Unit managers’ perceptions of compassion fatigue among nurses at private hospitals in the Eastern Cape
- Authors: Els, Lisa Victoria
- Date: 2023-04
- Subjects: Medical personnel -- Job stress , Burn out (Psychology) -- Treatment , Compassion
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/69637 , vital:78002
- Description: Caring has been described in literature as encompassing empathy, attentiveness, experience, and sensitivity, which is then translated into nursing bedside practice. However, the cost of caring may cause nurses to become withdrawn and unable to care for their patients. This phenomenon is called compassion fatigue (CF), where nurses feel unable to respond to their patients and become withdrawn from stressful scenarios in the unit. CF is prevalent globally among nurses based in all hospital disciplines. The aim of the study is to explore unit managers’ perceptions of CF among nurses in private hospitals in the Eastern Cape in order to develop recommendations for UMs on how to respond to CF among nursing staff. The study used a qualitative, exploratory-descriptive approach. The researcher used Williams, McDowell and Kautz’s (2011) Caring Leadership Model to explore the UMs’ perceptions of CF. The population chosen for this study was the UMs in private hospitals in the Eastern Cape. A minimum of 12 UMs were purposively sampled to take part in the study. Data was collected by means of semi-structured individual interviews. Lincoln and Guba’s four criteria of trustworthiness, namely: credibility, conformability, dependability and transferability were applied to enhance the quality of the study. The researcher upheld the ethical standards of the Belmont Report throughout the course of the study. Five themes were identified using Braun and Clarke’s data analysis method. The themes identified were: Theme 1: UMs’ perceptions of the manifestations of CF among their nursing staff; Theme 2: UMs’ perceptions of contributors to CF among their nursing staff; Theme 3: UMs identified that patient outcomes may have been hindered by CF among their nursing staff; Theme 4: UMs sought to enhance the well-being of their nursing staff which may have mitigated possible CF; Theme 5: Suggestions by UMs regarding UM self-awareness and improved support for each other. Hence the complex phenomenon of CF was explored through the UMs’ descriptions of their perceptions as leaders of nurses in the nursing practice setting. The UMs shared the difficulty of their roles, most especially related to how they struggled to vi support their staff while at the same time, feeling unsupported themselves. UMs were struggling, with staff who appeared to have CF. UMs reported that staff seemed more irritable, and angry. Added to these changes in behaviour, were signs that staff were not coping with the workload as well as with very ill patients. These changes in behaviour, signs of emotional and physical fatigue as well as higher rates of absenteeism all seemed to be aligned with the classical signs and symptoms of CF as described in much of the literature. Once the themes had been identified, a modified version of the AGREE II tool was used as a framework to develop the following recommendations: Recommendation 1: Facilitate UM peer support regarding CF management; Recommendation 2: Train UMs regarding CF and related conditions; Recommendation 3: Assist UMs to support their staff who are exhibiting CF. , Thesis (MCur) -- Faculty of Health Sciences, School of Clinical Care & Medicinal Sciences, 2023
- Full Text:
- Date Issued: 2023-04
- Authors: Els, Lisa Victoria
- Date: 2023-04
- Subjects: Medical personnel -- Job stress , Burn out (Psychology) -- Treatment , Compassion
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/69637 , vital:78002
- Description: Caring has been described in literature as encompassing empathy, attentiveness, experience, and sensitivity, which is then translated into nursing bedside practice. However, the cost of caring may cause nurses to become withdrawn and unable to care for their patients. This phenomenon is called compassion fatigue (CF), where nurses feel unable to respond to their patients and become withdrawn from stressful scenarios in the unit. CF is prevalent globally among nurses based in all hospital disciplines. The aim of the study is to explore unit managers’ perceptions of CF among nurses in private hospitals in the Eastern Cape in order to develop recommendations for UMs on how to respond to CF among nursing staff. The study used a qualitative, exploratory-descriptive approach. The researcher used Williams, McDowell and Kautz’s (2011) Caring Leadership Model to explore the UMs’ perceptions of CF. The population chosen for this study was the UMs in private hospitals in the Eastern Cape. A minimum of 12 UMs were purposively sampled to take part in the study. Data was collected by means of semi-structured individual interviews. Lincoln and Guba’s