An Investigation on the Clinical Experiences of Newly Qualified Professional Nurses in Hospital Facilities of the Alfred Nzo District Municipality in the Eastern Cape
- Authors: Hloba, Siyathemba Prince
- Date: 2021-00
- Subjects: Nurse practitioners
- Language: English
- Type: Masters theses , text
- Identifier: http://hdl.handle.net/11260/7942 , vital:55856
- Description: The study aimed to explore and describe the clinical experiences of newly qualified professional nurses in hospital facilities of the Alfred Nzo District Municipality in the Eastern Cape. The newly qualified professional nurses may face difficulties in the hospital facilities when it comes to the execution of duties. The newly qualified professional nurses are expected to display knowledge, skills and to have a positive effect on patients, the relatives of patients and their colleagues to alleviate diseases. This challenge may create emotional distress if newly qualified professional nurses receive inadequate guidance from the senior staff members of the hospital facility. The objectives of this study were to explore and describe the clinical experiences of newly qualified professional nurses, to explore how the newly qualified professional nurses were affected emotionally by clinical experiences and to explore the support system to enhance the performance of the newly qualified professional nurses. A qualitative, explorative, descriptive and contextual design was used to explore and describe the experiences of the newly qualified professional nurses in hospital facilities of the Alfred Nzo District Municipality in the Eastern Cape. A purposive sampling of newly qualified professional nurses, with less than two years of experience after completing the community service in the clinical practice, was used. The data were collected through face-to-face and semi-structured interviews. The interviews were conducted until the data were saturated. A pilot study was done before the main study to prove the adequacy and suitability of the methods to conduct the main study. The participants‟ interviews and results of the pilot study were incorporated into the interviews and results of the main study. Tesch‟s method of thematic analysis and an independent coder were used to analyse the data and to draw meaning from the content. The study used Guba and Lincoln‟s criteria of measures to ensure trustworthiness, which included credibility, confirmability, dependability and transferability. Ethical standards were maintained throughout the study as the researcher complied with ethical principles, namely, respect for persons, beneficence, justice and autonomy. The key considerations to curb the spread of the Covid-19 pandemic, as stipulated by the World Health Organisation, were followed during the data collection. On data interpretation, three themes were developed with eight subthemes on the first theme, two subthemes on the second theme and three subthemes on the third theme. The research findings revealed that the participants experienced negative attitudes from colleagues and multidisciplinary team members. The shortage of staff and resources made participants feel ineffective in their work environment. Clinical exposure to different units and procedures in various units added value to the development of the participants. The recommendations were made with regards to three divisions. They were the hospital facilities‟ personnel, future nursing research personnel and nursing schools personnel. In hospital facilities, the recommendations included that all novice professional nurses should be made aware of the emotional impact at work. An annual plan for workshops and in-service training should be implemented. Professional counselling is required for the novice professionals who were exposed to Covid-19 isolation units. A need to increase staff coverage in the clinical units was identified as the workload is too big. Management is encouraged to be more sensitive about the newly employed nurses‟ challenges in their facilities and the most experienced nurses are encouraged to mentor and coach the novice nurses. In the future nursing research, recommendations included that more studies need to be conducted in South Africa and the Eastern Cape province to verify the findings of this research. A specific research study that will focus on the supportive needs of nurses in clinical facilities should be done institutionally to provide evidence-based practice. The research culture on the nurses‟ experiences in clinical facilities needs to become a norm. In nursing schools, the recommendations motivated that the nursing students should be exposed to all clinical units before completing the training xiv course. Further studies need to be conducted to evaluate the balance between theory and clinical learning on duly performance. The nursing education institutions should use quality improvement suggestion boxes for students to consider their experiences and opinions about their learning. Key words : clinical experiences, newly qualified professional nurses, Alfred Nzo district municipalities , Thesis (Masters) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-00
- Authors: Hloba, Siyathemba Prince
