. According to Joint National Committee on hypertension (JNC)’s criteria for defining hypertension, 44 percent of the participants had pre hypertension and 11percent had hypertension, diabetes and vegetables consumption were statistically associated with hypertension. The prevalence of pre-diabetes and diabetes was 6 percent and 7 percent respectively. Only abdominal obesity measured by waistto- hip ratio had a significant relationship with diabetes. Just 4.8 percent of the participants smoked daily and 33.3 percent consumed alcohol. Regarding physical activity, males were more active (60.8 percent) compared to females (54.8 percent). Conclusion: A high burden of overweight, obesity, and physical inactivity was observed among student nurses in East London. Screening for cardio-metabolic risk factors (CMRFs) among nursing students and implementation of intervention programs are recommended. Programs to raise awareness about CMRFs, encourage young adult students to adopt a healthy dietary behaviour and promote physical exercise should be initiated.
- Full Text:
- Date Issued: 2018