four criteria of trustworthiness, namely: credibility, conformability, dependability and transferability were applied to enhance the quality of the study. The researcher upheld the ethical standards of the Belmont Report throughout the course of the study. Five themes were identified using Braun and Clarke’s data analysis method. The themes identified were: Theme 1: UMs’ perceptions of the manifestations of CF among their nursing staff; Theme 2: UMs’ perceptions of contributors to CF among their nursing staff; Theme 3: UMs identified that patient outcomes may have been hindered by CF among their nursing staff; Theme 4: UMs sought to enhance the well-being of their nursing staff which may have mitigated possible CF; Theme 5: Suggestions by UMs regarding UM self-awareness and improved support for each other. Hence the complex phenomenon of CF was explored through the UMs’ descriptions of their perceptions as leaders of nurses in the nursing practice setting. The UMs shared the difficulty of their roles, most especially related to how they struggled to vi support their staff while at the same time, feeling unsupported themselves. UMs were struggling, with staff who appeared to have CF. UMs reported that staff seemed more irritable, and angry. Added to these changes in behaviour, were signs that staff were not coping with the workload as well as with very ill patients. These changes in behaviour, signs of emotional and physical fatigue as well as higher rates of absenteeism all seemed to be aligned with the classical signs and symptoms of CF as described in much of the literature. Once the themes had been identified, a modified version of the AGREE II tool was used as a framework to develop the following recommendations: Recommendation 1: Facilitate UM peer support regarding CF management; Recommendation 2: Train UMs regarding CF and related conditions; Recommendation 3: Assist UMs to support their staff who are exhibiting CF. , Thesis (MCur) -- Faculty of Health Sciences, School of Clinical Care & Medicinal Sciences, 2023
- Full Text:
- Date Issued: 2023-04
Dancing with(in) possibilities: emerging public and convivial pedagogies for ecological citizenship
- Authors: Skerritt, Hayley Frances
- Date: 2024-04-05
- Subjects: Environmental education , Environmental responsibility , Environmental protection Citizen participation , Transformative learning , Creation (Literary, artistic, etc.)
- Language: English
- Type: Academic theses , Master's theses , text
- Identifier: http://hdl.handle.net/10962/436510 , vital:73278
- Description: This research project explores ways in which ecological citizenship can be stimulated through collaborative public pedagogy and transgressive learning (t-learning) processes. This research identifies ‘places’ of innovation to cover sections that would usually be described in terms of ‘problem statement’, ‘research focus’, ‘intended outcomes / main contribution’ and ‘theory and methodology’. The Place of Worry is identified through the triple C Crisis (Covid, Capitalism and Climate-Change) which reveal the disconnect to the diverse ecologies (both social and natural) that sustain us. The Place of Possibility demonstrates that through ecological citizenship we can begin to absent absences (De Sousa Santos, 2016) and transform into an embodied response to the triple C crisis. The Place of Emergence transforms these possibilities into practice by demonstrating the place between the worry and the possibility allows for an emergence of a new kind of solution, referred to as the third space within this thesis. The Place of Process delves into the t-learning stories that emerged through research creation and works with iterative feedback and cycles of creation. The unfolding of this t-learning project is guided by the use of metaphor and symbolism as a figuration of macro- and microscopic interactions within these learning fields/ecosystems. Symbolic figuration and speculative metaphor are valuable in this thesis and in my own collaborative meaning-making endeavour as they offer translation protocols for when language fails to embody, the rich embodied experience of this form of learning. The embodiment of this work will help to create restorative care practices through transgressive learning (Lotz-Sisitka et al., 2016) and research creation (Manning, 2016). The study has a particular focus on the emergence of identities and onto-epistemological orientation within the social learning journey towards ecological citizenship and the various ways in which they can be embodied to enable public pedagogy. , Thesis (MEd) -- Faculty of Education, Secondary and Post School Education, 2024
- Full Text:
- Date Issued: 2024-04-05
- Authors: Skerritt, Hayley Frances
- Date: 2024-04-05
- Subjects: Environmental education , Environmental responsibility , Environmental protection Citizen participation , Transformative learning , Creation (Literary, artistic, etc.)