- Date: 2021-00
- Subjects: Nurse practitioners
- Language: English
- Type: Masters theses , text
- Identifier: http://hdl.handle.net/11260/7942 , vital:55856
- Description: The study aimed to explore and describe the clinical experiences of newly qualified professional nurses in hospital facilities of the Alfred Nzo District Municipality in the Eastern Cape. The newly qualified professional nurses may face difficulties in the hospital facilities when it comes to the execution of duties. The newly qualified professional nurses are expected to display knowledge, skills and to have a positive effect on patients, the relatives of patients and their colleagues to alleviate diseases. This challenge may create emotional distress if newly qualified professional nurses receive inadequate guidance from the senior staff members of the hospital facility. The objectives of this study were to explore and describe the clinical experiences of newly qualified professional nurses, to explore how the newly qualified professional nurses were affected emotionally by clinical experiences and to explore the support system to enhance the performance of the newly qualified professional nurses. A qualitative, explorative, descriptive and contextual design was used to explore and describe the experiences of the newly qualified professional nurses in hospital facilities of the Alfred Nzo District Municipality in the Eastern Cape. A purposive sampling of newly qualified professional nurses, with less than two years of experience after completing the community service in the clinical practice, was used. The data were collected through face-to-face and semi-structured interviews. The interviews were conducted until the data were saturated. A pilot study was done before the main study to prove the adequacy and suitability of the methods to conduct the main study. The participants‟ interviews and results of the pilot study were incorporated into the interviews and results of the main study. Tesch‟s method of thematic analysis and an independent coder were used to analyse the data and to draw meaning from the content. The study used Guba and Lincoln‟s criteria of measures to ensure trustworthiness, which included credibility, confirmability, dependability and transferability. Ethical standards were maintained throughout the study as the researcher complied with ethical principles, namely, respect for persons, beneficence, justice and autonomy. The key considerations to curb the spread of the Covid-19 pandemic, as stipulated by the World Health Organisation, were followed during the data collection. On data interpretation, three themes were developed with eight subthemes on the first theme, two subthemes on the second theme and three subthemes on the third theme. The research findings revealed that the participants experienced negative attitudes from colleagues and multidisciplinary team members. The shortage of staff and resources made participants feel ineffective in their work environment. Clinical exposure to different units and procedures in various units added value to the development of the participants. The recommendations were made with regards to three divisions. They were the hospital facilities‟ personnel, future nursing research personnel and nursing schools personnel. In hospital facilities, the recommendations included that all novice professional nurses should be made aware of the emotional impact at work. An annual plan for workshops and in-service training should be implemented. Professional counselling is required for the novice professionals who were exposed to Covid-19 isolation units. A need to increase staff coverage in the clinical units was identified as the workload is too big. Management is encouraged to be more sensitive about the newly employed nurses‟ challenges in their facilities and the most experienced nurses are encouraged to mentor and coach the novice nurses. In the future nursing research, recommendations included that more studies need to be conducted in South Africa and the Eastern Cape province to verify the findings of this research. A specific research study that will focus on the supportive needs of nurses in clinical facilities should be done institutionally to provide evidence-based practice. The research culture on the nurses‟ experiences in clinical facilities needs to become a norm. In nursing schools, the recommendations motivated that the nursing students should be exposed to all clinical units before completing the training xiv course. Further studies need to be conducted to evaluate the balance between theory and clinical learning on duly performance. The nursing education institutions should use quality improvement suggestion boxes for students to consider their experiences and opinions about their learning. Key words : clinical experiences, newly qualified professional nurses, Alfred Nzo district municipalities , Thesis (Masters) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-00
Experiences of Homophobia by the Lesbians, Gays, Bisexual, Transgender, Queer, Intersex and Asexual Students in Selected Institutions of Higher Learning in OR Tambo District Municipality, Eastern Cape Province.
