Professional nurses’ experiences regarding the management of patients on drug-resistant tuberculosis treatment at primary health care clinics
- Authors: Kramer, Mercia Virginia
- Date: 2019
- Subjects: Tuberculosis--Patients -- South Africa , Tuberculosis--Nursing Primary nursing--Practice -- South Africa
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/45031 , vital:38227
- Description: Drug-resistant tuberculosis (DR-TB) is a significant health burden in South Africa because it challenges the control of TB in the community since the decentralization of treatment. As a community health nurse who has previously worked in clinics in the Nelson Mandela Bay Health District (NMBHD), the researcher observed numerous challenges resulting from the decentralization of DR-TB in the community. The workload of professional nurses, who are the first point of contact for patients accessing primary health care services, has increased significantly since the management of patients on DR-TB treatment has become part of their responsibilities due to the previous mentioned decentralization. The researcher was therefore motivated to establish how professional nurses at primary health care (PHC) clinics experience the management of patients who are on DR-TB treatment. The study employed a qualitative, exploratory, descriptive and contextual design. The research population consisted of professional nurses who were managing the DR-TB programme in PHC clinics in the NMBHD. The appropriate research sample was identified and selected using a non-probability, purposive technique. In-dept interviews were used to collect the data, and Tesch’s model was used for data analysis. The researcher adhered to the ethical considerations of research throughout the study, and ensured the trustworthiness of the data by using the criteria of credibility, transferability, dependability and conformability. The study findings revealed that the participants had diverse experiences of the management of DR-TB. In this regard, the professional nurses expressed both negative and positive experiences. Two themes emerged from the study. Theme 1 and its subthemes related to the challenges encountered when managing patients diagnosed with DR-TB. Theme 2 and its subthemes related to the positive aspects of managing patients diagnosed with DR-TB. In conclusion the study highlighted that professional nurses had fear and real challenges, but also experienced positive experiences of the management of patients on DR-TB treatment. In light of the study findings, recommendations were made regarding nursing education, nursing practice and nursing research.
- Full Text:
- Date Issued: 2019
Professional nurses’ experiences regarding the management of patients on drug-resistant tuberculosis treatment at primary health care clinics
- Authors: Kramer, Mercia Virginia
- Date: 2019
- Subjects: Drug-resistant tuberculosis -- Treatment
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/44703 , vital:38146
- Description: Drug-resistant tuberculosis (DR-TB) is a significant health burden in South Africa because it challenges the control of TB in the community since the decentralization of treatment. As a community health nurse who has previously worked in clinics in the Nelson Mandela Bay Health District (NMBHD), the researcher observed numerous challenges resulting from the decentralization of DR-TB in the community. The workload of professional nurses, who are the first point of contact for patients accessing primary health care services, has increased significantly since the management of patients on DR-TB treatment has become part of their responsibilities due to the previous mentioned decentralization. The researcher was therefore motivated to establish how professional nurses at primary health care (PHC) clinics experience the management of patients who are on DR-TB treatment. The study employed a qualitative, exploratory, descriptive and contextual design. The research population consisted of professional nurses who were managing the DR-TB programme in PHC clinics in the NMBHD. The appropriate research sample was identified and selected using a non-probability, purposive technique. In-dept interviews were used to collect the data, and Tesch’s model was used for data analysis. The researcher adhered to the ethical considerations of research throughout the study, and ensured the trustworthiness of the data by using the criteria of credibility, transferability, dependability and conformability. The study findings revealed that the participants had diverse experiences of the management of DR-TB. In this regard, the professional nurses expressed both negative and positive experiences. Two themes emerged from the study. Theme 1 and its subthemes related to the challenges encountered when managing patients diagnosed with DR-TB. Theme 2 and its subthemes related to the positive aspects of managing patients diagnosed with DR-TB. In conclusion the study highlighted that professional nurses had fear and real challenges, but also experienced positive experiences of the management of patients on DR-TB treatment. In light of the study findings, recommendations were made regarding nursing education, nursing practice and nursing research.
- Full Text:
- Date Issued: 2019
An evaluation into the organisational culture at a selected South African state owned enterprise
- Authors: Ngubane, Nombulelo
- Date: 2017
- Subjects: Corporate culture -- South Africa Government business enterprises -- South Africa , Government corporations -- South Africa
- Language: English
- Type: Thesis , Masters , MBA
- Identifier: http://hdl.handle.net/10948/48035 , vital:40465
- Description: The purpose of this research was to evaluate and to develop a theoretical model for a sustainable organisational culture within the South African Post Office (SAPO) RSA. The goal of this study research was to evaluate the organisational culture within the SA Post Office, to develop a theoretical model of the sustainable organisational culture through literature review and analysis of the respondents‟ survey questionnaires. In addition, the study sought to investigate the perceived success of organisational transformation for sustainable organisational culture by examining the key factors that are believed impact sustainable organisational culture. Based on the above, to determine how SAPO measures up to the requirements for a sustainable organisational culture. This study research provides useful insight into the factors that contribute to a sustainable organisational culture for the South African Post Office. This research looks into the current organisational culture at SAPO.
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- Date Issued: 2017
The influence of organisational climate on job performance
- Authors: Meintjies, Jean
- Date: 2014
- Subjects: Organizational behaviour Organizational effectiveness Employees -- Attitudes
- Language: English
- Type: Thesis , Masters , MBA
- Identifier: http://hdl.handle.net/10948/10286 , vital:26649
- Description: Organisational climate, as represented by the aggregation of the perceptions of the individual employees within the organisation, has been the focus of considerable empirical research that can be traced back to the work of Lewin, Lippit and White (1939).The debate around organisational climate research, concentrates on the methodological issue of how the construct of such climate can be translated into an indicator of organisational effectiveness. Schneider and Bowen (1985), Bacayan and White (1993) have provided evidence that a worthy and functional organisational climate does have a positive effect upon service outcomes and hence improves organisational success. The study examines the influence of organisational participants’ perception of work environment on job performance in a sample of employees within the various departments of Transnet National Ports Authority. The paper presents that the perception of organisational climate has a significant effect on job performance of some employees while it is not so for others. The research sample consists of 71 employees working in the marine and operations, engineering, human resource, marketing and legal departments. One questionnaire was designed by the researcher to measure organisational climate and the effectiveness of job performance. The climate dimensions of communication, management and supervision, reward and recognition and training are significantly related to job performance. The research consisted of the organisational climate and job performance literature and the subsequent link between these two constructs within Transnet National Ports Authority. In conclusion the report presents the authors findings, conclusions and recommendations derived from the study.
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- Date Issued: 2014