- Language: English
- Type: Academic theses , Master's theses , text
- Identifier: http://hdl.handle.net/10962/436510 , vital:73278
- Description: This research project explores ways in which ecological citizenship can be stimulated through collaborative public pedagogy and transgressive learning (t-learning) processes. This research identifies ‘places’ of innovation to cover sections that would usually be described in terms of ‘problem statement’, ‘research focus’, ‘intended outcomes / main contribution’ and ‘theory and methodology’. The Place of Worry is identified through the triple C Crisis (Covid, Capitalism and Climate-Change) which reveal the disconnect to the diverse ecologies (both social and natural) that sustain us. The Place of Possibility demonstrates that through ecological citizenship we can begin to absent absences (De Sousa Santos, 2016) and transform into an embodied response to the triple C crisis. The Place of Emergence transforms these possibilities into practice by demonstrating the place between the worry and the possibility allows for an emergence of a new kind of solution, referred to as the third space within this thesis. The Place of Process delves into the t-learning stories that emerged through research creation and works with iterative feedback and cycles of creation. The unfolding of this t-learning project is guided by the use of metaphor and symbolism as a figuration of macro- and microscopic interactions within these learning fields/ecosystems. Symbolic figuration and speculative metaphor are valuable in this thesis and in my own collaborative meaning-making endeavour as they offer translation protocols for when language fails to embody, the rich embodied experience of this form of learning. The embodiment of this work will help to create restorative care practices through transgressive learning (Lotz-Sisitka et al., 2016) and research creation (Manning, 2016). The study has a particular focus on the emergence of identities and onto-epistemological orientation within the social learning journey towards ecological citizenship and the various ways in which they can be embodied to enable public pedagogy. , Thesis (MEd) -- Faculty of Education, Secondary and Post School Education, 2024
- Full Text:
- Date Issued: 2024-04-05
The knowledge of registered nurses regarding the management of patients with diabetes mellitus in the primary health care clinics in Nelson Mandela Bay Health District
- Authors: Mbadu, Simnikiwe
- Date: 2023-04
- Subjects: Diabetes -- Treatment , Nursing services -- South Africa , Primary health care -- South Africa
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/69625 , vital:77996
- Description: Diabetes mellitus (DM) is a chronic condition caused by inherited and/or acquired deficiency in the production of insulin or the ineffectiveness of the pancreas to produce insulin. DM is classified into general categories: type 1, type 2, gestational and non-specific types of diabetes mellitus and is considered a manageable disease, requiring lifestyle modification and medicinal treatment. DM is a global challenge, and its incidence is expected to increase in the next decades in both developed and developing countries. However, in the context of the study, as 90% of patients with DM are managed at public health care (PHC) clinics by registered nurses (RNs) with minimal or without help from doctors, RNs are expected to use their knowledge for diagnosis, treatment, review, referral and health education of patients with DM in the PHC clinics in the Nelson Mandela Bay Health District (NMBHD). Therefore, if RNs have inadequate knowledge about the management of patients with the disease in comparison with guideline recommendations, the results will be poor management and often complications. These complications have financial and social repercussions on the patient, health systems and the economy of developing countries. In the study, the researcher explored the knowledge of RNs regarding the management of patients with DM in PHC clinics located in NMBHD. The study identified inconsistencies and gaps in knowledge and recommended strategies to improve the quality of care for diabetic patients in the long run. A quantitative, explorative, descriptive design was utilised to determine the knowledge of RNs about the management of patients with DM in the PHC clinics in NMBHD. The researcher utilised Slovin’s formula to draw a sample for the study. Initially, the study aimed to recruit a sample size of 199 participants, as determined by Slovin's formula. However, due to unforeseen complications related to the COVID-19 pandemic, only 144 RNs were able to participate. After consulting with a statistician, it was determined that the sample size was still representative of the entire population of 398 RNs working in PHC clinics in Subdistricts B and C of NMBHD in the Eastern Cape. Data collection was conducted using a self-administered