- Authors: Luvo , Kasa
- Date: 2021-00
- Subjects: Sex
- Language: English
- Type: Masters theses , text
- Identifier: http://hdl.handle.net/11260/7950 , vital:57232
- Description: Sexuality remains one of the most misinterpreted and misunderstood social concepts. The societal norms have had a role to play. The identification and acceptance of heterosexuality as the only sexual practice has created some misconceptions. Furthermore, the role played by religion has a tremendous influence on how people views sexuality. However, the aim of the study is to investigate the experiences of the LGBTQIA society with special reference to students residing in the OR Tambo district municipality. Social Constructionism and Five Faces of Oppression are theories that underpinned this study. Furthermore, the nature of this research is descriptive and explorative and the methodology utilized in this study correlates to the mentioned research design. Therefore, qualitative research method was adopted in this study. A sample of 15 participants was utilized, and Non-probability sampling procedure was used through snowball sampling. An in-depth interview guide was used for data collection and thematic analysis approach was utilized for the analysis. Findings of the study suggests that there is rife homophobia in the IHL; the students subscribing to heteronormativity have been threatening those who were homosexuals and/or aligning with the LGBTQIA community with physical assault. It further found that they showed resilience and consistency when it came to academic performance. This, they attributed to their urge to “prove the naysers wrong” as they have been told that they will never make it in life because of their sexuality. The study recommends that the university should engage external stakeholders on the decriminalization of homosexuality and that the university should protect their students from all sort of harm. , Thesis (Masters) -- Faculty of Humanities, Social Sciences and Law, 2021
- Full Text:
- Date Issued: 2021-00
- Authors: Luvo , Kasa
- Date: 2021-00
- Subjects: Sex
- Language: English
- Type: Masters theses , text
- Identifier: http://hdl.handle.net/11260/7950 , vital:57232
- Description: Sexuality remains one of the most misinterpreted and misunderstood social concepts. The societal norms have had a role to play. The identification and acceptance of heterosexuality as the only sexual practice has created some misconceptions. Furthermore, the role played by religion has a tremendous influence on how people views sexuality. However, the aim of the study is to investigate the experiences of the LGBTQIA society with special reference to students residing in the OR Tambo district municipality. Social Constructionism and Five Faces of Oppression are theories that underpinned this study. Furthermore, the nature of this research is descriptive and explorative and the methodology utilized in this study correlates to the mentioned research design. Therefore, qualitative research method was adopted in this study. A sample of 15 participants was utilized, and Non-probability sampling procedure was used through snowball sampling. An in-depth interview guide was used for data collection and thematic analysis approach was utilized for the analysis. Findings of the study suggests that there is rife homophobia in the IHL; the students subscribing to heteronormativity have been threatening those who were homosexuals and/or aligning with the LGBTQIA community with physical assault. It further found that they showed resilience and consistency when it came to academic performance. This, they attributed to their urge to “prove the naysers wrong” as they have been told that they will never make it in life because of their sexuality. The study recommends that the university should engage external stakeholders on the decriminalization of homosexuality and that the university should protect their students from all sort of harm. , Thesis (Masters) -- Faculty of Humanities, Social Sciences and Law, 2021
- Full Text:
- Date Issued: 2021-00
Investigating the key performance factors in circumventing the effects of sanctions imposed by the gulf cooperation council (gcc). A case study of qatar airways (2016-2020)
- Authors: Mutebuka , Tonderai
- Date: 2021-00
- Subjects: Industry 4.0 , Airport authorities , Aviation
- Language: English
- Type: Master's/Doctoral theses , text
- Identifier: http://hdl.handle.net/11260/6457 , vital:46285
