- Title
- Professional nurses’ experiences regarding the management of patients on drug-resistant tuberculosis treatment at primary health care clinics
- Creator
- Kramer, Mercia Virginia
- Subject
- Tuberculosis--Patients -- South Africa
- Subject
- Tuberculosis--Nursing Primary nursing--Practice -- South Africa
- Date Issued
- 2019
- Date
- 2019
- Type
- Thesis
- Type
- Masters
- Type
- MCur
- Identifier
- http://hdl.handle.net/10948/45031
- Identifier
- 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.
- Format
- xii, 134 leaves
- Format
- Publisher
- Nelson Mandela University
- Publisher
- Faculty of Health Sciences
- Language
- English
- Rights
- Nelson Mandela University
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NMU School of Clinical Care Sciences
| Thumbnail | File | Description | Size | Format | |||
|---|---|---|---|---|---|---|---|
| View Details Download | SOURCE1 | Kramer, M 213261421 Treatise Dec 2019.pdf | 1 MB | Adobe Acrobat PDF | View Details Download |