questionnaire. Prior to the main study, a pilot study was conducted using RNs from two clinics in Subdistricts A v to test the questionnaire. No changes were made and none of the data was included in the final data of the study. A descriptive, statistical method using Microsoft (MS) Excel was followed to analyse the data gathered through the questionnaire. The following ethical principles based on the Belmont report were adhered to throughout the study: respect for persons, beneficence and justice. The results of the data analysis revealed that RNs in the PHC clinics in NMBHD have inadequate knowledge about the most critical aspects of DM management, such as making the diagnosis, the correct drug management, as well as the review and referral of patients with DM. Therefore, the study recommended addressing the inconsistencies and gaps identified in PHC nursing policy, practice, education, and research to improve the knowledge of RNs in managing patients with diabetes mellitus (DM) in the PHC clinics of the NMBHD. This would ultimately lead to better patient care outcomes. , Thesis (MCur) -- Faculty of Health Sciences, School of Clinical Care & Medicinal Sciences, 2023
- Full Text:
- Date Issued: 2023-04
- Authors: Mbadu, Simnikiwe
- Date: 2023-04
- Subjects: Diabetes -- Treatment , Nursing services -- South Africa , Primary health care -- South Africa
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/69625 , vital:77996
- Description: Diabetes mellitus (DM) is a chronic condition caused by inherited and/or acquired deficiency in the production of insulin or the ineffectiveness of the pancreas to produce insulin. DM is classified into general categories: type 1, type 2, gestational and non-specific types of diabetes mellitus and is considered a manageable disease, requiring lifestyle modification and medicinal treatment. DM is a global challenge, and its incidence is expected to increase in the next decades in both developed and developing countries. However, in the context of the study, as 90% of patients with DM are managed at public health care (PHC) clinics by registered nurses (RNs) with minimal or without help from doctors, RNs are expected to use their knowledge for diagnosis, treatment, review, referral and health education of patients with DM in the PHC clinics in the Nelson Mandela Bay Health District (NMBHD). Therefore, if RNs have inadequate knowledge about the management of patients with the disease in comparison with guideline recommendations, the results will be poor management and often complications. These complications have financial and social repercussions on the patient, health systems and the economy of developing countries. In the study, the researcher explored the knowledge of RNs regarding the management of patients with DM in PHC clinics located in NMBHD. The study identified inconsistencies and gaps in knowledge and recommended strategies to improve the quality of care for diabetic patients in the long run. A quantitative, explorative, descriptive design was utilised to determine the knowledge of RNs about the management of patients with DM in the PHC clinics in NMBHD. The researcher utilised Slovin’s formula to draw a sample for the study. Initially, the study aimed to recruit a sample size of 199 participants, as determined by Slovin's formula. However, due to unforeseen complications related to the COVID-19 pandemic, only 144 RNs were able to participate. After consulting with a statistician, it was determined that the sample size was still representative of the entire population of 398 RNs working in PHC clinics in Subdistricts B and C of NMBHD in the Eastern Cape. Data collection was conducted using a self-administered questionnaire. Prior to the main study, a pilot study was conducted using RNs from two clinics in Subdistricts A v to test the questionnaire. No changes were made and none of the data was included in the final data of the study. A descriptive, statistical method using Microsoft (MS) Excel was followed to analyse the data gathered through the questionnaire. The following ethical principles based on the Belmont report were adhered to throughout the study: respect for persons, beneficence and justice. The results of the data analysis revealed that RNs in the PHC clinics in NMBHD have inadequate knowledge about the most critical aspects of DM management, such as making the diagnosis, the correct drug management, as well as the review and referral of patients with DM. Therefore, the study recommended addressing the inconsistencies and gaps identified in PHC nursing policy, practice, education, and research to improve the knowledge of RNs in managing patients with diabetes mellitus (DM) in the PHC clinics of the NMBHD. This would ultimately lead to better patient care outcomes. , Thesis (MCur) -- Faculty of Health Sciences, School of Clinical Care & Medicinal Sciences, 2023
- Full Text:
- Date Issued: 2023-04