- Description: The study aimed to investigate the key performance factors in circumventing the effects of sanctions imposed by the Gulf Cooperation Council (GCC) on Qatar. A case study of Qatar Airways (2016-2020) in the form of desktop analysis/document review coupled with observation was carried out. Effects of sanctions identified included the closure of air corridors, increased operational costs, and in-access to services from certain insurance companies and travel agencies. From the results, management was observed to have implemented the following measures to caution the airlines from the effects of sanctions: close monitoring of flights, integration of all operations activities, network expansion, effective marketing, continued engagement with the sanction imposers, consistency in terms of management action and the messages communicated and fighting sanctions legally through the courts. Key Success Factors (KSFs) were extracted from these management initiatives credited with the continued success of Qatar Airways which included marketing, Corporate Social Responsibility (CSR), service quality, marketing, security, resources availability, technology, synergies, diversification, and government support. From the management initiatives, Key Performance Indicators (KPIs) were also extracted which acted as barometers to indicate the progress being made by implementation of these management initiatives in the fight against sanctions. These included accolades, passengers/cargo, fleet size, revenue, employees, and crisis indicators. These findings from the study can be used by other airlines that may find themselves under sanctions. , Thesis (MCom) -- Faculty of Commerce and Administration, 2021
- Full Text:
- Date Issued: 2021-00
- Authors: Mutebuka , Tonderai
- Date: 2021-00
- Subjects: Industry 4.0 , Airport authorities , Aviation
- Language: English
- Type: Master's/Doctoral theses , text
- Identifier: http://hdl.handle.net/11260/6457 , vital:46285
- Description: The study aimed to investigate the key performance factors in circumventing the effects of sanctions imposed by the Gulf Cooperation Council (GCC) on Qatar. A case study of Qatar Airways (2016-2020) in the form of desktop analysis/document review coupled with observation was carried out. Effects of sanctions identified included the closure of air corridors, increased operational costs, and in-access to services from certain insurance companies and travel agencies. From the results, management was observed to have implemented the following measures to caution the airlines from the effects of sanctions: close monitoring of flights, integration of all operations activities, network expansion, effective marketing, continued engagement with the sanction imposers, consistency in terms of management action and the messages communicated and fighting sanctions legally through the courts. Key Success Factors (KSFs) were extracted from these management initiatives credited with the continued success of Qatar Airways which included marketing, Corporate Social Responsibility (CSR), service quality, marketing, security, resources availability, technology, synergies, diversification, and government support. From the management initiatives, Key Performance Indicators (KPIs) were also extracted which acted as barometers to indicate the progress being made by implementation of these management initiatives in the fight against sanctions. These included accolades, passengers/cargo, fleet size, revenue, employees, and crisis indicators. These findings from the study can be used by other airlines that may find themselves under sanctions. , Thesis (MCom) -- Faculty of Commerce and Administration, 2021
- Full Text:
- Date Issued: 2021-00
The effect of academic staff development on lecturer teaching practices at a historically disadvantaged institution: lecturer’ perspectives
- Baleni, Zwelijongile Gaylard
- Authors: Baleni, Zwelijongile Gaylard
- Date: 2021-00
- Subjects: Universities and colleges -- Professional staff
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/11260/8021 , vital:59331
- Description: This study aimed to determine the lecturers’ perspective on the role of Academic Staff Development (ASD) in enhancing and upskilling lecturers' teaching practices and strategies to improve student learning. The study was undertaken at a comprehensive HE Institution in the Eastern Cape province of South Africa. This study was based on the critical theory which advances change, transformation, emancipation, contradiction, alienation and domination, tenets that academic staff development also advocates. Academic development is supported by principles upheld by critical theory, for example, empowerment, transformation and democracy. For this study, the population comprised those lecturers who attended academic staff development workshops as from 2015 to 2017 at the HDI. In line with the Quanti-Quali mixed explanatory sequential approach, I collected quantitative data from academics using questionnaires; followed by interviews to collect qualitative data. The results showed that the majority appreciated academic staff development as a career changing experience as it capacitated them to teach, grounding them in pedagogical content knowledge in addition to their discipline specialisations. Some constraining conditions to the uptake of ASD at the HDI emerged from the study. Due to the privileging of research over teaching, ASD was seen as a waste of their research time. Institutional environment constraints such as huge workloads, constraining departmental cultures; poor timing of ASD workshops, poor institutional communication about ASD activities and lack of monitoring of implementing those skills, were classified as hindrances. Finally, it is clear that lecturers are made, not born. Recommendations are that it must be compulsory for all academics to attend ASD workshops at least bi-annually. ASDs should be planned and conducted in three phases, namely, pre-workshop, workshop and post-workshop phases. , Thesis (Doctoral) -- Faculty of Education Sciences, 2021
