A study of the prevalence of refractive errors and of patients requring refractive services at 15 eye clinics in the Amathole, Chris Hani, Joe Gqabi and O. R. Tambo districts of the Eastern Cape
- Authors: Webber, Fiona
- Date: 2012
- Subjects: Eye -- Refractive errors -- South Africa -- Eastern Cape , Cataract -- Surgery -- South Africa -- Eastern Cape , Refractive keratoplasty -- South Africa -- Eastern Cape , Community health services -- South Africa -- Eastern Cape , Eye -- Diseases -- South Africa -- Eastern Cape , Optometry -- South Africa -- Eastern Cape , Eyeglasses -- South Africa -- Eastern Cape , Nurses -- In-service training -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11900 , http://hdl.handle.net/10353/d1001100 , Eye -- Refractive errors -- South Africa -- Eastern Cape , Cataract -- Surgery -- South Africa -- Eastern Cape , Refractive keratoplasty -- South Africa -- Eastern Cape , Community health services -- South Africa -- Eastern Cape , Eye -- Diseases -- South Africa -- Eastern Cape , Optometry -- South Africa -- Eastern Cape , Eyeglasses -- South Africa -- Eastern Cape , Nurses -- In-service training -- South Africa -- Eastern Cape
- Description: This is a study on the prevalence of refractive errors and patients requiring refractive services at 15 eye clinics in the Amathole, Chris Hani, Joe Gqabi and OR Tambo District Municipalities of the Eastern Cape. This is an area characterised by extreme poverty where the cost of an eye examination and prescription spectacles remains financially unobtainable for most. Optometry services are provided mainly by private optometrists who service the small proportion of the population that can afford them. Adults and children remain house bound or are labelled as dull and unproductive simply because they don’t have access to an eye examination and a pair of spectacles. Purpose The purpose of the study is to identify patients with refractive errors and those requiring refractive services at the 15 eye clinics in the Eastern Cape. Another purpose is to describe the refractive services that are available to patients attending health facilities, where the eye clinics are conducted. Lastly, the purpose is to explore the possibility of nurses providing refractive services independently or under the supervision of optometrists to supplement the lack to refracting and dispensing services. Study Method A quantitative and qualitative non-experimental descriptive design was used. Research involved the analysis of Vision Care’s eye clinic records collected from 15 eye clinics from January 2010-June 2010. Semi-structured interviews were conducted with 30 nurses working at the 15 health facilities where the eye clinics were conducted using purposive sampling. The quantitative data was analysed using excel spreadsheets and graphs and qualitative data was analysed using coding and categorizing methods. Conclusion According to Vision Care’s data of the patients assessed, 19.2 percent had a refractive error and 54 percent of the patients required refractive services. It is estimated that 71.41 percent of the patients had a refractive error according to the optometrist. Although there were some organisations active in the eradication of cataracts, there was little healthcare available in the form of refraction services. xiv Patients needed to travel an average of 63.8kms to access refraction services against the backdrop of poor roads, poverty and unemployment. 28 out of 30 nurses either ‘strongly agreed’ or ‘agreed’ that nurses could be trained to perform refractions and dispense spectacles. 29 out of 30 nurses thought that this would have a positive impact on eye care. Further research is necessary to assess the feasibility of implementing a nurse operated refractive program and whether it should be within their scope of practice to refract and dispense spectacles.
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- Date Issued: 2012
The newly qualified professional nurses' proficiency in utilizing psychiatric nursing skills in mental health institution and community health care facilities
- Authors: Zonke, Lulama Henrietta
- Date: 2012
- Subjects: Nurses -- In-service training -- South Africa -- Eastern Cape , Nurses -- Rating of -- South Africa -- Eastern Cape , Nursing -- Ability testing -- South Africa -- Eastern Cape , Nursing -- Standards -- South Africa -- Eastern Cape , Psychiatric nursing -- South Africa -- Eastern Cape , Caregivers -- South Africa -- Eastern Cape , Mental health -- South Africa -- Eastern Cape , Community health nursing -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11898 , http://hdl.handle.net/10353/d1001098 , Nurses -- In-service training -- South Africa -- Eastern Cape , Nurses -- Rating of -- South Africa -- Eastern Cape , Nursing -- Ability testing -- South Africa -- Eastern Cape , Nursing -- Standards -- South Africa -- Eastern Cape , Psychiatric nursing -- South Africa -- Eastern Cape , Caregivers -- South Africa -- Eastern Cape , Mental health -- South Africa -- Eastern Cape , Community health nursing -- South Africa -- Eastern Cape
- Description: The aim of this study was to determine the ability and proficiency of the newly qualified professional nurses in utilising psychiatric nursing skills at Chris Hani District Psychiatric Health Care Services in the Eastern Cape, South Africa. The research method was a qualitative, phenomenological approach. A purposive sample of newly qualified professional nurses and supervisors participated in the study. The data were collected through interviews and focus group discussions, using semi – structured interview guides. Interviews responses were recorded on the interview guide. Data were analysed using the computer software Atlas ti and manually. Positive and negative themes were identified. Ethical considerations were ensured by means of privacy, anonymity and confidentiality. Ethical clearance was obtained from the University of Fort Hare and permission from the Provincial Department of Health and Chris Hani District Health and Mental Health Institution at Queenstown was sought. The findings revealed that newly qualified professional nurses performed well, according to the perception of their supervisors. Newly qualified professional nurses were faced with challenges such as shortage of resources, mental illness not considered as a priority and lack of skills development. The study also revealed that newly qualified professional nurses focussed on the curative aspect of ailments, rather than preventive care. However community health workers (CHW) focussed on the preventive aspect of care. Limitations and recommendations based on the findings of the study are presented.
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- Date Issued: 2012