- Full Text:
- Date Issued: 2021-00
- Authors: Baleni, Zwelijongile Gaylard
- Date: 2021-00
- Subjects: Universities and colleges -- Professional staff
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/11260/8021 , vital:59331
- Description: This study aimed to determine the lecturers’ perspective on the role of Academic Staff Development (ASD) in enhancing and upskilling lecturers' teaching practices and strategies to improve student learning. The study was undertaken at a comprehensive HE Institution in the Eastern Cape province of South Africa. This study was based on the critical theory which advances change, transformation, emancipation, contradiction, alienation and domination, tenets that academic staff development also advocates. Academic development is supported by principles upheld by critical theory, for example, empowerment, transformation and democracy. For this study, the population comprised those lecturers who attended academic staff development workshops as from 2015 to 2017 at the HDI. In line with the Quanti-Quali mixed explanatory sequential approach, I collected quantitative data from academics using questionnaires; followed by interviews to collect qualitative data. The results showed that the majority appreciated academic staff development as a career changing experience as it capacitated them to teach, grounding them in pedagogical content knowledge in addition to their discipline specialisations. Some constraining conditions to the uptake of ASD at the HDI emerged from the study. Due to the privileging of research over teaching, ASD was seen as a waste of their research time. Institutional environment constraints such as huge workloads, constraining departmental cultures; poor timing of ASD workshops, poor institutional communication about ASD activities and lack of monitoring of implementing those skills, were classified as hindrances. Finally, it is clear that lecturers are made, not born. Recommendations are that it must be compulsory for all academics to attend ASD workshops at least bi-annually. ASDs should be planned and conducted in three phases, namely, pre-workshop, workshop and post-workshop phases. , Thesis (Doctoral) -- Faculty of Education Sciences, 2021
- Full Text:
- Date Issued: 2021-00
The relationship between energy price and economic growth in South Africa
- Authors: Takentsi, Siyakudumisa
- Date: 2021-00
- Subjects: Commerce in economics
- Language: English
- Type: Masters theses , text
- Identifier: http://hdl.handle.net/11260/10272 , vital:74954
- Description: This study empirically investigated the relationship between energy prices and economic growth in South Africa by employing the auto regressive distributed lag (ARDL) bounds test technique for the period from 1994 to 2019. The ARDL model is capable of detecting hidden co-integration relationships and perfectly works even in the series that are integrated of different orders. The study found the presence of a long-run relationship between the variables. The findings revealed that electricity prices have a negative impact on economic growth in the long run and short run, while crude oil prices highlighted a positive linkage with economic growth in the long run and short run. The Granger causality analysis indicated the non-existence of causal relationship between energy prices and economic growth in South Africa. However, in South Africa the Granger causality found unidirectional causality from labour productivity to economic growth and from gross fixed capital formation to economic growth. The study recommends that the government should take steps to mitigate the effects of rising in electricity prices. , Thesis (Masters) -- Faculty of Economics and Financial Sciences, 2021
- Full Text:
- Date Issued: 2021-00
- Authors: Takentsi, Siyakudumisa
- Date: 2021-00
- Subjects: Commerce in economics
- Language: English
- Type: Masters theses , text
- Identifier: http://hdl.handle.net/11260/10272 , vital:74954
- Description: This study empirically investigated the relationship between energy prices and economic growth in South Africa by employing the auto regressive distributed lag (ARDL) bounds test technique for the period from 1994 to 2019. The ARDL model is capable of detecting hidden co-integration relationships and perfectly works even in the series that are integrated of different orders. The study found the presence of a long-run relationship between the variables. The findings revealed that electricity prices have a negative impact on economic growth in the long run and short run, while crude oil prices highlighted a positive linkage with economic growth in the long run and short run. The Granger causality analysis indicated the non-existence of causal relationship between energy prices and economic growth in South Africa. However, in South Africa the Granger causality found unidirectional causality from labour productivity to economic growth and from gross fixed capital formation to economic growth. The study recommends that the government should take steps to mitigate the effects of rising in electricity prices. , Thesis (Masters) -- Faculty of Economics and Financial Sciences, 2021
- Full Text:
- Date Issued: 2021-00
The relationship between financial development and energy consumption in South Africa
- Authors: Lefatsa, Palesa Milliscent
- Date: 2021-00
- Subjects: Commerce in Economics
- Language: English
- Type: Masters theses , text
- Identifier: http://hdl.handle.net/11260/10262 , vital:74952
- Description: The study empirically examined the relationship between financial development and energy consumption in South Africa for the period 1980 to 2018. To achieve this objective, the study employed an autoregressive distributed lag bounds technique and Granger causality tests. Financial development, industrialisation, and urbanisation displayed a positive and significant relationship with energy consumption, both in the short run and long run. Economic growth was positive but not significant in the shortrun and long-run. Granger causality test results displayed a unidirectional causality running from financial development and industrialisation to energy consumption. This is in favour of an alternative hypothesis, meaning there is a relationship between financial development and energy consumption in South Africa. This study recommends policies that will allow financial development to stimulate clean energy consumption while considering increases in electricity consumption. The South African government must introduce new financial policies to enhance the process of capitalisation and produce sound energy infrastructure and introduce investments in renewable energy sources to safeguard against carbon emissions. , Thesis (Masters) -- Faculty of Economics and Financial Sciences, 2021
- Full Text:
- Date Issued: 2021-00
- Authors: Lefatsa, Palesa Milliscent
- Date: 2021-00
- Subjects: Commerce in Economics
- Language: English
- Type: Masters theses , text
- Identifier: http://hdl.handle.net/11260/10262 , vital:74952
- Description: The study empirically examined the relationship between financial development and energy consumption in South Africa for the period 1980 to 2018. To achieve this objective, the study employed an autoregressive distributed lag bounds technique and Granger causality tests. Financial development, industrialisation, and urbanisation displayed a positive and significant relationship with energy consumption, both in the short run and long run. Economic growth was positive but not significant in the shortrun and long-run. Granger causality test results displayed a unidirectional causality running from financial development and industrialisation to energy consumption. This is in favour of an alternative hypothesis, meaning there is a relationship between financial development and energy consumption in South Africa. This study recommends policies that will allow financial development to stimulate clean energy consumption while considering increases in electricity consumption. The South African government must introduce new financial policies to enhance the process of capitalisation and produce sound energy infrastructure and introduce investments in renewable energy sources to safeguard against carbon emissions. , Thesis (Masters) -- Faculty of Economics and Financial Sciences, 2021
- Full Text:
- Date Issued: 2021-00
The relationship between financial development and energy consumption in South Africa
- Authors: Lefatsa, Palesa Milliscent
- Date: 2021-00
- Subjects: Commerce in Economics
- Language: English
- Type: Masters theses , text
- Identifier: http://hdl.handle.net/11260/10192 , vital:74948
- Description: The study empirically examined the relationship between financial development and energy consumption in South Africa for the period 1980 to 2018. To achieve this objective, the study employed an autoregressive distributed lag bounds technique and Granger causality tests. Financial development, industrialisation, and urbanisation displayed a positive and significant relationship with energy consumption, both in the short run and long run. Economic growth was positive but not significant in the shortrun and long-run. Granger causality test results displayed a unidirectional causality running from financial development and industrialisation to energy consumption. This is in favour of an alternative hypothesis, meaning there is a relationship between financial development and energy consumption in South Africa. This study recommends policies that will allow financial development to stimulate clean energy consumption while considering increases in electricity consumption. The South African government must introduce new financial policies to enhance the process of capitalisation and produce sound energy infrastructure and introduce investments in renewable energy sources to safeguard against carbon emissions. , Thesis (Masters) -- Faculty of Economics and Financial Sciences, 2021
- Full Text:
- Date Issued: 2021-00
- Authors: Lefatsa, Palesa Milliscent
- Date: 2021-00
- Subjects: Commerce in Economics
- Language: English
- Type: Masters theses , text
- Identifier: http://hdl.handle.net/11260/10192 , vital:74948
- Description: The study empirically examined the relationship between financial development and energy consumption in South Africa for the period 1980 to 2018. To achieve this objective, the study employed an autoregressive distributed lag bounds technique and Granger causality tests. Financial development, industrialisation, and urbanisation displayed a positive and significant relationship with energy consumption, both in the short run and long run. Economic growth was positive but not significant in the shortrun and long-run. Granger causality test results displayed a unidirectional causality running from financial development and industrialisation to energy consumption. This is in favour of an alternative hypothesis, meaning there is a relationship between financial development and energy consumption in South Africa. This study recommends policies that will allow financial development to stimulate clean energy consumption while considering increases in electricity consumption. The South African government must introduce new financial policies to enhance the process of capitalisation and produce sound energy infrastructure and introduce investments in renewable energy sources to safeguard against carbon emissions. , Thesis (Masters) -- Faculty of Economics and Financial Sciences, 2021
- Full Text:
- Date Issued: 2021-00
Women’s perceptions, beliefs and lived experiences of postpartum intrauterine contraception at a District Hospital in the Eastern Cape Province of South Africa – a qualitative study
- Authors: Gibson, Dylan
- Date: 2021-00
- Subjects: Postpartum contraception
- Language: English
- Type: Masters theses , text
- Identifier: http://hdl.handle.net/11260/6833 , vital:51015
- Description: Background There is a significant unmet need for family planning in South Africa where long acting reversible contraceptives (LARC), including intrauterine contraceptive devices (IUCD) are underutilised. The situation is no different in the Amathole District in the Eastern Cape where high rates of unintended pregnancies continue to be a problem. The postpartum period presents a unique opportunity for providing effective contraception. It has been established that immediate post-placental insertion of a copper IUCD is a safe, effective method that has the potential to reduce unintended pregnancy rates. A Post placental intrauterine contraceptive device (PPIUCD) refers to an IUCD that is placed into the uterine fundus immediately after delivery of the placenta after caesarean or vaginal delivery. The understanding of women’s perceptions, beliefs and lived experiences of the PPIUCD in this community has the potential to improve uptake of this method. The aim of the study was to fully explore the phenomenon of postpartum intrauterine contraception as a means of family planning at Madwaleni District Hospital in the Amathole District within the Eastern Cape, South Africa. Methods A qualitative, phenomenological study design was used in gathering data through a combination of three focus group discussions and in-depth individual interviews with three different groups of peripartum women. Data was collected from perinatal women at three snapshots in time, namely prior to labour, during the postpartum admission and at 12 weeks postpartum with the aim to fully explore the phenomenon of post-placental IUCD use in the study population. III Results The data was analysed using the framework method and five themes were derived iteratively from the text. These themes included the perceptions of perinatal women towards a PPIUCD, the origins of these perceptions, the reasons why women would or would not choose the method for themselves and lastly, the experiences of those women who chose the method. The findings of this study showed that PPIUCD was a novel method in this community and that misinformation, largely driven by deficiencies in antenatal counselling, led to hesitancy to adopt the method. These deficiencies extended to those women who consented to a PPIUCD insertion at caesarean section who did not fully understand what they had consented to. Despite this, women were open to a more effective, convenient contraceptive and the overall experiences of those women who chose to use a PPIUCD was positive. Conclusions Post-placental IUCD insertion was a relatively new method in the study population. Deficiencies in antenatal contraceptive counselling created uncertainty and scepticism which in turn contributed to low uptake of the method among perinatal women. Despite this, there was a strong desire amongst perinatal women to access effective, convenient family planning and prevent future unwanted pregnancies. The overall experiences of women who did choose the method was positive. This suggested that with the right counselling and support, there would be an increase in uptake of PPIUCD in the population. Recommendations from this study include the need to explore healthcare workers perspectives on this topic, to further explore the lived experience of PPIUCD users over a longer period of time and to explore the effectiveness of various antenatal counselling strategies to equip women to make peripartum contraceptive choices. , Thesis (Masters) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-00
- Authors: Gibson, Dylan
- Date: 2021-00
- Subjects: Postpartum contraception
- Language: English
- Type: Masters theses , text
- Identifier: http://hdl.handle.net/11260/6833 , vital:51015
- Description: Background There is a significant unmet need for family planning in South Africa where long acting reversible contraceptives (LARC), including intrauterine contraceptive devices (IUCD) are underutilised. The situation is no different in the Amathole District in the Eastern Cape where high rates of unintended pregnancies continue to be a problem. The postpartum period presents a unique opportunity for providing effective contraception. It has been established that immediate post-placental insertion of a copper IUCD is a safe, effective method that has the potential to reduce unintended pregnancy rates. A Post placental intrauterine contraceptive device (PPIUCD) refers to an IUCD that is placed into the uterine fundus immediately after delivery of the placenta after caesarean or vaginal delivery. The understanding of women’s perceptions, beliefs and lived experiences of the PPIUCD in this community has the potential to improve uptake of this method. The aim of the study was to fully explore the phenomenon of postpartum intrauterine contraception as a means of family planning at Madwaleni District Hospital in the Amathole District within the Eastern Cape, South Africa. Methods A qualitative, phenomenological study design was used in gathering data through a combination of three focus group discussions and in-depth individual interviews with three different groups of peripartum women. Data was collected from perinatal women at three snapshots in time, namely prior to labour, during the postpartum admission and at 12 weeks postpartum with the aim to fully explore the phenomenon of post-placental IUCD use in the study population. III Results The data was analysed using the framework method and five themes were derived iteratively from the text. These themes included the perceptions of perinatal women towards a PPIUCD, the origins of these perceptions, the reasons why women would or would not choose the method for themselves and lastly, the experiences of those women who chose the method. The findings of this study showed that PPIUCD was a novel method in this community and that misinformation, largely driven by deficiencies in antenatal counselling, led to hesitancy to adopt the method. These deficiencies extended to those women who consented to a PPIUCD insertion at caesarean section who did not fully understand what they had consented to. Despite this, women were open to a more effective, convenient contraceptive and the overall experiences of those women who chose to use a PPIUCD was positive. Conclusions Post-placental IUCD insertion was a relatively new method in the study population. Deficiencies in antenatal contraceptive counselling created uncertainty and scepticism which in turn contributed to low uptake of the method among perinatal women. Despite this, there was a strong desire amongst perinatal women to access effective, convenient family planning and prevent future unwanted pregnancies. The overall experiences of women who did choose the method was positive. This suggested that with the right counselling and support, there would be an increase in uptake of PPIUCD in the population. Recommendations from this study include the need to explore healthcare workers perspectives on this topic, to further explore the lived experience of PPIUCD users over a longer period of time and to explore the effectiveness of various antenatal counselling strategies to equip women to make peripartum contraceptive choices. , Thesis (Masters) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-00
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